- Fresenius Medical Center (Wynnewood, PA)
- …the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ... or state specific certification as defined by Center for Medicaid/ Medicare (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture,… more
- Sedgwick (Harrisburg, PA)
- …filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL FUNCTIONS and ... deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business + Excellent… more
- WellSpan Health (Lewisburg, PA)
- …competence, articulation and auditory skills and reports on patient's progress for review by other members of the rehabilitative team. + Provides instructions in ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- WellSpan Health (Lewisburg, PA)
- …results. + Provides summary analysis/reports of all polysomnographic studies for physician review . + Instructs patient in the home use of therapeutic devices. ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- University of Pennsylvania (Philadelphia, PA)
- …protocol modifications and continuing reviews to the IRB as needed, perform literature review , and write reports and sections of grant proposals and manuscripts for ... will be working with a variety of data sources including private insurer data, Medicare data, and/ or VA data. This person will also work with the Project… more
- WellSpan Health (Mount Gretna, PA)
- …through interdisciplinary collaboration, Shared Decision Making activities including peer review . Integrate Shared Decision Making by unit committee membership or ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Evolent (Harrisburg, PA)
- …quality.** + **Computer proficiency** and ability to navigate electronic medical review platforms. + No current exclusions, sanctions, or disciplinary actions by ... **state or federal healthcare programs ( Medicare , Medicaid, OIG, or GSA).** Join us at **Evolent Health** and be part of a team that is transforming healthcare… more
- Geisinger (Danville, PA)
- …+ Performs coverage analysis for clinical studies, including billing determination review and Medicare coverage analyses to ensure regulatory compliance. ... + Creates clinical research study budgets collaboratively with study teams and negotiates with industry and other sponsors/external entities. Guides in use of fair market value rates for external contracts, as applicable. + Performs reconciliation between… more
- WellSpan Health (Mount Gretna, PA)
- …care. + Coordinate with Case Management as indicated. + Participates in the review of policy and procedures on an ongoing basis providing evidenced-based revisions ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more