- Evolent (Harrisburg, PA)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** . Serve ... as the Physician match reviewer in Advanced Imaging cases, that do...rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Penn Medicine (Philadelphia, PA)
- …for accuracy and to filter out duplicates prior to routing for clinical review . Utilizing scanners and scanning software, uploads all pertinent documents into the ... team adhering to insurance provider requirements and protocol. + Schedules physician , social worker, dietitian, or surgeon re-evaluation appointments for waitlisted… more
- Penn Medicine (Philadelphia, PA)
- …a seasoned med/surg nurse with a minimum of 5 years' experience in Utilization review and 3 years of experience in the Transfer Center.** Summary: + Monitors ... use of internal resources, communication with interdisciplinary care team and Physician Advisor, with timely coordination of home care, DME, placements, hospice,… more
- Evolent (Harrisburg, PA)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in Imaging cases, that do not...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Sunrise Senior Living (Haverford, PA)
- …+ Complete Incident Reports and report to Director of Nursing Services (DNS). + Review , update, and notate in the electronic health record to learn and document ... quality care and service delivery as measured in the Quality Services Review (QSR) process in demonstration and knowledge of standard practices and excellent… more
- Evolent (Harrisburg, PA)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in PM&R cases, that do not...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Cardinal Health (Harrisburg, PA)
- …+ Manage workload of inbound faxes (if applicable) + Investigate and resolve patient/ physician inquiries and concerns in a timely manner + Have the ability to ... confirmations or to obtain missing information + Mail out appropriate documents to physician offices + Interact with the patient referral sources to process new… more
- BioLife Plasma Services (Pittsburgh, PA)
- …determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test ... as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with… more
- Geisinger (Danville, PA)
- …clinical team, works under a collaborative practice agreement with the physician (s), and provides direct patient care, via either in-person or telephone ... interventions. The pharmacist will consult with the patient and physician (s) to identify, resolve and prevent medication related problems, as well as establish… more
- Cardinal Health (Harrisburg, PA)
- …including the insurance payers, specialty pharmacies, support organizations, and the patient/ physician to facilitate coverage and dispense of product in a timely ... of inbound faxes (if applicable) + Investigate and resolve patient/ physician inquiries and concerns in a timely manner +...+ Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave… more