- Evolent Health (Harrisburg, PA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer , you will be a key member of the utilization ... **What You Will Be Doing:** + Serve as the Physician match reviewer in Imaging cases, that... rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- UPMC (Mechanicsburg, PA)
- …and to the nursing profession. **Responsibilities:** + Identifies opportunities for clinical quality as well as workplace improvement. Applies evidence based ... leader in one or more of the following areas: clinical expertise, teacher, specialized resource nurse, and/or evidence based...health care team and participates in the nursing peer review process. Promotes change that enhances the quality of… more