- Penn Medicine (Philadelphia, PA)
- …your life's work? **Summary:** Responsible for coordinating office activities for the Clinical Appeals Coordinators to assist the department in accomplishing the ... the appeal process if appropriate. + Interacts with on-site nurse reviewers to provide required ID badges, Statement of...continuity of communication. + Supports the activities of the Clinical Appeals Coordinator in all phases of… more
- Penn Medicine (Bala Cynwyd, PA)
- …UPHS areas. + Direct supervision of hospital Compliance Analysts, Senior Compliance Analyst, Nurse Auditor, and Analyst Government Audits and Appeals + Recruit ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- American Red Cross (Philadelphia, PA)
- …and bard ports. + Act as a consultant to external health care personnel about clinical apheresis. + The American Red Cross will provide all necessary training. + No ... **_WHAT YOU NEED TO SUCCEED (Minimum Qualifications):_** + **Registered Nurse with current state licensure as required.** + **A...make a difference by volunteering in a position that appeals to you and allows you to use your… more
- American Red Cross (Philadelphia, PA)
- …remove and replace blood for collection or treatment purposes. Provide support to Clinical Services Staff. **_WHERE YOUR CAREER IS A FORCE FOR GOOD_** (Key ... test results and other clinically significant procedures. + Explain, as needed, clinical apheresis procedures to patients and their families and other attending… more
- Trinity Health (Darby, PA)
- …time **Shift:** Day Shift **Description:** Trinity Health Mid-Atlantic is looking for Clinical Pre-Service Nurse Coordinator to join our Pre-Service team! ... be on location at 41 University Drive Newtown, PA 18940. **Summary:** The Clinical Pre-Service Nurse Coordinator is directly responsible for reviewing pre/post… more
- Wesley Enhanced Living (Philadelphia, PA)
- …as a Best Workplace in our industry! Hiring Immediately! The Registered Nurse Assessment Coordinator (RNAC) provides for the initial assessment and periodic ... Care Conference and implement and update resident Plan of Care. The Registered Nurse Assessment Coordinator (RNAC) would: + Ensure accuracy of all sections of… more
- Sharecare, Inc. (Harrisburg, PA)
- …available 3rd parties for care management and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and ... enrollment / new hire plan selection, claims issues, ID card issues, grievances/ appeals , utilization management (UM) status, including but not limited to medical,… more
- CVS Health (Harrisburg, PA)
- …in accordance with contract. Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) ... to incoming correspondence and internal referrals. Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management.… more