- St. Luke's University Health Network (Bethlehem, PA)
- …information. JOB DUTIES AND RESPONSIBILITIES: + Reviews documentation from Liaison/Intake nurse , referral source, Medical Director and admitting clinician. ... The Diagnosis and OASIS Specialist is responsible for coding pertinent medical information on patient classifications according to coding guidelines, OASIS Item… more
- Penn Medicine (Philadelphia, PA)
- …accurate timecard review and approval, reviews and manages all overtime utilization . + Assists with the implementation of change management strategies within 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
- WellSpan Health (York, PA)
- …members, referral sources and external payers regarding the effective and efficient utilization of program service and available resources as well as the benefit ... benefits in the completion of a thorough preadmission assessment to establish medical necessity, readiness for program participation and need for inpatient level… 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 ... optimal reimbursement for the hospital for services provided. Responsibilities: + Review chemo schedule in advance and determines patients insurance requirements for… more
- Penn Medicine (Radnor, PA)
- …+ Manage pay practices including accurate timecard review and approval, review and manage all overtime utilization + Assists with the implementation ... 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 (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 ... days per week.** **Summary:** + Position Summary: Responsible for complete and accurate review of all trauma patient records, collecting data for the PA Trauma… more
- Highmark Health (Camp Hill, PA)
- …+ Performs as the clinical subject matter expert for clinical, quality, care, utilization , high cost claim and population health management as the part of the ... and accounts after customer discussions.Participate in ad-hoc and annual clinical review meetings as needed to provide clinical, health and wellness perspective;… more
- UPMC (Pittsburgh, PA)
- …the clinical and financial plan for patients. Performs overall utilization management, resource management, discharge planning and post-acute care referrals ... position may require occasional Weekend and Holiday Hours **Responsibilities:** + Reviews medical record daily to ensure patient continues to meet LOC requirements… more
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