- Humana (Harrisburg, PA)
- …The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities , or community groups to support regional ... team and healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of… more
- Highmark Health (Pittsburgh, PA)
- …options for in-person and virtual work + Infant-mental health program + Evidence- based therapy groups for women in the perinatal period + Innovative Mother-Baby ... a multi-disciplinary team setting + Offer reproductive consultation and evidence- based psychotherapy + Develop comprehensive treatment plans **Qualifications:** + At… more
- Organon & Co. (Plymouth Meeting, PA)
- …in the future. The ideal candidate will possess deep expertise in facility and healthcare provider reimbursements by payer type, including commercial, Medicare, and ... coding knowledge across different settings of care, ensuring accurate and efficient physician billing. + **Reimbursement Expertise:** Serve as an expert in … more
- Surgery Care Affiliates (Huntingdon Valley, PA)
- …we support and the teammates who push us forward. Behind every successful facility , procedure or innovation is a team of 15,000+ professionals working together, ... for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a… more
- Newport Meadows Nursing and Rehabilitation Center (PA)
- …position. Job Type: Part time 24hrs a week About Us We are a 139-bed facility offering long term care and short-term stay. Our top priority is to provide exemplary ... complaints to appropriate staff to ensure resolution. Documents complaints. Follows facility policies and procedures + Performs other related duties, as assigned… more
- Amergis (Pittsburgh, PA)
- …at least 2 years experience who is able to work independently with out a physician in the facility . Critical thinking skills are required. Benefits At Amergis, ... We provide meaningful opportunities to our extensive network of healthcare and school- based professionals, ready to work in any hospital, government facility ,… more
- Surgery Care Affiliates (Exton, PA)
- …we support and the teammates who push us forward. Behind every successful facility , procedure or innovation is a team of 15,000+ professionals working together, ... for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a… more
- UPMC (Pittsburgh, PA)
- …plan determined procedures to avoid financial penalties to patient, provider and facility . + 2. Utilizes payor-specific approved criteria or state laws and ... medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility , office services, durable medical equipment, and drugs in terms of… more
- Penn Medicine (Lancaster, PA)
- …various resources ( physician offices, community pharmacy, historical encounter, extended care facility , another acute care facility ) to ensure a complete and ... doses, and routes of administration. + Must be able to identify medications based on markings. + Excellent patient interview skills. + Strong written and verbal… more
- UPMC (Pittsburgh, PA)
- …plan determined procedures to avoid financial penalties to patient, provider and facility . 2. Utilizes payor-specific approved criteria or state laws and regulations ... medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility , office services, durable medical equipment, and drugs in terms of… more