- Penn Medicine (West Chester, PA)
- …and consultation. It also oversees service line VACs, supporting standardization, utilization , and new product assessments, while coordinating closely with supply ... + Meets regularly with hospital leadership and management to review product/equipment/supply issues and provide updates on resolution to known… more
- Amergis (Pittsburgh, PA)
- …and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making ... continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential… more
- Penn Medicine (Philadelphia, PA)
- …quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources, ... resources + Participates and drives accountability in daily interdisciplinary meetings Utilization Management: + Adheres to guidelines to satisfy 3rd party payer… more
- St. Luke's University Health Network (Allentown, PA)
- …appropriate to the age of the patient treated. + Performs admission review on all inpatients. Attends daily patient rounds and shares professional knowledge, ... appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of...Work or Counseling or related field. EDUCATION: Registered Professional Nurse with a current license to practice in the… more
- WellSpan Health (York, PA)
- …individual staff to ensure safe quality care, progress towards goals, and proper utilization of services. * Provides after-hours and on-call staff support as well as ... and development of new clinical policies and the regular review and updating of existing clinical policies as indicated.*...Care in a professional manner. * Responsible for efficient utilization of all resources including, but not limited to,… more
- Highmark Health (Pittsburgh, PA)
- …with operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits ... benefits/requirements/limits, discharge planning requirements, length of stay and resource utilization issues. + Adheres to the policies, procedures, rules,… more
- Geisinger (State College, 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
- WellSpan Health (Lewisburg, PA)
- …practice and across transitions of care. + Responsible for hiring, performance review of Clinical Supervisors. + Collaborates with Practice Managers to provide ... performance evaluation and clinical competency review of clinical staff in the practices. + Works...deploying strategies that are cost effective and improve EHR utilization and standardization. + Continuously monitors and manages the… more
- STG International (Pottsville, PA)
- …*Design and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... and orientation of clinical staff physicians, physician assistants and nurse practitioners. *Collaborate with the CBOC Clinic Manager to...61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical Service Corps -… more
- UPMC (Pittsburgh, PA)
- …Prior Clinical Documentation Improvement (CDI) experience. + Background in Quality Assurance, Utilization Review , or Quality Insights. + Advanced knowledge of ... certifications and licensure. + Certified Coding Specialist (CCS) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Doctor of Podiatric… more