- Penn Medicine (Philadelphia, PA)
- …and being a strong patient advocate. The case manager conducts utilization management activities, communication with insurers, team, and physician advisor. Discharge ... quality data collection and risk management referral. + Responsibilities: Utilization management activities: monitor appropriate use of internal resources,… more
- Penn Medicine (Philadelphia, PA)
- …quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources, ... community resourcesParticipates and drives accountability in daily interdisciplinary meetings Utilization Management:Adheres to guidelines to satisfy 3rd party payer… 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 ... utilization , principal diagnosis, secondary diagnoses, and PCS procedures have...coding guidelines, third-party payer and OIG regulations. **Responsibilities:** + Review and evaluate focused UPMC DRG medical records for… more
- Aveanna Healthcare (Erie, PA)
- …appropriately skilled clinician, and within insurance authorization. - Responsible to manage utilization of direct care team members based on patient needs as well ... and distributes the patient/direct care team member schedule. Performs initial review of schedules for productivity/geographic issues. - Completes daily and weekly… more
- Geisinger (Muncy, PA)
- …patient's reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. + Sets up examination and ... substances only to ensure adequate supply levels, verify expiration dates, document utilization , optimize organizational efficiency and space utilization . + May… more
- Commonwealth of Pennsylvania (PA)
- …with nursing services. You can expect to participate in the development, review , training and implementation of center policies and procedures. Additionally, you ... goals. Make assessments and decisions in regard to staff utilization , supplies and equipment needs in accordance with safety...organizational goals. + C. Assess and make decisions on utilization of equipment and supplies in accordance with safety… more
- Cardinal Health (Harrisburg, PA)
- …strategy to seize the identified opportunity, execute strategy. Resulting in additional utilization of the Cardinal Service offering. + Prepare and present Quarterly ... a specialty pharmacy setting is preferred. + Experience in utilization of CRM _What is expected of you and...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Geisinger (Bloomsburg, PA)
- …patient's reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. + Sets up examination and ... substances only to ensure adequate supply levels, verify expiration dates, document utilization , optimize organizational efficiency and space utilization . + May… more
- UPMC (Pittsburgh, PA)
- …+ Facilitates pharmaceutical care services, direct patient care programs, medication utilization systems within assigned services and care areas to assure drug ... utilization activities are aligned with patient care needs, evidence-based...the management of medical emergencies. + Provides discharge medication review , reconciliation, and counseling as appropriate. + Completes critical… more
- LifePoint Health (Roaring Spring, PA)
- …study to be done. Consults with referring physician to ensure appropriate utilization of services. Regularly performs general office duties, scheduling patients and ... safety procedures and personal role in disaster plan. Participates in economical utilization of hospital resources. Continually assists in revision and updating of… more