• Hospital Concurrent Coding Specialist

    Intermountain Health (Harrisburg, PA)
    …to coding questions received by facility caregivers including CDI RNs, Quality and Physician Advisor Services MDs. This position supports higher level analytics ... Association (AHIMA). This position provides advanced training to CDI RNs and Physician Advisor Services MDs on ICD-10 and DRG code assignment for hospitals. It… more
    Intermountain Health (08/08/25)
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  • Regional Medical Director

    UPMC (Media, PA)
    …+ Develops and maintains effective relationships with providers. + Serves as physician advisor for UPMC Passavant McCandless and UPMC Passavant Cranberry ... would join a highly educated and motivated team of physician advisors at CCBHO who advocate well for the...agencies with regard to psychiatric services. + Serve as advisor to quality departments from a regional perspective. +… more
    UPMC (08/08/25)
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  • PRN Clin Resource Coordinator WEEKDAYS

    Penn Medicine (Philadelphia, PA)
    …case manager conducts utilization management activities, communication with insurers, team, and physician advisor . Discharge planning activities such as : home ... appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME,… more
    Penn Medicine (08/07/25)
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  • Utilization Review RN Case Manager - Penn…

    Penn Medicine (Philadelphia, PA)
    …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician Advisor Discharge planning activities: timely coordination of home… more
    Penn Medicine (08/19/25)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …In collaboration with the appropriate clinical staff, including but not limited to Physician Advisor , Chief of Services, CDMP leadership team, etc., facilitates ... program in use for clinical documentation management program. Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and… more
    St. Luke's University Health Network (08/18/25)
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  • Professional Care Manager

    UPMC (Pittsburgh, PA)
    …requirements and that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
    UPMC (08/15/25)
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  • Transfer Center Liaison - Patient Logistics

    Penn State Health (Hershey, PA)
    …visit type. + Refer admissions not meeting initial screening criteria to physician advisor , Executive Health Resources. + Monitor bed availability and ... while collaborating with providers to arrange acceptance by the attending physician . + Apply standardized admission screening criteria (Interqual) to ensure… more
    Penn State Health (08/14/25)
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  • Hospitalist Medical Director

    Redeemer Health Home Care & Hospice (Meadowbrook, PA)
    …develop a strong partnership between the hospitalists, emergency medicine physicians, specialists, physician advisor , nursing, care management, IT and all other ... of the Active Medical Staff of the hospital. + Experience in a physician leadership role preferred. + Society of Hospital medicine membership preferred. + ACLS… more
    Redeemer Health Home Care & Hospice (08/23/25)
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  • Clinical Resource Coordinator

    Penn Medicine (Philadelphia, PA)
    …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician AdvisorDischarge planning activities: timely coordination of home care, DME,… more
    Penn Medicine (08/07/25)
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  • RN, Case Manager (Part time), Forbes

    Highmark Health (Monroeville, PA)
    …for denial trends with the care coordination teams, performance improvement teams, physicians/ physician advisor and third party payers. + Maintains a working ... knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as an educational resource to all AHN staff regarding utilization review practice and… more
    Highmark Health (08/12/25)
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