- UPMC (Media, PA)
- …relationship between Community Care and the providers in its network. + Ensures the quality of clinical care provided to Community Care members. + Focus on ... assuring the adequacy of the provider network for the clinical needs of Community Care members. The Medical Director...providers of care. + Ability to implement programs of quality care analysis, peer review , and professional… more
- Penn Medicine (Philadelphia, PA)
- …nursing excellence, while ensuring inter-professional collaboration to support the delivery of high- quality clinical care. Also aligns the Department of Nursing ... leaders, to review and investigate individual cases related to the quality of care provided in the procedural setting. Plans, implements and evaluates specific… more
- Wolters Kluwer (Philadelphia, PA)
- …ReView Manager/Senior Clinical Content Specialists to plan and deliver high quality NCLEX Review services by identifying and assessing client needs and ... virtually or in person. + Run evaluations, send to facilitator PreView & ReView Content Management Consultant/Senior Clinical Content Specialist and file. +… more
- Penn Medicine (Lancaster, PA)
- …with a focus on patient, employee, and physician satisfaction, as well as clinical quality and operational efficiency. Presents new approaches and provides the ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Veterans Affairs, Veterans Health Administration (Philadelphia, PA)
- …varying assignments, including special and complex imaging procedures, advanced therapies, clinical instruction, and quality management duties within the ... direction of an authorized user (Nuclear Medicine Physician) Performance of quality control procedures, the operation of imaging, laboratory, and computer… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data ... DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for clinical validation of diagnosis and procedure code assignment and MS-DRG/APR-DRG… more
- AmeriHealth Caritas (Philadelphia, PA)
- …provides organizational leadership in the operational areas of care management, utilization review , appeals, quality improvement and related policy and practice ... practice guidelines throughout the provider network. + Overseeing the quality of clinical care for network and non-network providers. + Engaging the… more
- Surgery Care Affiliates (Reading, PA)
- …how we do it. Each decision we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous ... and preparation of room for subsequent patients. + Participate in quality review and performance improvement projects. + Participate in the performance appraisal… more
- Surgery Care Affiliates (Huntingdon Valley, PA)
- …how we do it. Each decision we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous ... Collaborate effectively with other disciplines as needed. + Participate in quality review and performance improvement projects. + Participate in the performance… more
- Surgery Care Affiliates (Washington, PA)
- …how we do it. Each decision we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous ... a multidisciplinary team in planning patient care. + Participate in quality review and performance improvement projects. + Participate in the performance… more