- Prime Healthcare (Bristol, PA)
- …communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use ... in a Health and Human Services field is highly preferred. 2. Utilization Review / Case Management experience is highly preferred. 3. 1+ year of clinical… more
- 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 coding of ... care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and other governmental or… more
- UPMC (Washington, PA)
- …Clinic_ + Run an independent neurosurgical spine clinic, seeing new patients, surgical follow-ups, and routine spine evaluations + Review outside records, ... is hiring a Full-Time Physician Assistant or Acute Care Certified Registered Nurse Practitioner to help support the Neurosurgery Department at UPMC Washington.**… more
- UPMC (Greenville, PA)
- …* Performs according to established policies, procedures, and regulatory standards. Review appropriate documentation for informed consent and identify appropriate ... surgical site with operating room staff and surgeon in...standards. Participates in the Quality Improvement (QI) process through case documentation, incident reporting, evaluation, education, and implementation of… more
- UPMC (Williamsport, PA)
- **Certified Registered Nurse Anesthetist (CRNA) - UPMC Susquehanna, Williamsport, PA** We are hiring a Certified Registered Nurse Anesthetist (CRNA) to join our ... 8, 10, and 12-hour shifts to fit your lifestyle and personal needs. Diverse Case Exposure: Gain experience in a wide variety of cases, enhancing your skills and… more
- WellSpan Health (York, PA)
- …Provides for interfacility and regional professional staff development, participates in case review , implements practice guidelines, and directs community trauma ... to the quality of care provided: develops quality filters, audits, and case reviews: identifies trends, sentinel events and helps outline remedial actions while… more
- UPMC (Pittsburgh, PA)
- …role requires three years of coding experience. In this role, you will review clinical documentation within the medical record to ensure that all patient resource ... with coding guidelines, third-party payer and OIG regulations. **Responsibilities:** + Review and evaluate focused UPMC DRG medical records for accurate DRG… more
- UPMC (West Mifflin, PA)
- …anesthesiologists, nurse anesthetists, registered nurses, and technicians. + Diverse Case Load and Team-Oriented Culture: Handle a variety of cases including ... Anesthesiology Department, UPMC Outpatient Center Position: Full-Time Certified Registered Nurse Anesthetist, Non-Exempt Hourly Rates Why UPMC Outpatient Surgery… more
- UPMC (Coudersport, PA)
- **Certified Registered Nurse Anesthetist (CRNA) - UPMC Cole** The Anesthesiology Department at UPMC Cole is seeking a full-time Certified Registered Nurse ... + Performs according to established policies, procedures, and regulatory standards. Review appropriate documentation for informed consent and identify appropriate … more
- UPMC (Pittsburgh, PA)
- We are seeking a dedicated Nurse Practitioner (NP) or Physician Assistant (PA) to join our Skull Base & Cranial Neurosurgery team. This role provides outpatient care ... pre-operative counseling and post-operative follow-up care, including wound checks, imaging review , and symptom management. + Order, interpret, and follow up on… more