- Humana (Harrisburg, PA)
- …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Humana (Harrisburg, PA)
- …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies and determinations, clinical reference… more
- Pfizer (Collegeville, PA)
- …engagements or in as committee members in joint collaborations. + Collaborate with Clinical Scientist to review and interpret clinical data, identify ... hematology program. This individual contributor position will be responsible for supporting clinical trial(s) and lead subteams in clinical development. The… more
- Pfizer (Collegeville, PA)
- …team. Strategic Guidance, Clinical Insights & Interpretation + Collaborate with Clinical Scientist to review and interpret clinical data, identify ... program. This individual contributor position will be responsible for supporting clinical trial(s). The successful candidate should ideally have prior experience in… more
- ChenMed (Philadelphia, PA)
- …knowledge deficits. + Supports, collaborates and partners with the Complex Care and Clinical Strategy Teams on the day-to-day execution of our acute care standard ... patient is in SNF, in conjunction with the post-acute physician , coordinates the transition to a lower level of...during acute stay and provides PCP with documentation to review and add to patient problem list. + Contacts… more
- Humana (Harrisburg, PA)
- …team and healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, Medicaid state contracts, clinical … more
- UPMC (Greenville, PA)
- …Requests assistance in planning and prioritizing activities as needed. Participates in self- review as requested by the unit director. + Provides instruction to ... of the RN. May apply, monitor and remove patient restraints as per physician or hospital protocol. + Demonstrates the ability to communicate clearly and effectively… more
- Penn Medicine (Philadelphia, PA)
- …patients. + Retrieve and process incoming medical records/images, ensure scanning and physician review is completed. + Ensure diagnostic testing and their ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- WellSpan Health (Chambersburg, PA)
- …reimbursement, denials, insurance availability, etc., and promptly notifies physician . + Thoroughly and accurately documents actions/communication surrounding ... admission, continued stay, and discharge reviews, using medical care review criteria. Provides third party payors with status reports...payors, or if criteria is not met, to the physician . Facilitates physician conference calls to address… more
- BioLife Plasma Services (Pittsburgh, PA)
- …You will determine donor eligibility to donate plasma, manage donor adverse events, review laboratory test results, and notify donors of unsuitable test results. The ... operational guidance and under the management of the Center Physician for medical issues. How you will contribute: *...eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of… more