- St. Luke's University Health Network (Bethlehem, PA)
- …regardless of a patient's ability to pay for health care. The Admission's Clinical Reviewer is responsible for the comprehensive medical review and screening of ... and responds to all inquiries for admission to ARC + Completes thorough review of documentation and information and assesses a patient's appropriateness for ARC… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview: ;** The Clinical Appeals Reviewer is responsible for processing appeals and ensuring all milestones are met in compliance with regulatory ... + Process appeals, ensuring compliance with all regulatory milestones + Review medical records to identify Hospital-Acquired Conditions (HAC), ensure proper… more
- Magellan Health Services (Somerset, PA)
- …skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer - Somerset-Bedford, PA Grade 25 Work Experience - Required Clinical ... MgmtCare Mgmt, PSY - Psychologist - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care MgmtCare Mgmt License and Certifications… more
- Penn State Health (Reading, PA)
- …status, and family medical or genetic information._ **Position** RN Registered Nurse Patient Safety/Peer Review /Mortality - Quality Services **Location** ... to improve reliability of systems. Accountable for medical staff peer review coordination to support medical staff clinical quality professional practice evaluation.… more
- University of Pennsylvania (Philadelphia, PA)
- …wellness programs and resources, and much more. Posted Job Title Clinical Research Nurse C/D (Department of Radiation Oncology) Job Profile Title Clinical Research ... Nurse C Job Description Summary The Clinical Research ...other treatment agents or study interventions, as appropriate. + Review all clinical and laboratory data and adverse events,… more
- Penn Medicine (Philadelphia, PA)
- …Improvement. + Communicates roles, accountabilities and performance measures to all staff. + Review unit dashboard with Nurse Manager monthly and communicate to ... for AU/Dept. + Seeks opportunities to reduce supply costs. + Review Financial Reports distributed by Nurse Manager monthly to ensure all activity within an AU is… more
- Veterans Affairs, Veterans Health Administration (Erie, PA)
- …for CITC consults that require clinical documentation and assists with retrospective review by completing clinical documentation and medical necessity review on ... as the care is transitioned back to the VA system. Provides clinical review and assists in uploading consult information, provider orders and medical records to… more
- Highmark Health (Pittsburgh, PA)
- …Foster peer review participation with staff an d participate in peer review with other assistant nurse managers.. + Conducts quarterly check-ins with ... specific patient care department under the direction of the Nurse Manager, providing clinical and administrative leadership and expertise....assigned staff to review developmental goals + Identifies one area for self-improvement… more
- University of Pennsylvania (Philadelphia, PA)
- …wellness programs and resources, and much more. Posted Job Title Clinical Research Nurse C/D (Abramson Cancer Center) Job Profile Title Clinical Research Nurse ... at Pennsylvania Hospital's Clinical Research Unit seeks a full-time, Clinical Research Nurse (CRN) to conduct studies involving a wide variety of investigational… more
- University of Pennsylvania (Philadelphia, PA)
- …and wellness programs and resources, and much more. Posted Job Title Clinical Research Nurse B/C Job Profile Title Clinical Research Nurse B Job Description ... in HIV, COVID 19 and other Infectious Diseases. The nurse is responsible for management of patient care, collection...treatment and study visits. Additionally, s/he is required to review all clinical and laboratory data, make assessments on… more