- Evolent (Harrisburg, PA)
- …clients as scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
- Geisinger (Danville, PA)
- Job Summary The Clinical Documentation Improvement Program (CDI) is designed to improve the physician's documentation in the patient's medical record, supporting the ... of care of the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to assist the...highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to… more
- Geisinger (Danville, PA)
- …Minimum of 5 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Certified Clinical ... with CDI program leadership to plan, develop, and implement clinical documentation education programs for CDI specialists and providers....CDI team. Educate individuals and team members on the review functions within the CDI program in order to… more
- Geisinger (Wilkes-Barre, PA)
- …(Required), Bachelor's Degree-Nursing (Preferred) Experience Minimum of 3 years- Clinical (Required) Certification(s) and License(s) Licensed Registered Nurse ... build a rewarding, lasting career with impact. Job Duties Responsible for supporting clinical research as coordinator for multiple research studies and clinical … more
- Fresenius Medical Center (Dallas, PA)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Fresenius Medical Center (Dallas, PA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… 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
- Penn Medicine (Philadelphia, PA)
- …time for clinical nurses to attend Shared Governance Council meetings. Tracks clinical nurse release time for council meetings for budget monitoring and ... for area Schools of Nursing.Evidence Based Nursing Practice: In collaboration with Clinical Nurse Specialist, shares/disseminates to Nurses, and other … more
- UPMC (Monroeville, PA)
- …evaluate nursing students during the provision of nursing care to patients during clinical practicum experience. As a practicing Professional Nurse , will serve ... leader in one or more of the following areas: clinical expertise, teacher, specialized resource nurse , and/or...health care team and participates in the nursing peer review process. + Promotes changes that enhances the quality… more
- UPMC (Harrisburg, PA)
- …evaluate nursing students during the provision of nursing care to patients during clinical practicum experience. As a practicing Professional Nurse , will serve ... leader in one or more of the following areas: clinical expertise, teacher, specialized resource nurse , and/or...health care team and participates in the nursing peer review process. + Promotes change that enhances the quality… more