- Select Medical (Hummelstown, PA)
- …to minimize financial risk. + Maintain relationship profile by payor for payor case managers and medical directors. + Identifie by payor their preference ... State Health Rehabilitation Hospital** A joint venture partnership with Select Medical and Penn State Health Hummelstown, PA **Clinical Assessment Specialist (RN,… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... life's work? Cupp 4 South is a dynamic, fast-paced 32-bed inpatient medical /surgical unit primarily serving the adult population of West Philadelphia. This floor… more
- CVS Health (Pittsburgh, PA)
- …state medical license without encumbrances. * MD or DO,Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care ... state medical license without encumbrances. * MD or DO,Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care… more
- Veterans Affairs, Veterans Health Administration (Altoona, PA)
- …data elements related to the tumor registry. Perform duties autonomously. Search medical records to identify and abstract/code information. Organize and maintain the ... ICD-10, ICD-9, and the Solid Tumor Rules manual. Keeps abreast of new medical terminology and revisions to the above manuals. Utilizes coding references to ensure… more
- Veterans Affairs, Veterans Health Administration (Coatesville, PA)
- Summary This position is for a Senior Social Worker HUD-VASH Case Manager. The HUD-VASH program is a collaborative effort, supported through HUD Section 8 rental ... assistance vouchers and VA's provision of intensive case management services. The primary goal of HUD-VASH is...as those who are referred by VA residential programs, medical centers or outpatient clinics. Evaluates the veteran's situation,… more
- ChenMed (Philadelphia, PA)
- …requires possession and maintenance of a current, valid driver's license + Certified Case Manager certification is preferred. Certification through the ... to leverage with inpatient staff for possible reduction of medical cost on long length of stay patients +...Commission for Case Manager Certification (CCMC) or the American Association of Managed Care… more
- Sedgwick (Harrisburg, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... PURPOSE** **:** To evaluate medical reports escalated due to deficient information utilizing evidence...nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance.… more
- Geisinger (Scranton, PA)
- Job Summary The Department of Medical Education is seeking applications for a full-time faculty position (1.0 FTE) in Pathology/Pathophysiology at any rank ... the efforts of visionary individuals who recognized the value of a community-based medical school. GCSOM is part of the Geisinger College of Health Sciences, which… more
- UPMC (Pittsburgh, PA)
- …skills + Computer proficiency required **Licensure, Certifications, and Clearances:** + Case management certification or approved clinical certification ... use your nursing background in outpatient, home health, or case management? Do you have an interest in health...in health insurance, but thrive on working in a medical office setting with face-to-face interaction with the members… more
- Guthrie (Troy, PA)
- …of Utilization Management (UM) processes and requirements of prior authorization/ certification for reimbursement of patient care services. The responsibilities ... plans and related UM requirements preferred. Experience with CPT/ICD coding, medical record or chart auditing, and experience in utilization management processes… more