- Humana (Harrisburg, PA)
- …resolution skills. Responsibilities The Medical Director provides medical interpretation and determinations on whether acute inpatient rehabilitation ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- WellSpan Health (Chambersburg, PA)
- …Day/Night Location: Chambersburg Hospital, Chambersburg, PA Schedule: Part Time 3 West - Advanced Medical + 3 West - 30-bed unit; primary focus - advanced Medical ... In his/her absence, reports to Nurse Manager, Administrative Resource Coordinator, Director of Patient Services and/or Vice President of Patient Services.… more
- WellSpan Health (Chambersburg, PA)
- …In his/her absence, reports to Nurse Manager, Administrative Resource Coordinator, Director of Patient Services and/or Vice President of Patient Services. ... Services: Reports to the Manager with oversight from the Director of Patient Services. In their absence, reports to...Center reports to the appropriate Clinical Manager and Cardiac Rehab reports to the Cardiac Rehab Coordinator.… more
- UPMC (Mechanicsburg, PA)
- …payer authorizations for post- acute care. Documents Freedom of Choice re: post- acute services. + Reviews medical record daily to ensure patient continues ... Performs overall utilization management, resource management, discharge planning and post- acute care referrals and authorizations. Works with multi-disciplinary team… more
- UPMC (Hanover, PA)
- …a nonpatient-facing position. This Registered Nurse is responsible for completing medical necessity reviews utilizing Indicia and InterQual criteria for admitted ... processes and use critical thinking skills to document accurate descriptions of the medical need for insurance to approve an inpatient hospital stay. **_ This… more
- UPMC (Harrisburg, PA)
- …to help people. In this role, you will have the opportunity to complete medical necessity reviews, coordinate care of patients within the hospital, and help to ... Performs overall utilization management, resource management, discharge planning and post- acute care referrals and authorizations. Works with multi-disciplinary team… more
- UPMC (Carlisle, PA)
- …Performs overall utilization management, resource management, discharge planning and post- acute care referrals and authorizations. Works with multi-disciplinary team ... to rotate coverage for major and minor holidays. **Responsibilities:** + Reviews medical record daily to ensure patient continues to meet LOC requirements and… more
- UPMC (Harrisburg, PA)
- …Performs overall utilization management, resource management, discharge planning and post- acute care referrals and authorizations. Works with multi-disciplinary team ... position is eligible for a generous sign-on bonus.** **Responsibilities:** + Reviews medical record daily to ensure patient continues to meet LOC requirements and… more