- Penn Medicine (Philadelphia, PA)
- …role-modeling.** + **Advocate for patient's needs and rights pertaining to clinical information systems, including issues of confidentiality Integrates nursing ... to support the development and maintenance of a work environment related to clinical information system and electronic documentation. Functions as a liaison… more
- Highmark Health (Harrisburg, PA)
- …plans. Key responsibilities include performing routine and non-routine audits of clinical information , assessing medical policy adherence and consistency in ... content of correction action plans + Conduct routine and non-routine audits of clinical information , medical policy adherence, consistency of decision making +… more
- Penn Medicine (Philadelphia, PA)
- …three letters are received. + We may reach out directly to references to verify information . Summary: + The Clinical Nurse 2 Colleague is an RN that practices ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Prime Therapeutics (Harrisburg, PA)
- …calls to and from physicians, patients, and pharmacies to gather additional clinical information to determine medication reimbursement. Recommendations will be ... other internal departments as needed. **Responsibilities** + Reviews pertinent patient information and checks appropriateness using clinical criteria. Makes… more
- Humana (Harrisburg, PA)
- …environments. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more
- Penn State Health (Hershey, PA)
- …at each PSH hospital, and proximity to the patient's home community. + Collect clinical information to determine patient's level of care while collaborating with ... transportation arrangements and provide an assigned bed. + Communicate clinical information to transportation company, physicians, physician designees,… more
- Guthrie (Sayre, PA)
- …service for hospital inpatient admissions and short procedures by translating clinical information to Utilization Management requirements using pre‐determined ... appropriate institutional, community, or specialized resources. 4) Integrates patient information , clinical /financial/operational data and evaluates the impact… more
- UPMC (Pittsburgh, PA)
- …coverage. A Precert Care Manager is responsible for documenting and reviewing clinical information and making authorization determinations for adult and ... accurate information concerning benefits and coverage. + Demonstrates excellent clinical , written and oral communication skills. + Utilizes supervision with team… more
- Penn Medicine (Berwyn, PA)
- …of all patient care processes + Ensures that teams and individuals have the clinical , information and organizational tools to serve our patients and customers ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Humana (Harrisburg, PA)
- …work includes discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances, ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more