- ChenMed (Philadelphia, PA)
- …assess and record patients' progress and adjust and plan accordingly + Understanding utilization review and how to leverage with inpatient staff for possible ... through external providers and healthcare systems. The Acute Care Nurse is an important member of the Complex Care...required + A minimum of one (1) year of utilization review and/or case management, home health,… more
- Geisinger (Bellefonte, PA)
- …who qualify!! Graduate of an accredited 1-year certificate or 2-year diploma Medical Assistant program preferred. Certified Medical Assistant (CMA) or Registered ... Duties + Obtains and documents, using the rooming tool in the electronic medical record, the patient's reason for visit, weight, vital signs, visit screening… more
- Geisinger (Lewistown, PA)
- Job Summary Geisinger offers outpatient Medical Assistants up to a $3,000 bonus for eligible candidates. Geisinger has hundreds of community sites that allows ... Medical Assistants to work in a progressive learning environment...for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. + Sets up… more
- Penn Medicine (Philadelphia, PA)
- …nurses to expand their knowledge and apply it to transitions in care. Our nurse case managers (CRC's) work alongside innovative medical teams as well as ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...fearful you will miss patient contact? If so, our nurse case manager role at Penn Medicine is the… more
- Guthrie (Sayre, PA)
- …and autonomy in nursing practice. Preferred experience with PCMH process, care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... in Primary Care will serve as a practice support in the Patient Centered Medical Home development and process. The position is an integral part of the Patient… more
- CenterWell (Lancaster, PA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- Highmark Health (Monroeville, PA)
- …Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory ... the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care...as an educational resource to all AHN staff regarding utilization review practice and governmental commercial payer… more
- UPMC (Pittsburgh, PA)
- …you have an interest in health insurance, but thrive on working in a medical office setting with face-to-face interaction with the members you are caring for? UPMC ... and 82 and there are multiple nearby paid parking options include Luna Garage, Medical Center Garage, and the Aiken Ave Employee Garage. As a Clinical Care Manager,… more
- Penn Medicine (Radnor, PA)
- …including accurate timecard review and approval, reviews and manages all overtime utilization . + Skills and Abilities: + Must be able to listen supportively to ... accurate timecard review and approval, reviews and manages all overtime utilization . + Assists with the implementation of change management strategies within the… more
- Penn Medicine (Philadelphia, PA)
- …be a seasoned med/surg nurse with a minimum of 5 years' experience in Utilization review and 3 years of experience in the Transfer Center.** Summary: + ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more