- WellSpan Health (Chambersburg, PA)
- …the provider and the patient concerning patient. + In collaboration with Physician /APP, reinforces health education, counseling, and advice to patients and families ... will direct patient/caller to an acceptable alternative venue of care. Seeks Physician /APP advice appropriately. + Tracks, reviews, and monitors the follow-up of… more
- Highmark Health (Pittsburgh, PA)
- …Park **ESSENTIAL RESPONSIBILITIES:** + Perform complete, detailed and accurate histories, review patient records and perform complete physical examinations. (25%) + ... data to determine patient treatment plan. (5%) + Make medical diagnoses and institute appropriate therapy within applicable scope...and report pertinent information in EMR and to attending physician of record. (5%) + Perform hospital rounds and… more
- Evolent (Harrisburg, PA)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be...reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- LifePoint Health (Johnstown, PA)
- Conemaugh Physician Group is seeking a full-time Medical Office Assistant for CPG Surgery in Johnstown, PA. The MOA is responsible toperforms a variety of ... over a half-million patients each year through the Conemaugh Physician Group and Medical Staff, a network...FMLA, insurance forms, and submitting forms to physicians to review and sign. Responsible for sending out forms either… more
- Advatix, Inc. (Philadelphia, PA)
- …timely charge submissions and/or data entry for the coded services + Systematically review and analyze patient medical records to determine all appropriate ... Job Title: Medical Abstractionist Pay Rate: $30-$32 Per Hour Location:...and procedures performed, and to produce coded abstract for physician billing + Submission of coded services for billing… more
- Guthrie (Troy, PA)
- …has the responsibility, accountability, and authority for coordinating the medical management of hospital patients, using outcomes-based approaches. The Acute ... an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or...health and community providers. a) Works closely with the Medical Director and other members of the healthcare team… more
- UPMC (Pittsburgh, PA)
- …Plan is seeking a board-certified Family Practice, Internal Medicine, or Emergency Medicine Physician with a Pennsylvania Medical License for a Medical ... to choose their weekly availability within the aforementioned time frame. The Medical Director, Grievances is responsible for assuring physician commitment and… more
- Evolent (Harrisburg, PA)
- …and provides clinical rationale for standard and expedited appeals. . Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… 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 ... Using Epic PennChart CareEverywhere and eFax, obtains all testing results and medical records necessary for the Transplant Selection Committee to decide a patient's… more
- Evolent (Harrisburg, PA)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more