- WellSpan Health (Lebanon, PA)
- …and patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation ... of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health care… more
- CVS Health (Chalfont, PA)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... care by solving or escalating patient problems + Offering to counsel, fielding medical questions, and soliciting information on a patient's medical history to… more
- Humana (Harrisburg, PA)
- …Facilities (MTF), other Care Management programs (such as Disease Management and Utilization Management), physicians, staff, or providers to ensure there is a fully ... **Role Responsibilities** + Assess, plan, coordinate, implement, monitor, and evaluate medical / behavioral health services required to meet the complex health… more
- Penn Medicine (Lancaster, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... are not well enough to be placed on other medical surgical or telemetry units. The unit cares for...that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates… more
- WellSpan Health (Lewisburg, PA)
- …and patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation ... of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health care… more
- VF Corporation (Jonestown, PA)
- …a competitive compensation package, and a strong benefits package that includes medical , dental, vision, and 401(k). Our commitment extends beyond this and into ... to the vehicle being driven. Plan own routing for most effective utilization within schedule constraints. Ensure delivery or pick-up documentation is complete. Do… more
- Cognizant (Harrisburg, PA)
- …experience. * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able to work with ... UB or HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered was medically appropriate… more
- Highmark Health (Wexford, PA)
- … utilization management (UM) coverage requests and prepares such cases for clinical review by a pharmacist and/or medical director when required. (20%) + ... + Responsible for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate… more
- Geisinger (Danville, PA)
- …at this time. Licensed Genetic Counselors with work experience in the areas of medical genetics and genetic counseling. Work as leaders of health care and research ... manage research projects and clinical programs related to the field of medical genetics, genetic testing, genetic counseling, and bioethics. Supervise Research and… more
- Humana (Harrisburg, PA)
- …medical terminology and/or ICD-10 codes. + Member service + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... orders and arrange a safe facility discharge. + Work with UM Nurses, Pharmacy, Medical Directors and other Departments. + During downtime make calls to UM Nurses,… more