- UPMC (Mckeesport, PA)
- …Quality Assurance: Participate in quality assurance and performance improvement activities. * Documentation : Complete clinical documentation on the same day ... for service authorization. * Case Reviews: Periodically review cases and serious clinical changes with supervisors and clinical personnel. * Patient Assessment:… more
- Humana (Harrisburg, PA)
- …resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, and outpatient services and ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more
- Evolent (Harrisburg, PA)
- …validate accuracy of advance payment model payouts, ensuring alignment with clinical documentation , performance metrics, and contractual expectations. + ... play a pivotal role in advancing value-based care models that prioritize clinical excellence, patient-centered outcomes, and system-wide impact. This role offers the… more
- UPMC (Camp Hill, PA)
- …complex cases with supervisors and clinical staff. + Ensure timely clinical documentation and support insurance authorization. + Adjust treatment plans based ... commitment Responsibilities of the Behavioral Health Therapist II: + Maintain daily clinical productivity records. + Provide individual and group therapy in an… more
- UPMC (Pittsburgh, PA)
- …individual and group therapy; participate in treatment team meetings. + Complete same-day clinical documentation ; share clinical info with access reps and ... overall well-being. The purpose of this job is to provide direct clinical and administrative supervision to behavioral health therapists. As appropriate, provide … more
- Humana (Harrisburg, PA)
- …provider. Some roles include an overview of coding practices and clinical documentation , dispute/grievance and appeals processes, and outpatient services ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Humana (Harrisburg, PA)
- …resolution skills. Some roles include an overview of coding practices and clinical documentation , dispute, grievance, and appeals processes, and outpatient ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS and state policies and determinations, clinical reference… more
- Compass Group, North America (Philadelphia, PA)
- …of required departmental audits as indicated by leadership team, which may include clinical documentation review, food safety and sanitation, meal accuracy, and ... in your career with CCL Hospitality Group as a Regional Support Clinical Dietitian in New York, Connecticut, Pennsylvania and the surrounding Northeast Region!**… more
- CenterWell (Lancaster, PA)
- …with the physician and Clinical Manager, preparing and completing needed clinical documentation . + Prepare appropriate medical documentation on all ... each patient, provide necessary follow-up as directed by the Clinical Manager. + Confer with physician in developing the...current plan of care. Monitor the appropriate completion of documentation by home health aides/personal care workers as part… more
- CenterWell (Lancaster, PA)
- …with the physician and Clinical Manager, preparing and completing needed clinical documentation . + Prepare appropriate medical documentation on all ... each patient, provide necessary follow-up as directed by the Clinical Manager. + Confer with physician in developing the...current plan of care. Monitor the appropriate completion of documentation by home health aides/personal care workers as part… more