• Physician Advisor

    Penn Medicine (Philadelphia, PA)
    …of health care services. The Physician Advisor is a physician serving the hospital through teaching, consulting, and advising the care management ... and utilization review departments and the hospital leadership. The Physician Advisor ...maintain an unrestricted medical license in the State of Pennsylvania as a Medical Doctor or Doctor of Osteopathic… more
    Penn Medicine (07/01/24)
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  • Nurse Manager - East 10 Campus (Neuro Med Surg))…

    Penn Medicine (Philadelphia, PA)
    …unit council against identified goals. + Community: + Represents the interests of the Hospital of the University of Pennsylvania in the served community. + ... vision of service excellence: + Drive patient/client loyalty and physician referral by ensuring staff under your supervision understand...PAH Nursing Shared Governance Model by serving as an advisor to the unit council and its chair. +… more
    Penn Medicine (06/25/24)
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  • Social Work Team Leader- Hospital of…

    Penn Medicine (Philadelphia, PA)
    …utilization management activities: communicate with insurers, interdisciplinary care team and Physician Advisor + .Lead discharge planning activities: assure ... timely coordination of home care, home medical equipment, placements, hospice, community resources, transportation + .Participate in quality data collection and risk management referrals + .The expected weekly caseload of the Social Work team leader is… more
    Penn Medicine (06/04/24)
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  • Physician Assistant Program Director…

    Penn State Health (Hershey, PA)
    …(MAILTO://###@pennstatehealth.psu.edu) for additional information. **SUMMARY OF POSITION:** The Physician Assistant Director of Didactic Education and Master ... Educator supports the Physician Assistant Program and College of Medicine in fulfillment...and serves as an educator, role model, mentor, career advisor , and facilitator. Provides program-specific expertise and is actively… more
    Penn State Health (05/24/24)
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  • Nurse Manager - 4 Spruce (Behavioral Health)

    Penn Medicine (Philadelphia, PA)
    …Our employees shape our future each day. Are you living your life's work? Pennsylvania Hospital is looking for an experienced Behavioral Health, Nurse Manager. 4 ... Spruce is a 24-bed secure inpatient unit at Pennsylvania Hospital providing comprehensive, acute, short-term assessment and treatment for adult patients with a… more
    Penn Medicine (06/20/24)
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  • Executive Director Lancaster Heart & Vascular…

    Lancaster General Health (Lancaster, PA)
    …and exhibit expertise in managing daily operations. Participate in hospital operations committees. + Oversees diverse array of administrative functions, ... to take appropriate corrective action as required. + Serves as business advisor to LG Health senior leadership regarding trends, issues and activities relevant… more
    Lancaster General Health (07/01/24)
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  • Care Manager (RN) - Cardiac Team (UPMC Harrisburg)

    UPMC (Harrisburg, PA)
    …LOC requirements and that chart documentation supports LOC determination. Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
    UPMC (07/03/24)
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  • Part-time Care Manager (RN) - Float (UPMC…

    UPMC (Harrisburg, PA)
    …LOC requirements and that chart documentation supports LOC determination. Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
    UPMC (06/13/24)
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  • Director Quality and Patient Safety HUP Path & Lab…

    Penn Medicine (Philadelphia, PA)
    …life's work? **Summary:** + The Director of Quality and Patient Safety for the Hospital of the University of Pennsylvania (HUP) department of Pathology and ... concept. Assists on health system initiatives as requested. + Safety: Works with hospital , employed physician groups, affiliated physician practices, and… more
    Penn Medicine (05/29/24)
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  • Appeals and Utilization Management Coordinator

    Trinity Health (Darby, PA)
    …all relevant documentation, scheduling and processing the review to be conducted by the Physician Advisor to ensure all deadlines are met + Collaborates with ... to optimize program effectiveness. + Maintains primary ownership/responsibility for Pennsylvania state Medicaid patient case reviews in accordance with...Physician Advisor to clarify medical necessity or… more
    Trinity Health (06/20/24)
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  • Care Manager (RN) - Case Management (UPMC…

    UPMC (Harrisburg, PA)
    …LOC requirements and that chart documentation supports LOC determination. Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... the medical need for insurance to approve an inpatient hospital stay. _Weekend and holiday work is expected, the...in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team… more
    UPMC (05/15/24)
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  • Care Manager (RN) - Float…

    UPMC (Harrisburg, PA)
    …LOC requirements and that chart documentation supports LOC determination. Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
    UPMC (06/30/24)
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  • Director, Provider Contracting - Houston, Austin…

    The Cigna Group (San Antonio, TX)
    …for service and value-based reimbursements with hospitals and other providers (eg, Hospital systems, Ancillaries, and large physician groups). + Builds ... **Can be based in Houston, Austin or San Antonio, TX** **PROVIDER CONTRACTING ADVISOR ** This position serves as an integral member of the Provider Contracting Team… more
    The Cigna Group (06/22/24)
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