• Medical Review Coordinator

    Prime Healthcare (Bristol, PA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/217672/ medical - review -coordinator/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... an award-winning team of dedicated professionals committed to our core values of quality , compassion and community! Lower Bucks Hospital , a member of Prime… more
    Prime Healthcare (07/25/25)
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  • Utilization Review Clinician - Behavioral…

    Centene Corporation (Harrisburg, PA)
    …providers as appropriate to discuss level of care and/or services + Engages with medical directors and leadership to improve the quality and efficiency of care ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
    Centene Corporation (08/22/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and ... care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and other governmental… more
    St. Luke's University Health Network (07/08/25)
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  • Utilization Review RN Case Manager - Penn…

    Penn Medicine (Philadelphia, PA)
    …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... home care, DME, placements, hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization… more
    Penn Medicine (08/19/25)
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  • Home Therapy Strategic Clinical Quality

    Fresenius Medical Center (Philadelphia, PA)
    quality improvement tools and electronic applications. + Performs desk review of facility Quality Assessment and Performance Improvement (QAPI) documentation ... + Registered Nurse required + Certification in Nephrology Nursing or quality preferred. **EXPERIENCE AND SKILLS** : * 3+ years dialysis experience required. *… more
    Fresenius Medical Center (08/11/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Hermitage, PA)
    …effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance ... a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient… more
    Fresenius Medical Center (08/19/25)
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  • Part-Time RN - Medical /Surgical

    LifePoint Health (Roaring Spring, PA)
    Conemaugh Nason Medical Center is seeking a part-time Registered Nurse for our Medical /Surgical Unit. The Staff Nurse has authority and accountability ... Nason Medical Center prides itself on providing safe, high quality , compassionate care. With a state-of-the art cardiac catheterization lab, Conemaugh Nason… more
    LifePoint Health (08/09/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Charleroi, PA)
    …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance ... a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient… more
    Fresenius Medical Center (08/13/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Camp Hill, PA)
    …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to… more
    Fresenius Medical Center (07/24/25)
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  • Medical Records Examiner

    Commonwealth of Pennsylvania (PA)
    nurse looking for an opportunity where you can ensure that high- quality care is delivered to eligible medical assistance recipients? The Department ... Medical Records Examiner Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5047209) Apply  ...In this position, you will be responsible for the review , evaluation, and implementation of procedure coding updates and… more
    Commonwealth of Pennsylvania (08/21/25)
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