- Guthrie (Sayre, PA)
- …program development include assisting with feasibility, site selection, IRB document review , and corresponding with investigators, IRB, and sponsors. + Coordinate ... sponsor via the appropriate sponsor case report form submission process after review for accuracy and validation of information is obtained. Maintain study… more
- Humana (Harrisburg, PA)
- …service or customer service telephone experience desired. + Experience with LTSS Utilization Review and/or Prior Authorization, preferably within a managed care ... our caring community and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best… more
- Fresenius Medical Center (Philadelphia, PA)
- …**PURPOSE AND SCOPE:** As a Medical Receptionist/Patient Services Coordinator , you will coordinate procedure scheduling, conduct pre-procedure communications ... with patients, complete data entry into the EMR, review demographics and revenue cycle data, answer phones, file...in research or study projects involving patient care and utilization of services in accordance with policy. + Oversees… more
- UPMC (Pittsburgh, PA)
- UPMC Presbyterian is looking to hire a Trauma Nurse/Injury Prevention Coordinator to support their Trauma Services department. This position supports the UPMC ... quality program. Reviews PTSF quarterly reports and indicates trends for review . Maintains credentialing data on all trauma practitioners. Performs concurrent… more
- Highmark Health (Harrisburg, PA)
- …and efficient delivery of pharmacy call center services. The Pharmacy Coordinator is responsible for supporting Highmark Wholecare's pharmacy programs with a ... address medication-related issues, promote adherence, and ensure appropriate medication utilization . **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physicians and… more
- FirstEnergy (Latrobe, PA)
- …Co., a subsidiary of FirstEnergy Corp. [FEU]. The Construction Site Coordinator (CSC) has responsibility to coordinate and supervise pre-construction, construction, ... + Fostering a high-performing safety culture through personal conduct and utilization of human performance principles. + Coordinating and supervising smaller to… more
- Penn Medicine (Philadelphia, PA)
- …must be a seasoned med/surg nurse with a minimum of 5 years' experience in Utilization review and 3 years of experience in the Transfer Center. Summary: + ... quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources,… more
- 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
- Intermountain Health (Harrisburg, PA)
- …patients and/or patient's family, caregivers, and/or legal representatives socio-economic review and screening to support coordination of care. Plans interventions ... team to provide care coordination for preventative care and utilization mitigation. Identifies appropriate resources, including transportation, housing, healthcare,… more
- UPMC (Lititz, PA)
- …testing applications. + Perform, implement, and monitor POC quality control procedures. Review and maintain documentation of quality control records to assure test ... interacting with system analysts and vendors as required. + Develop and review policies and procedures for specimen collection, test performance, quality control,… more