• Advanced Practice Provider at AHN Express Care…

    Highmark Health (Erie, PA)
    …**ESSENTIAL RESPONSIBILITIES:** + Perform complete, detailed and accurate histories, review patient records and perform complete physical examinations. + Order ... family. + Record and report pertinent information in EMR and to attending physician of record. + Perform hospital rounds and document appropriate patient progress… more
    Highmark Health (06/07/25)
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  • Insurance Verification Representative - PGC…

    Surgery Care Affiliates (Philadelphia, PA)
    …Coverage guidelines in contacting patient's prior to the date of service to review , Physician Ownership, Advance Directives and Patient Rights. Authorization: + ... for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a… more
    Surgery Care Affiliates (05/29/25)
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  • System Chief, Cardiovascular Prevention…

    Geisinger (Scranton, PA)
    …and/or certification in Preventive Cardiology may also be beneficial Responsibilities: The physician leader will work closely with the System Chair of Cardiology ... efforts at risk reduction by Primary Care, Endocrinology and Bariatrics. + Provide review of any clinical quality challenges that arise within the realm of… more
    Geisinger (07/13/25)
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  • Medical Director, Grievances

    UPMC (Pittsburgh, PA)
    …seeking a board-certified Family Practice, Internal Medicine, or Emergency Medicine Physician with a Pennsylvania Medical License for a Medical Director, Grievances ... time frame. The Medical Director, Grievances is responsible for assuring physician commitment and delivery of comprehensive high quality health care to… more
    UPMC (08/16/25)
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  • Emergency Dept Care Manager Registered Nurse…

    Redeemer Health Home Care & Hospice (Meadowbrook, PA)
    …The ER Care manager will function as a liaison between attending physicians, Physician Advisors, local CCRCs, SNFs, PCFs, patients, families and community. The role ... of patient care needs. The ER Care Manager will assist in identifying physician and staff documentation opportunities to support Quality and Pay for Performance… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • PRN Clin Resource Coordinator WEEKDAYS

    Penn Medicine (Philadelphia, PA)
    …manager conducts utilization management activities, communication with insurers, team, and physician advisor. Discharge planning activities such as : home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician Advisor, with timely coordination of home care, DME, placements, hospice,… more
    Penn Medicine (08/07/25)
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  • Senior Practice Manager

    Penn Medicine (Philadelphia, PA)
    …needs **Summary:** + This role is the management of the outpatient Neurosurgery Physician offices and is non-patient facing. The offices are not a clinical practice ... clinic area where patients are seen, but is managing the outpatient NS physician offices providing quality care to patients; championing quality initiatives with the… more
    Penn Medicine (08/07/25)
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  • Clinical Transplant Coordinator I Renal Transplant…

    UPMC (Harrisburg, PA)
    …progress.25. Implements changes in drug therapy as ordered by physician .26. Arranges for consultations, diagnostic procedures, and hospitalization when indicated.27. ... Maintains communication with referring physician and other health care providers.28. Assesses recipient's compliance with medications and medical regime;… more
    UPMC (07/23/25)
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  • RN - Registered Nurse Clinical Documentation…

    Geisinger (Danville, PA)
    …The Clinical Documentation Improvement Program is designed to improve the physician 's documentation in the patient's medical record supporting the appropriate ... as the primary driver. Acts as documentation liaison to physician staff as a means of finalizing information in...mortality, severity of illness; and initiate documentation of the review . + Pursues a subsequent review of… more
    Geisinger (06/11/25)
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  • Contact Center Specialist

    UPMC (Pittsburgh, PA)
    …appointments according to the department protocols ensuring the appropriate exam, physician , and timeslot are utilized. Redirect telephone calls and takes messages, ... the staff and leadership of other departments when necessary. Review , verify and enter the patient's demographic, financial, and...in house clinical staff or send call to the physician 's office to meet the patient's needs. Research, resolve… more
    UPMC (08/13/25)
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