- UPMC (Pittsburgh, PA)
- …position will be fully remote! In this role, the DRG Specialist II will review clinical documentation within the medical record to ensure that all patient resource ... that were performed during an episode of care. + Review and evaluate focused UPMC DRG medical records for...obtained from these reports. + Facilitate compliance to the Medicare 72-Hour Rule by identifying and investigating related admissions,… more
- UPMC (Pittsburgh, PA)
- …role requires three years of coding experience. In this role, you will review clinical documentation within the medical record to ensure that all patient resource ... with coding guidelines, third-party payer and OIG regulations. **Responsibilities:** + Review and evaluate focused UPMC DRG medical records for accurate DRG… more
- CenterWell (Lancaster, PA)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- Penn State Health (Hershey, 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 ... complaints and grievances as defined by the Centers for Medicare and Medicaid Services (CMS) and as regulated by...the Department of Health (DOH). This includes: + Comprehensive review and analysis of medical records + Investigation and… more
- Fresenius Medical Center (Philadelphia, PA)
- …effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance ... any significant information and/or change in patient condition directly to the nurse supervisor. + Observe patient and conduct machine safety checks according to… more
- WellSpan Health (York, PA)
- …for clinical research patients. **Essential Functions:** + Participates in the review of research protocols and assesses the appropriateness, feasibility and ... actively participates in assessing patients for toxicity and response using chart review and physical assessment skills and communication with physicians and nurses.… more
- BAYADA Home Health Care (Norristown, PA)
- …and families at designated facilities to coordinate the initiation of home health care ( Medicare ) services. This will be a hybrid role. The TCM will work from home, ... of clinical and regulatory home care eligibility criteria. + Review all medical documentation and work with physicians to...a current license in good standing as a clinician ( Nurse , therapist or social worker) in the state of… more
- Aveanna Healthcare (Allentown, PA)
- …Salary: $70,000.00 - $80,000.00 per year Position Details Aveanna Healthcare is hiring a Nurse Supervisor in your area! Make a difference every single day by being a ... time. This is a fantastic opportunity for a talented nurse looking to expand their career, truly increasing the...home through "Start of Care Assessments" and "Re-evaluations" + Review physicians' orders and update the plans of care… more
- WellSpan Health (York, PA)
- …care plans to maximize healthcare outcomes and facilitate wellness with periodic review and update according to department protocols. + Perform medication review ... in care management, or clinical nursing specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi State… more
- WellSpan Health (York, PA)
- …interfacility and regional professional staff development, participates in case review , implements practice guidelines, and directs community trauma education and ... of care and multiple level/group of personnel Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi State License… more