• CDI Specialist

    UPMC (Pittsburgh, PA)
    …Prior Clinical Documentation Improvement (CDI) experience. + Background in Quality Assurance, Utilization Review , or Quality Insights. + Advanced knowledge of ... + Be responsible for the day-to-day evaluation of documentation by the Medical Staff and healthcare team + Provide daily clinical evaluation of the medical record… more
    UPMC (12/31/25)
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  • Medical Support Assistant (Advanced)

    Veterans Affairs, Veterans Health Administration (York, PA)
    …on current administrative guidelines. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic ... limited to: Answering phones, greeting patients, relaying messages to appropriate staff inside or outside of the unit. Scheduling, canceling, re-scheduling patient… more
    Veterans Affairs, Veterans Health Administration (01/04/26)
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  • Pediatrician / Family Practice

    KidsPeace Childrens Hospital (Schnecksville, PA)
    …and/or services based on the needs of the organization; + Participating in utilization review activities including but not limited to development of standards, ... history and physical examination, either written or dictated. This includes a review of the immunization status, allergies, past history, family history and… more
    KidsPeace Childrens Hospital (10/07/25)
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  • Medical Director

    STG International (Pottsville, PA)
    …*Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... *Coordinate and participate in the recruitment, and orientation of clinical staff physicians, physician assistants and nurse practitioners. *Collaborate with… more
    STG International (10/09/25)
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  • Clinical Reimbursement Coordinator, RN

    Genesis Healthcare (York, PA)
    …making a meaningful impact in the communities we serve. Responsibilities The MDS Nurse -- RN manages the overall process and tracking of all Medicare/Medicaid ... including case-mix, OBRA and OSRA required assessments. *Perform concurrent MDS review to insure appropriate RUGs category is achieved through the capture… more
    Genesis Healthcare (01/01/26)
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  • Senior Solution Architect, Nursing - Build,…

    Oracle (Harrisburg, PA)
    …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... PowerForms, and so on. Collaborate with cross-functional teams, including IT staff and end-users, to ensure seamless adoption of optimizations while minimizing… more
    Oracle (11/25/25)
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