- BriteLife Recovery (Hanover, PA)
- …+ Under direction of supervisor , establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, limit ... follow the direction of the Clinical Director and BHT Supervisor and safely transport clients in a timely fashion...with his/her ability to drive safely (ie holding a medical marijuana card.) EEO Statement All BLR subsidiaries are… more
- BriteLife Recovery (Hanover, PA)
- …Under the direction of supervisor , establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, limit ... follow the direction of the Clinical Director and BHT Supervisor and safely transport clients in a timely fashion...with his/her ability to drive safely (ie holding a medical marijuana card.) EEO Statement All BLR subsidiaries are… more
- Carbon Lehigh Intermediate Unit 21 (Schnecksville, PA)
- …school day, as directed by Program Supervisor . + Assists in the review of medical information, including immunization records, for students referred to the ... Registered Nurse License. Skills/Knowledge: + Demonstrates a proficient understanding and utilization of Microsoft Office Suite and other software packages for use… more
- Achieving True Self (Irwin, PA)
- …and submit for review within 3 weeks of start date. + Review authorization and ensure appropriate utilization for authorized service lines. + Participate ... ensure safety and risk mitigation, complete monthly incident management review , complete 3 month trend analysis for quarter report...job duties as assigned by the Leadership Team and/or supervisor What qualifications do I need to join the… more
- Health Advocates Network (Coal Township, PA)
- …professional nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor , physician or dentist through observation, review of reports and ... Ability to enter health data for residents into electronic medical records data base. ' Proficient computer skills to...nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises… more
- CVS Health (Harrisburg, PA)
- …in daily/weekly/monthly operational calls with client and internal operations to review and calibrate client service metrics and performance guarantees. Analyze data ... comply with Contractual requirements like deviations, nuances, and Bill review requirements by providing appropriate documentation, training, and support. **Provider… more
- Geisinger (Danville, PA)
- …providers, nurses, and office staff to ensure completion on all peer to peer review and denials. Acts as a liaison for all financial matters to insurance companies, ... Acts as coordinator between all Revenue Cycle teams and departments, Utilization Management and Care Management, Providers, various departments, clinical departments… 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 ... safe facility discharge. + Work with UM Nurses, Pharmacy, Medical Directors and other Departments. + During downtime make...+ Participate in special projects as assigned by your Supervisor or Manager. **Use your skills to make an… more
- CVS Health (Lancaster, 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
- Geisinger (Danville, PA)
- …patients interviewed, via billing systems and Geisinger approved guidelines. + Advises supervisor of unusual situations, chronic financial, medical , and legal ... all Revenue Management teams and departments including Practice Consultants, Utilization Management and Care Management, Providers, Geisinger departments, clinical… more