- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... + Respond to Prior Authorization denials and submit appeals, collecting appropriate clinical support to substantiate the formal response. + Compose technical denial… more
- UPMC (Pittsburgh, PA)
- Western Psychiatric Hospital is in search of a Commitment Specialist to help coordinate the involuntary commitment process for patients across multiple units within ... + Log and file involuntary commitment petition extensions on time. + Review court orders for commitment accuracy and report discrepancies. **Support &… more
- Pfizer (Harrisburg, PA)
- …and patients in this dynamic ecosystem. The Health and Science System Specialist (HSSS) is responsible for launching new products, deciding on optimal strategies ... service areas or within aligned acute care and medical group accounts. Clinical knowledge includes in-depth expertise in or demonstrated ability to learn current… more
- Envista Holdings Corporation (Quakertown, PA)
- …personal and professional relationships across the organization. **The Procurement Specialist ** manages and provides support across indirect spend categories through ... and point-person to indirect procurement system. + Participates in workshops that review spending and manufacturing activity to identify ways to reduce costs while… more
- UPMC (Altoona, PA)
- …participation in the quality initiatives is expected to improve clinical pharmacy services by monitoring processes, analyzing data, implementing interventions, ... utilizing therapeutic interchange protocols, and promoting rational drug therapy selection. Review , maintain, and screen patient medication records and profiles for… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... experimental, coding or other issues that may require record review . Provides billing with information needed to obtain payment...TRAINING AND EXPERIENCE: + Minimum of 2-5 years of clinical nursing experience in an acute care hospital setting… more
- WellSpan Health (York, PA)
- …Advance Directives (PAD) planning among peers. + Partners with peers to create, review and attain goals on the Individual Recovery Plan. + Completes necessary ... to maintain services (ie POC, ORS, C-SSRS, Initial Engagement and other clinical documentation). + Acquires knowledge or resources in assigned county/counites while… more
- Globus Medical, Inc. (Audubon, PA)
- …of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and ... lives as quickly as possible. **Position Summary:** The Quality Operations Specialist will be responsible for performing Quality Operations testing, as specified… more
- Penn Medicine (Philadelphia, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... future each day. Are you living your life's work? Summary: + Clinical *Performs all aspects and modes vascular laboratory testing, including arterial, venous,… more
- Actalent (Philadelphia, PA)
- …study participants using a telescreen questionnaire to determine their suitability for clinical trials. You will accurately review , enter, and edit patient ... APPLYING: + Applicants MUST have current or recent Patient Recruitment experience in Clinical Trials dedicated solely to that role (not as part of another role)… more