- AmeriHealth Caritas (Philadelphia, PA)
- ** Clinical Care Reviewer , Pediatric Shift Care , Registered Nurse** Location: Philadelphia, PA Primary Job Function: Medical Management ID**: 34518 ... Clinical Care Reviewer - Shift Care is responsible for managing requests for pediatric...is presented to the Medical Director for medical necessity review . Upon approval of services, responsibilities include timely notification… more
- Evolent Health (Trenton, NJ)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Oncology, Physician Clinical Reviewer you will be a key member of the utilization management ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Trinity Health (Langhorne, PA)
- …**Shift:** **Description:** A Certified Nurse Practitioner who prepares adult and pediatric patients for their admission and surgical experience. This includes their ... assessment, and the planning/evaluation of patient needs to facilitate efficient pre-operative care . . Performs history and physical examinations for adult and … more
- Spectrum Health Services (Philadelphia, PA)
- Job Descriptions: Job Summary: The incumbent provides outpatient comprehensive primary care services for patients <21 years of all ages by performing the following ... + Provide for the non-obstetrical needs of the site's pediatric population + Examines patients for symptoms or physical...and community services to establish and maintain continuity of care . + Responds to and assists with any medical… more
- Zufall Health Center (Plainsboro, NJ)
- …of experience in collecting money or billing and insurances. Experience in a clinical /ambulatory care setting preferred As a condition of employment, we require ... + Works collaboratively with team members to assure the optimal outcomes of care and service. + Utilizes departmental resources prudently and appropriately. + Uses… more
- Spectrum Health Services (Philadelphia, PA)
- Job Descriptions: Job Summary: The incumbent provides outpatient comprehensive primary care services for patients of all ages by performing the following functions. ... for the non-obstetrical needs of the site's adult and pediatric population + Examines patients for symptoms or physical...and community services to establish and maintain continuity of care . + Responds to and assists with any medical… more
- University of Pennsylvania (Philadelphia, PA)
- …Professor track: + Achieves consistently high-level quality teaching in the discipline of pediatric health via peer review and student evaluations. + Identifies ... have a track-record and expertise in preparing Nursing students to engage in clinical rotations as part of their undergraduate or graduate education. Candidates must… more