- UPMC (Pittsburgh, PA)
- …coverage. A Precert Care Manager is responsible for documenting and reviewing clinical information and making authorization determinations for adult and ... and knowledge. Works as part of a team providing clinical expertise and knowledge to member services ...Independently problem solves based on advanced-level knowledge of the service delivery system, clinical treatment, diversion resources,… more
- Penn Medicine (Philadelphia, PA)
- …positive relationships with building owner, construction, township and other personnel, as needed. + Clinical Service Groups & Product Service Lines - As ... practice complexity): multiple practice locations, high practice/facility square footage, service line oversight, coordination of inpatient services ,… more
- Penn Medicine (Philadelphia, PA)
- …positive relationships with building owner, construction, township and other personnel, as needed. Clinical Service Groups & Product Service Lines - Supports ... practice complexity): multiple practice locations, high practice/facility square footage, service line oversight, coordination of inpatient services ,… more
- Humana (Harrisburg, PA)
- …have regular discussions with external providers by phone to gather additional clinical information and discuss determinations. Medical directors are expected to ... uses their medical background, experience, and judgement to make determinations whether requested services , level of care, and/or site of service should be… 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
- Takeda Pharmaceuticals (PA)
- …systems and specialty medical practices. + Presents complex clinical and business information on Takeda's specialty products and services to an audience of ... customers across a brand belief continuum. + Support initial clinical educational support and in- service for medical...and deliver a targeted sales message based on accurate clinical information , utilizing approved marketing materials and… more
- UPMC (Pittsburgh, PA)
- …as indicated. + Completes clinical documentation on the same day of service delivery and provides clinical information to patient access representative ... The purpose of this job is to provide independent clinical treatment services to the targeted populations....populations. This is an outpatient treatment program designed to service patients with a mental health diagnosis who meet… more
- UPMC (Pittsburgh, PA)
- …of the program. + Completes clinical documentation on the same day of service delivery and provides clinical information to patient access representative ... team that provides behavioral health assessments and treatment to service patients who have a behavioral health diagnosis. This...patients according to guidelines. + Discusses need for additional services with the clinical team to determine… more
- UPMC (Lancaster, PA)
- …as indicated. + Completes clinical documentation on the same day of service delivery and provides clinical information to patient access representative ... The purpose of this job is to provide independent clinical treatment services to the targeted populations....populations. This is an outpatient treatment program designed to service patients with a mental health diagnosis who meet… more
- Penn Medicine (West Chester, PA)
- …Uses resources and references for reviewing policies and procedures, medications, and clinical information . 16. Prioritizes and organizes work effectively within ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more