- Penn Medicine (Philadelphia, PA)
- …or current patient, determining the needed information or Penn Medicine department or physician to reach out to for advice or information, provide assistance to ... appropriate communication and transfer of medical records to the patient's referring physician upon patient discharge from the UPHS. Accountable for his/her patient… more
- Penn Medicine (Lancaster, PA)
- …knowledge of clinical needs of patients, established standards of care and resource utilization . Also assists in the delivery of patient care by handling instruments ... Supervisor and physicians to maximize operational efficiency and staff and physician support. + Establishes rapport with physicians and provides accurate technical… more
- Cardinal Health (Harrisburg, PA)
- …audits to determine organizational integrity of billing for professional ( physician ) services and/or hospital (technical) services. This position will also ... to determine accuracy and adequacy of documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews.… more
- Penn Medicine (Philadelphia, PA)
- …of their imaging needs . Responsibilities: 1. EQUIPMENT a. Responsible for the utilization of US equipment to insure care and safety of patients undergoing treatment ... and informed consent of invasive procedures. d. Assesses, evaluates and informs physician of changes in patient's conditions during exam. e. Selects a transducer… more
- Travelers Insurance Company (Harrisburg, PA)
- …Will You Do?** + Provide overall program leadership as the organization's lead physician . Serve as the key enabler and facilitator for the Travelers medical ... and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and...Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …significance. The incumbent utilizes care coordination to address patient and physician concerns; obtains insurance approval for designated therapy and proactive ... assigned territory. Uses tact and independent judgment to balance patient and physician needs with the business realities and necessities of the program. Establishes… more
- St. Luke's University Health Network (Allentown, PA)
- …for patient-centric care delivery. + Monitor and analyze the adoption and utilization of IT and Epic solutions across operational care teams, identifying gaps ... IT Project Management resources to ensure timely delivery, effective resource utilization , and alignment with organizational priorities of process improvements. +… more
- Guthrie (Sayre, PA)
- …judgment. Ensures compliance with entity/department goals and clinical resource utilization . Promotes change and teamwork. Performs clinical duties of the ... experience or charge nurse experience desired Essential Functions: + RESOURCE UTILIZATION ; Considers factors related to safety, effectiveness, cost, and impact on… more
- ZOLL Medical Corporation (Bethlehem, PA)
- …(Cardiologists, Electrophysiologists, Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and administrators. Other ... with relevant clinical, reporting, and technical information that supports the utilization of ZOLL Cardiac Diagnostic products for appropriate patients. +… more
- Wellpath (Lemoyne, PA)
- …role** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director, Regional Medical Directors, and Site Leadership to ... or Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management and pre-certification experience + Knowledge of… more