- Evolent Health (Harrisburg, PA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Oncology , Physician Clinical Reviewer you will be a key member ... Will Be Doing:** + Serve as the specialty match reviewer in Oncology cases, that do not...within the regulatory timeframe of the request. + 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
- UPMC (Mechanicsburg, PA)
- …with established policies and procedures, and may be directed by the nurse or physician to assure that the highest degree of quality patient care can be maintained ... in planning and prioritizing activities as needed. Participates in self- review as requested by the unit director. + Demonstrates...May apply, monitor, and remove patient restraints as per physician or hospital protocol. + Strictly adheres to all… more
- Penn State Health (Hershey, PA)
- …preliminary reports under our attending physicians' supervision. + Participate in patient review conferences, tumor boards, and other clinical team meetings. + ... seeking applications for one full-time Advanced Registered Nurse Practitioner (ARNP) or Physician Assistant (PA-C) to join the growing Nuclear Medicine Division at… more
- Cardinal Health (Harrisburg, PA)
- …staff. + Periodically assess local and global market reimbursement rates for clinical procedures. Develop and communicate with physician and executive leadership ... experience in a contracting related field within a community physician office environment preferably oncology or a...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cardinal Health (Harrisburg, PA)
- …and/or relational databases (SQL Server knowledge) preferred + Knowledge of community oncology physician practice systems and operations a plus + Bachelor's ... community oncology practice partners (working with both administrative and clinical practice team members) to monitor and report key operational, clinical… more
- Cardinal Health (Harrisburg, PA)
- **Position Summary** At Navista, our mission is to empower community oncology practices to deliver patient-centered cancer care. Navista, a Cardinal Health company, ... is an oncology practice alliance co-created with oncologists and practice leaders...all practice due diligence, integration and onboarding needs including clinical , administrative, compliance and technology. This role may directly… more
- Humana (Harrisburg, PA)
- …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- UPMC (Carlisle, PA)
- Responsible for review of all patients requiring chemotherapy and adjunctive infusions, including confirmation of patient insurance benefits, reimbursement, and ... determination of any patient responsibility. Communicates findings with clinical team and patient. Reviews open accounts to evaluate claim status and intervenes… more
- Evolent Health (Harrisburg, PA)
- …request. + Submitting IT tickets to address barriers to generating cases for clinical review and following the ticket through to completion. + Addressing ... our daily operations this individual also works with our clinical team, which includes our First Level Reviewers and...to determine if submitted requests require a prior authorization review or redirect as required. + Entering data into… more
- Intermountain Health (Harrisburg, PA)
- …lines. The Registrar obtains and inputs all necessary demographic, financial, and clinical information from the patient or representative. **This is a 100% remote ... New York, Rhode Island, Vermont, Connecticut and Washington.** + Identifies eligible oncology cases. Abstracts and reports according to the coding, regulatory and… more