- UPMC (Pittsburgh, PA)
- …and resources. + Serve as liaison for renovations, construction and building utilization with UPMC and outside construction services. + Develop strategic plans for ... contract negotiations and staffing as required. + Assist in physician relations as necessary. + Maintain knowledge initiatives as...in the recruitment of staff and new practices. + Review and evaluate the effectiveness of current procedures and… more
- Guthrie (Sayre, PA)
- …and autonomy in nursing practice. Preferred experience with PCMH process, care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... stay for all identified patients. + Collaborates with patient, physician , and other care team members in assessing the...Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician -led organization in the Twin Tiers of New York… more
- UPMC (Pittsburgh, PA)
- …the clinical and financial plan for patients. Performs overall utilization management, resource management, discharge planning and post-acute care referrals ... and that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain necessary documentation to support… more
- Geisinger (Lewistown, PA)
- …professional determinations regarding medications and various drug interactions, drug utilization review , generic substitution, and accurately filling and ... + Process prescriptions by receiving the prescription via telephone from the physician or in person from the patient, reviewing it against the medication… more
- Evolent (Harrisburg, PA)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... Medical Director direction, using independent nursing judgement and decision-making, physician -developed medical policies, and clinical decision-making criteria sets. Acts… more
- UPMC (Pittsburgh, PA)
- …hours. In this role, you will be handling inpatient coding. You will review clinical documentation within the medical record to ensure that all patient resource ... utilization , principal diagnosis, secondary diagnoses, and PCS procedures have...during the episode of care and assign appropriate codes. Review appropriate documents in the patients' charts to accurately… more
- Penn Medicine (Philadelphia, PA)
- …- Review , edit, approve all timecards bi-weekly; review overtime utilization and manage appropriately, manage employee and physician schedules and time ... off requests. * Accountability for Practice financials including: Practice expense and revenue variances, AR indicators including writeoffs; maintain understanding and find root causes for variances * Entity Compliance and Management Control - Ensure… more
- Penn Medicine (Philadelphia, PA)
- …optimal reimbursement for the hospital for services provided. Responsibilities: + Review chemo schedule in advance and determines patients insurance requirements for ... to patient arrival. Assess information for appropriateness of setting and utilization of resources to optimize patient outcomes and cost effectiveness. Maintain… more
- Penn Medicine (Berwyn, PA)
- …- Review , edit, approve all timecards bi-weekly; review overtime utilization and manage appropriately, manage employee and physician schedules and time ... off requests. + Accountability for Practice financials including: Practice expense and revenue variances, AR indicators including write[1]offs; maintain understanding and find root causes for variances + Entity Compliance and Management Control - Ensure… more
- Guthrie (Sayre, PA)
- …in short/long range facilities planning, construction, major rehabilitation, and space utilization programs. * Experience and successes in communicating and managing ... to reduce cost and improve response time. 14. Oversees the department, review , approval, and implementation of department policies and procedures on safety, risk… more