- St. Luke's University Health Network (Allentown, PA)
- …Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal process. Assists billing staff ... outpatient denials for experimental, coding or other issues that may require record review . Provides billing with information needed to obtain payment of claims. JOB… more
- Geisinger (Pittston, PA)
- …team huddles. + Coordinates patient care schedules, diagnostics, and delivery of durable medical equipment. + Triages and manages acute patient needs and barriers by ... patient monitoring technologies to provide in-home care for patients with acute medical conditions. + Provides patient-centered care to identify barriers and ensure… more
- Erickson Living (Glen Mills, PA)
- Location: Maris Grove by Erickson Senior LivingWe are hiring a Licensed Practical Nurse (LPN). The LPN is responsible for providing clinical care to residents in the ... and evaluating resident's clinical condition, document findings in the resident electronic medical record, and notify the provider and/or RN when necessary. +… more
- Geisinger (Danville, PA)
- Job Summary Becker's Hospital Review , we're working to create a national model for improving health. Today, we're focused on bringing our region services that ... including but not limited to demographics, patient specific information including past medical and surgical history, height and weight. + Performs the necessary… more
- Prime Healthcare (Philadelphia, PA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, ... 131-bed community hospital. The hospital has been serving the medical and health care needs of the Roxborough, Manayunk,...accredited school of nursing and a current state Registered Nurse license. 2. Grandfathered prior to April 1, 2015.… more
- Guthrie (PA)
- …knowledge of medications (side effects/contraindications, etc.) 9. Be able to read and review pathology results with patients 10. Setup and tear down sterile fields ... and/or provider 18. Hepatitis checks and protocol to protect surgeon, patient, and nurse Other Duties: 1. As assigned as appropriate for LPN licensure 2. Attend… 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 ... Program Director, Transplant Institute Administrative Director, Surgical Director, and Medical Director, the Assistant Manager helps ensure high-quality, safe… more
- St. Luke's University Health Network (Allentown, PA)
- …including review of patients chart to determine treatment plan, medical history, reason for admission, and special considerations for patient placement. + ... out of Bed Planning and Transfer Center modules in the electronic medical records system, Epic. + Effectively utilizes medical appropriateness criteria… more
- Quarryville Presbyterian Retirement Community (Quarryville, PA)
- …protocol + Serves as Command Post Operator for the entire community + Review Nursing documentation to ensure completion and accuracy + Assists in the development ... Offers: + Comprehensive benefit package for eligible team members that includes medical , dental, vision, flexible spending, generous paid time off plus holidays, and… more
- Prime Therapeutics (Harrisburg, PA)
- …staff, cardholders, and pharmacies. + Escalates medical exception requests to nurse , pharmacist or physician on the utilization review clinical team when ... Review Pharmacy Technician plays a key role in medical and pharmacy management initiatives critical to the company...organization. + Conducts Program Integrity Audits including outreach and review of medical records to audit authenticity… more