- Highmark Health (Harrisburg, PA)
- …services to the nurse reviewer and other departments based on documentation procedures, including review type, clinical information, and decision timeframes. Follow ... policies and procedures to assure case completion and compliance with state and federal regulatory agencies. Maintain or exceed department standards for call volume, response time and related production and quality measures. May interact with other departments… more
- Geisinger (Wilkes-Barre, PA)
- …Follows up on incidents occurring on assigned unit. + Assures proper documentation and follow-through. Work is typically performed in a clinical environment. ... Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to… more
- Penn Medicine (Lititz, PA)
- …behaviors and performance to the Supervisor or Manager regularly with supportive documentation . Dissolves crisis situations within the team in a calm and effective ... manner. + Keeps Supervisor or Manager informed of potential problems concerning operations and conflicts or issues among staff and or with extended care facility clients. + Assists management in evaluating, changing, developing, and implementing processes to… more
- Highmark Health (Pittsburgh, PA)
- …verification system. + Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management ... department, and payors regarding authorization/referral deficiencies. + Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily… more
- Highmark Health (Pittsburgh, PA)
- …+ Assesses, develops, and administers plan of care, completes appropriate documentation and ensures compliance with all regulatory agencies. (35%) + Communicates ... with attending physician regarding plan of care and involves physician in clinical decision making of any issues that are outside the RN's knowledge base or scope of practice. (20%) + Assesses learning needs of patient and family and provides education based… more
- Penn Medicine (Philadelphia, PA)
- …to guidelines to satisfy 3rd party payer requirements Educates team in appropriate documentation to reflect Intensity of service (IS) / Severity of Illness (SI) and ... plan of care Proactively addresses level of care issues to ensure appropriate care settings and timely patient flow; elevates issues appropriately Enters all review activity in Canopy concurrently Accounts for all patient days accurately in Canopy Enters… more
- Eurofins (West Point, PA)
- …are in good condition, ensures equipment is functioning properly, and documentation and recordkeeping is maintained + Arranges equipment replacement and repairs ... as needed + Coordinates with laboratory staff, and safety to properly maintain and remain compliant in common/shared equipment including preventive maintenance (PMs), service, repair, calibration, and certification + Ordering new equipment + Prepares purchase… more
- Highmark Health (Pittsburgh, PA)
- …on burn prevention 35%. + Maintains the Burn Registry and prepares documentation for the American Burn Association verification process per the American Burn ... Association standards 35%. + Assists Burn Program leadership in the development, implementation and evaluation of process improvement activities for the burn center 30%. + Other duties as assigned or requested. **EXPERIENCE** **Required** + 1 year of EMS,… more
- Healthfirst (PA)
- …5x8 work schedules** + Prepare cases for the clinical team by gathering documentation , loading evidence, and making calls to members and providers. + Perform ... administrative activities including but not limited to generating and printing determination and authorization notification letters. + Complete all associated data entry and authorization creation in the True care system. + Correctly and completely preps… more
- UPMC (Pittsburgh, PA)
- …and implement comprehensive service plans. + Complete assessments and documentation with individuals. **Training and Compliance** + Attend training programs ... to stay updated on best practices. + Maintain contact during hospitalizations and transitions of care. + Keep accurate records of SUD Service Coordination activities. + Update forms and review charts for regulatory compliance. + Bachelor's Degree in a Human… more
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