- CVS Health (Harrisburg, PA)
- …and clinical staff. + Adheres to compliance and Patient Management policies and regulatory requirements. + Maintains accurate and complete documentation of ... management , regulatory, and accreditation requirements. + Participates in designated clinical quality management initiatives **Required Qualifications** + 2 +… more
- Owens & Minor (Pittsburgh, PA)
- …technical knowledge and expertise (software specifications, hardware requirements, inventory management systems, clinical process workflows). . Serves as ... education and experience to meet the above requirements. May provide onsite Inventory Management Services to support our Clinical Inventory Management … more
- St. Luke's University Health Network (Sellersville, PA)
- …education + Participates in the research, development, implementation, and tracking of clinical management guidelines. + Participates in the teaching of ... interpreting test results. + Evaluates, develops, and implements appropriate patient management and treatment plans, based on assessment of needs + Coordinates… more
- St. Luke's University Health Network (Allentown, PA)
- …education + Participates in the research, development, implementation, and tracking of clinical management guidelines. + Participates in the teaching of ... interpreting test results. + Evaluates, develops, and implements appropriate patient management and treatment plans, based on assessment of needs + Coordinates… more
- St. Luke's University Health Network (Bethlehem, PA)
- …education + Participates in the research, development, implementation, and tracking of clinical management guidelines. + Participates in the teaching of ... interpreting test results. + Evaluates, develops, and implements appropriate patient management and treatment plans, based on assessment of needs + Coordinates… more
- St. Luke's University Health Network (Sellersville, PA)
- …education + Participates in the research, development, implementation, and tracking of clinical management guidelines. + Participates in the teaching of ... interpreting test results. + Evaluates, develops, and implements appropriate patient management and treatment plans, based on assessment of needs + Coordinates… more
- St. Luke's University Health Network (Allentown, PA)
- …education + Participates in the research, development, implementation, and tracking of clinical management guidelines. + Participates in the teaching of ... interpreting test results. + Evaluates, develops, and implements appropriate patient management and treatment plans, based on assessment of needs + Coordinates… more
- Guthrie (Sayre, PA)
- …ensure adherence to payer-specific appeal timelines and protocols + Collaborate with clinical , utilization management , billing, HIM, and coding teams to resolve ... The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials, appeals, and audit processes within the health system.… more
- Humana (Harrisburg, PA)
- …with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and ... communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient or… more
- St. Luke's University Health Network (Easton, PA)
- …education + Participates in the research, development, implementation, and tracking of clinical management guidelines. + Participates in the teaching of ... interpreting test results. + Evaluates, develops, and implements appropriate patient management and treatment plans, based on assessment of needs + Coordinates… more