- CSL Behring (King Of Prussia, PA)
- …Collaboration:** + Collaborate with internal stakeholders, including quality, and clinical teams, to align the case management function with broader ... benefits to help achieve your goals. Please take the time to review our benefits site (https://www.cslbenefits.com/csl/candidates) to see what's available to you as… more
- Organon & Co. (Plymouth Meeting, PA)
- …the development of coaching measurements that provide immediate and sustained metric review of performance. + Actively lead, coach, and provide career develop plans ... or other advanced education/certifications a plus (Focused degree in science or clinical experience is a plus). + Minimum of seven years of… more
- Carnegie Mellon University (Pittsburgh, PA)
- …are candidates that have a track record/ interest in human centric/ clinical research as well as commercialization/entrepreneurship interest. The successful candidate ... Applicants may also submit an optional 1-page Personal and Service statement. Review of applications will begin immediately and all applications received by… more
- Carnegie Mellon University (Pittsburgh, PA)
- …at CMU has a rich history of research, innovation, and clinical application. There are exceptional opportunities for interdisciplinary collaborations with other ... of recommendation (sometimes the automated Interfolio emails are mistaken for spam). Review of applications will begin immediately and all applications received by… more
- St. Luke's University Health Network (Bethlehem, PA)
- …of a patient's ability to pay for health care. The Admission's Clinical Reviewer is responsible for the comprehensive medical review and screening of all ... and responds to all inquiries for admission to ARC + Completes thorough review of documentation and information and assesses a patient's appropriateness for ARC… more
- Evolent (Harrisburg, PA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the… 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
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for Pharmacy Clinical Review Specialist I positions in the Pharmacy Services department. This is a full time position working Monday ... through Friday 11:30am to 8:00pm and weekend rotations. The Clinical Review Specialist will oversee administrative and system processes that relate to pharmacy… more
- Trinity Health (Newtown Square, PA)
- …clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer , educator, and consultant. ... **Description:** Trinity Health Mid-Atlantic, is looking for a CIN Ambulatory Clinical Documentation Specialist to join our team! **Employment Type:** Full Time… more
- Geisinger (Danville, PA)
- …through presentations at national meetings, service on study sections or ad hoc grant review committees, and peer reviewer for journals. + Takes a lead role ... and Center for Kidney Health Research is seeking to expand its growing clinical research program by adding a BC Nephrologist with an established history of… more
