- 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
- UPMC (Mckeesport, PA)
- …required. + Knowledge and Skills:Expertise in care management, discharge planning and utilization review processes. + Ability to build credible and effective ... relationships with physician and executive leadershipUnderstanding of clinical, financial, and regulatory processes + Ability to prepare and critically analyze data,… more
- Health Advocates Network (Coal Township, PA)
- …nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review of reports and conferences ... shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional and/or… more
- Sedgwick (Harrisburg, PA)
- …physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or university preferred.… more
- UGI Corporation (Lancaster, PA)
- …Summary The Operations Representative I position provides office support through the utilization of computer systems and mapping records to support Field Operations ... tasks including but not limited to maps and records review , scanning , importing , data entry, PA one...use medical marijuana, even if prescribed by an authorized physician . Similarly, applicants for such positions who are actively… more
- Penn Medicine (Bala Cynwyd, PA)
- …performing point of service activities. + The PSA may function in a physician practice or a call center environment. Rotation between PSA functions and/or ... using established protocols + Validates financial responsibility prior to service utilization and completes an accurate financial interview at time of registration… more
- Veterans Affairs, Veterans Health Administration (Philadelphia, PA)
- …on current administrative guidelines. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic ... clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and… more
- Penn Medicine (Sellersville, PA)
- …to assure optimal reimbursement for services provided. **ACCOUTABILITIES:** * Reviews physician and chemo schedules in advance and determines patients' insurance ... to patient arrival. * Assesses information for appropriateness of setting and utilization of resources to optimize patient outcomes and cost effectiveness. *… more
- Cognizant (Harrisburg, PA)
- …guidelines and regulations. * Experience in the analysis and processing of claims, utilization review /quality assurance procedures. * Must be able to work with ... * A minimum of 1 year claims processing is required. * Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9 *… more
- Veterans Affairs, Veterans Health Administration (Pittsburgh, PA)
- …on current administrative guidelines. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic ... clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and… more