• Dialysis Clinical Manager Registered Nurse - RN

    Fresenius Medical Center (Baden, PA)
    …staff in problem solving. **PHYSICIANS:** + Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible ... for strong Director and physician relationships and facilitating staff relationships with physicians. + Ensures regular and effective communication with all… more
    Fresenius Medical Center (06/14/25)
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  • DRG Specialist

    UPMC (Pittsburgh, PA)
    …documentation within the medical record to ensure that all patient resource utilization , principal diagnosis, secondary diagnoses, and PCS procedures have been coded ... training on accurate DRG assignment for coding personnel, the medical staff, physician extenders (PAs, CRNPs), nursing case management and ancillary departments. +… more
    UPMC (06/11/25)
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  • Correctional Registered Nurse- Short-Term

    Health Advocates Network (Coal Township, PA)
    …shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional and/or ... practices. Work is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review of reports and conferences for quality… more
    Health Advocates Network (08/16/25)
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  • Claims Adjudication Specialist - Remote

    Cognizant (Harrisburg, PA)
    …* A minimum of 2 years claim processing is required. * Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCS, ICD-10 * Experience ... experience. * Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. * Must be able to work with minimal… more
    Cognizant (08/15/25)
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  • RN - Registered Nurse - Trauma Program Manager

    Geisinger (Danville, PA)
    …operations. Works in partnership with the Trauma Medical Director and Physician Liaisons to provide administrative and medical staff support. Organizes programs ... quality care for trauma patients, including clinical decision-making, resource utilization , and patient satisfaction. + Develops and implements clinical protocols… more
    Geisinger (08/15/25)
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  • Patient Navigator - Neurology

    Geisinger (Wilkes-Barre, PA)
    …patient concerns including billing, appointment access, perception of care, physician issues and communication problems. + Develops, maintains, and audits ... standard operating procedures of patient access and utilization process. + May provide administrative support as needed. Work is typically performed in a clinical… more
    Geisinger (08/15/25)
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  • Unit Clerk/Care Partner - Acute Rehab - Per Diem

    Guthrie (PA)
    …charging of supplies; performing other division-specific tasks, and appropriate utilization of available resources. + Participates in performance improvement ... Equal Opportunity Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician -led organization in the Twin Tiers of New York and Pennsylvania. Our… more
    Guthrie (08/15/25)
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  • Registered Nurse Home Health

    UPMC (Altoona, PA)
    …patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and patients' needs. ... and maintain positive, caring relationships with executives, managers, physicians, non- physician providers, ancillary and support staff, other departments, and… more
    UPMC (08/14/25)
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  • Coder II - Technical (Inpatient Coding)

    UPMC (Pittsburgh, PA)
    …documentation within the medical record to ensure that all patient resource utilization , principal diagnosis, secondary diagnoses, and PCS procedures have been coded ... + Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete… more
    UPMC (08/14/25)
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  • Home Health RN

    UPMC (Harrisburg, PA)
    …patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and patients' needs. ... and maintain positive, caring relationships with executives, managers, physicians, non- physician providers, ancillary and support staff, other departments, and… more
    UPMC (08/14/25)
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