- WellSpan Health (York, PA)
- …of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care ... Ensures the process design of established policies/procedures, objectives, quality management , safety, environment and infection control standards are utilized… more
- WellSpan Health (Ephrata, PA)
- …of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care ... Ensures the process design of established policies/procedures, objectives, quality management , safety, environment and infection control standards are utilized… more
- WellSpan Health (York, PA)
- …of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care ... Ensures the process design of established policies/procedures, objectives, quality management , safety, environment and infection control standards are utilized… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …needs of staff and operating departments. Interviews users to determine in depth clinical information needs, current workflow and sources of required data . Leads ... on system selection team. Performs complex analysis and troubleshooting for various clinical and financial applications. Provides options to end users for workflow… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …to that provider directly or to supervisor. . Review to ensure that clinical documentation substantiates the evaluation and management , procedures and modifier ... and CPT-4 in medical/physician specialties .. . Background in Anatomy, Physiology, Clinical Medicine and Medical Terminology. . A graduate of an accredited coding… more
- Guthrie (Sayre, PA)
- …in performance improvement and educational activities. a) Incorporates available current evidence-based data for clinical care management . b) Demonstrates ... clinical and operational outcomes through analysis of clinical and financial data , including length of...or reduce costs and optimize case reimbursement. a) Identifies cost/ clinical outlier patients for intensive case management … more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …chemotherapy and radiation oncology claims. Accurate abstraction and or validation of data pertaining to each encounter in accordance with Uniform Hospital Discharge ... Data Set. This position will need to remain current...cooperatively as a team with revenue cycle, hospital and management associates. Provides courteous and professionals assistance with coding… more
- Humana (Harrisburg, PA)
- …first** The UM Strategy team is a multi-disciplinary team focused on creating data -driven strategies to transform our business and the experiences we create for our ... concrete roadmaps that will generate tangible value to all stakeholders. Within Utilization Management , our goal is to enable members to receive the most appropriate… more
- Humana (Harrisburg, PA)
- …first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied activities and ... at Humana. Join Us!** The UM Administration Coordinator provides non- clinical support for the policies and procedures ensuring best...most appropriate treatment, care or services for members. The Home Solutions UM Team is hiring for a UM… more
- Commonwealth of Pennsylvania (PA)
- …leaders on data collection and dissemination, as well as responding to data -related inquiries from senior management . You will also assess the types of ... Quality Assurance/Risk Management Specialist - Clarks Summit State Hospital Print...compliance with those requirements. You will gather and analyze data related to patient abuse, patient rights grievances, hospital… more
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