- UPMC (Altoona, PA)
- …good rapport and cooperative relationship with peers, nursing staff, hospital staff, medical staff, management , and other. + BSN required; Relevant Master's ... relationships with staff, peers, physicians, and other disciplines and ancillary services . Assure that nursing practices are compliant to the mission and… more
- Sedgwick (Harrisburg, PA)
- …+ Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster I Workers Compensation I...claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which… more
- Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
- Summary Social Work Service at the Wilkes-Barre, Pennsylvania VA Medical Center serves as a Rehabilitation Counselor for the Compensated Work Therapy (CWT) ... programs delivering services to Veterans receiving treatment for Substance Use Disorders....veterans served as required by the NEPEC, and the Director/ medical center management . Develops the local supported… more
- WellSpan Health (Ephrata, PA)
- … principles. **Duties and Responsibilities** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for ... a variety of duties and applies utilization and case management techniques to determine the most efficient use of...range of services , from wellness and employer services solutions to advanced care for complex medical… more
- Commonwealth of Pennsylvania (PA)
- … services program that insures the maintenance of high-quality service to patients/clients/inmates/family or staff and developing experimental designs or ... serving on agency-wide or inter-agency committees such as Research, Human Rights, Medical Records, Management Advisory, etc., to discuss and evaluate… more
- The Cigna Group (Philadelphia, PA)
- …+ Financial Planning & Analysis + Data & Analytics + Underwriting + Investment Management + Medical Management **We're** **looking for motivated and curious ... span key functions-including pricing, reserving, analytics, forecasting, and risk management -across diverse business areas such as employer healthcare, individual… more
- Prime Therapeutics (Harrisburg, PA)
- …for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and ... benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists. + Escalates requests to… more
- The Cigna Group (Philadelphia, PA)
- …+ Financial Planning & Analysis + Data & Analytics + Underwriting + Investment Management + Medical Management **Qualifications:** + At least 2 years ... span key functions-including pricing, reserving, analytics, forecasting, and risk management -across diverse business areas such as employer healthcare, individual… more
- Penn Medicine (Philadelphia, PA)
- …Vascular Neurologists in Philadelphia's first comprehensive stroke center. In addition to medical management of general Neurology and Stroke patients, the ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Penn Medicine (Philadelphia, PA)
- …of patients each year. The PD&MDC provides comprehensive evaluation, diagnosis, and medical management for all types of movement disorders. PD&MDC's focus ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more