- Humana (Harrisburg, PA)
- …security architecture standards, and guiding engineering teams through the Technology Review Board and Architecture Review Board processes and participating ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …and adjust to different environments. Knowledge of Interqual and utilization review standards. Experience in clinical documentation within electronic medical records ... in Care Coordination, Discharge Planning, Clinical Documentation and Utilization Review preferred. Strong verbal, written and leadership skills. Motivated,… more
- WellSpan Health (Hanover, PA)
- …the direction of the provider. Provides related education, counseling, ongoing review and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation ... follow-up instructions. + Obtains basic health information from patient/family members to review with providers or clinical resource person to determine the urgency… more
- WellSpan Health (York, PA)
- …accreditation as a Center of Excellence in Robotic Surgery from Surgical Review Corporation (SRC), a nonprofit patient safety organization. WellSpan York Hospital's ... through interdisciplinary collaboration, Shared Decision Making activities including peer review . Integrate Shared Decision Making by unit committee membership or… more
- Aveanna Healthcare (Newtown Square, PA)
- …child based on assessment results, addressing specific needs, goals, and strengths. Review and update these plans quarterly. + Behavioral Interventions + Applied ... Monitor and record students' progress, providing detailed and accurate documentation for review by the BCBA and interdisciplinary team. + Positive Behavior Support +… more
- Grant Thornton (Philadelphia, PA)
- …to reach your own professional goals. Your day-to-day may include: + Review operational, financial, and technology processes to provide management with a ... engagement management responsibilities, including project scheduling, financial oversight, quality review , and client relationship management. + Lead business development… more
- Penn Medicine (Philadelphia, PA)
- …special projects and research protocols Meets with clinical research sponsors/auditors to review lab service support for various clinical trials As assigned, ensures ... regulatory requirements impacting lab operations including: AABB, CMS (Center for Medicare /Medicaid Services), DOH (Appropriate state Dept. of Health), DOH (Bureau… more
- Penn Medicine (Philadelphia, PA)
- …projects and research protocols + Meets with clinical research sponsors/auditors to review lab service support for various clinical trials + As assigned, ensures ... regulatory requirements impacting lab operations including: AABB, CMS (Center for Medicare /Medicaid Services), DOH (Appropriate state Dept. of Health), DOH (Bureau… more
- Cognizant (Harrisburg, PA)
- …team and collaborate with stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA paper or EDI ... UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. + Knowledge of Medicare /Medicaid payment and coverage guidelines and regulations. + Must be able… more
- Penn State Health (Lancaster, PA)
- …feedback regarding compliments, complaints and grievances as defined by the Centers for Medicare and Medicaid Services (CMS) and as regulated by the Department of ... aforementioned bodies. Shares information with process owners for purpose of review and correction if necessary and communicates (or coordinates the communication… more