- St. Luke's University Health Network (Allentown, PA)
- …health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records , claims data and coding of all diagnosis and procedure ... respective auditors JOB DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for clinical validation of...appropriate reimbursement. + Work with the physician advisor in review of patient medical records … more
- Humana (Harrisburg, PA)
- …will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse , with a focus on ... 48 states. **Key Responsibilities** **:** + Lead an operational team of Medical Directors to review authorizations and ensure clinical decision-making skills… more
- Centene Corporation (Harrisburg, PA)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... for 4-10HR shifts, or 5-8HR shifts. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors… 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 ... and health care teamDocuments ongoing assessments and plan of care in patient record (Canopy)Successfully assists patient in moving to the next level of care with… more
- Fresenius Medical Center (Hermitage, PA)
- …+ Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. + Perform and record Pre and Post dialysis evaluation weight ... for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training...Weigh patient and obtain vital signs + Collect treatment records and review for completion. Notify RN… more
- Fresenius Medical Center (Camp Hill, PA)
- … review ) + Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance ... for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training...patient and obtain vital signs + Collect patient's treatment records and review for completion. Notify RN… more
- LifePoint Health (Roaring Spring, PA)
- Conemaugh Nason Medical Center is seeking a part-time Registered Nurse for our Medical /Surgical Unit. The Staff Nurse has authority and accountability ... required Life Talent education assignments within a timely manner. Keeps updated regarding Medical Center changes through meeting attendance and review of posted… more
- LifePoint Health (Johnstown, PA)
- …sorting mail to appropriate staff. Same for incoming faxes. Assist in obtaining release of medical record form if outside records are needed. Responsible for ... scanning outside records into electronic medical record . Responsible for obtaining ABN information for appropriate billing. Assist with other front office… more
- Fresenius Medical Center (Charleroi, PA)
- …+ Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. + Perform and record Pre and Post dialysis evaluation, weight ... for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training...are enabled, including Narrow Venous Limits (NVL) 160. + Record accurate and timely information regarding vital signs and… more
- Highmark Health (Pittsburgh, PA)
- …Park **ESSENTIAL RESPONSIBILITIES:** + Perform complete, detailed and accurate histories, review patient records and perform complete physical examinations. ... data to determine patient treatment plan. (5%) + Make medical diagnoses and institute appropriate therapy within applicable scope... care matters to patients and/or family. (5%) + Record and report pertinent information in EMR and to… more