- UPMC (Erie, PA)
- …services. What You'll Do: + Collaborate closely with clinicians, psychiatrists, medical professionals, and blended case managers to support individuals, ... families, and groups. + Deliver peer services in both office-based settings and in the community, tailored to the unique needs and frequency of each client. + Participate in twice-weekly team meetings to coordinate care plans and consult on cases. + Use your… more
- Penn Medicine (Philadelphia, PA)
- …to all involved departments included but not limited to admissions, business office, case managers and medical staff and designees. Provide required clinical and ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- BluePearl (Langhorne, PA)
- …POCUS machines** + **Dedicated, highly trained nursing staff** to support all services Our medical team values **collaboration** , **daily case rounds** , and a ... + A team that fosters **open communication and shared case management** + **Renovated facility** with space for service...support from the **BluePearl network** and access to national medical resources + Deep roots in the community and… more
- NiSource (Uniontown, PA)
- …and medical agencies for consultation and information regarding specific medical conditions + Maintain organization to ensure case management protocols ... Nurse should be knowledgeable of HIPAA requirements and handling of confidential medical information. You will also be responsible for completing required record… more
- Datavant (Harrisburg, PA)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …Managers via outbound calls to verify patient insurance coverage and uncover available Medical and Pharmacy benefits. + Communicate case details to relevant ... access to essential medications! We seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in… more
- Humana (Harrisburg, PA)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex to complex...participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more
- Highmark Health (Harrisburg, PA)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... of the requested treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may be required. The incumbent ensures compliance… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more