- Penn State Health (Hershey, PA)
- …on patients during post-operative phases of care, performs assessments, and makes medical management plan revisions in collaboration with physicians, consulted ... **Penn State Health** - **Hershey Medical Center** **Location:** US:PA: Hershey **Work Type:** Full...hours a day/7 days a week/365 days per year management of cardiac surgery, vascular surgery, cardiology, interventional and… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …issues that impact patient classification, discharge from the emergency room and ongoing medical management of patient care needs. The ER Care Manager will ... utilization review standards. Experience in clinical documentation within electronic medical records required. Experience in Care Coordination, Discharge Planning,… more
- Sedgwick (Harrisburg, PA)
- …and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as ... Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or… more
- Guthrie (Sayre, PA)
- …but not limited to Case Management , Utilization Review (UR), Utilization Management (UM), and Medical Social Work. Provides leadership for interdisciplinary ... Position Summary: Provides leadership and management of all operational aspects for Care Coordination including,… more
- The Cigna Group (Pittsburgh, PA)
- …+ Collaborates with customer in creation of care plan and documents plan in medical management system. + Partners with each customer to establish goals and ... conjunction with the customer and provider then document into a medical management system. + Utilizes motivational interviewing, behavior change, and shared… more
- Penn Medicine (Philadelphia, PA)
- …+ Evaluation, selection and waiting list management of candidates + Peri-txp medical management + Early and long-term post-txp care The Advanced Practice ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...HUP. The APP will collaborate with physicians in the co- management of patients across all phases of txp in… more
- CVS Health (Harrisburg, PA)
- …and business partners in Africa,. This role supports the international network, medical cost management , and overall claim/customer service experience. The ... + International travel required - up to 25% + Benefits Management /Interacting with Medical Professionals **PREFERRED QUALIFICATIONS:** + Additional spoken… more
- Geisinger (Wilkes-Barre, PA)
- …+ Evaluates and reports to collaborating physician any circumstances or approaches to medical management or test results that present a significant risk to ... and reports to collaborating physician any circumstances or approaches to medical management or test results that present a significant risk to patient's… more
- AmeriHealth Caritas (Philadelphia, PA)
- …provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; + Research and Investigate member and/or provider ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- The Cigna Group (Philadelphia, PA)
- …terms on profitability, trend and other metrics. You will also partner with network management , medical management , and sales units to understand resulting ... to build these into plan where appropriate + Keep management informed as to the progress of Plan and...Experience working with claim data and familiarity with standard medical coding: CPT, ICD9, HCPC preferred + Understanding of… more