- BAYADA Home Health Care (Bethlehem, PA)
- …and care plan coding + Monitor episodic utilization + Act as internal case manager and client advocate + Participate in hiring, interviewing and orientation ... policies and procedures. Rehab Associates are also accountable for internal case management, field staff evaluation and development. The successful Physical… more
- Genesis Healthcare (Pennsburg, PA)
- …clinical management of the rehabilitation department, including oversight related to case management, quality improvement, care planning, clinical utilization , ... or coordinating the timely completion of the annual merit review for therapy staff. 6. Assists in management of...of therapy staff. 7. Assists in daily staffing and utilization in cooperation with input from treating therapists, consideration… more
- Guthrie (Sayre, PA)
- …patient follow-up visits. Submit research data to sponsor via the appropriate sponsor case report form submission process after review for accuracy and ... physicians and patients. + Assist physicians in protocol development. + Advise department manager on resource utilization and training needs. + Perform other… more
- The Cigna Group (Pittsburgh, PA)
- …Pharmacy program and terminology, specialty injectable medications, Cigna Coverage Review Department (CCRD), appeals, and/or utilization management ideal ... and Medical Economics. The individual supports the research, tracking, maintenance, and review of savings calculation and reporting. The role will also support… more
- UPMC (Mckeesport, PA)
- …for presentation to the attending/resident psychiatrist or within Psych Care Plus, review patient material for possible IP admission or conduct evaluation for ... inpatient admission requests through email, phone, or voicemail + Review and summarizes the patient information for admissions to...for appropriate placement + Ability to verbally present the case to physicians and others + Demonstrate triage and… more
- ChenMed (Philadelphia, PA)
- …and explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed standards… more
- St. Luke's University Health Network (Coaldale, PA)
- …in the roles of supervisor, professional nurse and RN case manager in the following manner: Demonstrates competent utilization of interview, examinations ... promoting efficiency in the department day-to-day operations. Participates in the review of clinical operations and preparation of required reports. Implements… more
- UPMC (Pittsburgh, PA)
- …the Medical Director of Trauma Services, the Program Administrator and the Trauma Case Manager to coordinate the quality improvement activities of the trauma ... quality program. Reviews PTSF quarterly reports and indicates trends for review . Maintains credentialing data on all trauma practitioners. Performs concurrent… more