Search Results: 2,093 vacancies

 ...Description This is a remote position. We are currently seeking a highly skilled and experienced individual to join our team as a Clinical Review Manager. In this role, you will provide leadership and oversight to the Review and Evaluation Process, ensuring efficient and... 
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Remote job

The CKHobbie Group

Allentown, PA
26 days ago
 ...Job Description Job Description This is a remote position. The Clinical Review Specialist will be responsible for performing prospective, concurrent, or retrospective utilization review/medical management for all services provided by our organization. This role... 
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Contract work
Remote job

The CKHobbie Group

Allentown, PA
26 days ago
 ...communities we serve, regardless of a patient's ability to pay for health care. The Utilization Review Nurse will be responsible for substantiating medical necessity and clinical appropriateness of services in order to achieve quality outcomes and ensure appropriate... 
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St. Luke's University Health Network

Bethlehem, PA
9 hours ago
 ...and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Utilization Review Assistant is responsible for taking the data provided to their department and using it to communicate necessary information to both... 
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St. Luke's University Health Network

Bethlehem, PA
9 hours ago
 ...providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Charge Review Specialist, Physician Billing is responsible for all revenue capture for physician practices including, but not limited to, charge... 
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St. Luke's University Health Network

Allentown, PA
2 days ago
 ...; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with AHA ICD-10-CM and AMA CPT-4 coding... 
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Full time
Remote job

St. Luke's University Health Network

Allentown, PA
9 hours ago

$70k - $95k

 ...provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and...  ...hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations. Provides technical... 
Suggested
Full time
Temporary work
Local area
Immediate start

Fresenius Medical Care

Sellersville, PA
1 day ago
 ...accessibility, integrity, and quality care are what is most important. We put a lot of emphasis on the thought that—in order for our clinical team to be accessible to clients—we must fully support our clinicians by allowing them to do what they are trained to do. We... 
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Part time
Private practice
Relocation bonus

Thriveworks

Bethlehem, PA
1 day ago
 ...Job Summary and Opportunity: Plan and execute the Operational SOX Controls Management program by conducting and leading internal reviews to assess the effectiveness of controls, compliance with established business processes, and efficiency of operations. Provide... 
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Work experience placement
Local area
Remote job
2 days per week
Monday to Friday

New York Life Insurance Co

Bethlehem, PA
10 days ago
 ...community-based oncology practice in Southeastern PA, is growing our Clinical team! We are seeking an Clinical Research RN . The perfect...  .... In collaboration with the physician and other providers, reviews patients for changes in condition, adverse events, concomitant... 
Suggested
Holiday work
Full time
Local area
Day shift
Afternoon shift

Alliance Cancer Specialists

Sellersville, PA
2 days ago
 ...access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Clinical Documentation Specialist is responsible for the review of inpatient medical records to facilitate the accurate representation of the severity of illness. This... 
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St. Luke's University Health Network

Allentown, PA
9 hours ago
 ...regardless of a patient's ability to pay for health care. The Clinical Assistant, Developmental Pediatrics will master the entire...  ...DUTIES AND RESPONSIBILITIES: Conducts pre-visit planning by reviewing, updating and abstracting the patient’s medical record prior to... 
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St. Luke's University Health Network

Center Valley, PA
3 days ago
 ...providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Clinical Educator for St. Luke’s Physician Group is a clinical professional who facilitates, develops, and evaluates educational programs... 
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St. Luke's University Health Network

Allentown, PA
3 days ago
Responsibilities: The Clinical Analyst will be responsible for developing and installing software used in a clinical setting, (MEDITECH Expanse), training medical staff on how to use information systems correctly, analyzing clinical data, identifying areas for improvement... 
Suggested
Full time
Part time
Work experience placement
Flexible hours

Grand View Hospital

Sellersville, PA
3 days ago
 ...Responsibilities Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, PA.  This is a Monday-Friday full-time position offering full-time benefits and competitive pay. The... 
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Full time
Local area
Currently hiring
Monday to Friday

Shift Day

Doylestown, PA
more than 2 months ago
 ...treatment program based on assessment of needs.  Initiates treatment via prescriptions, diagnostic tests, exams and procedures.  Reviews lab results and plans actions according to results.  Performs routine health maintenance activities for new and established... 

St. Luke's University Health Network

Bethlehem, PA
3 days ago
 ...company is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out-patient clinic partnerships The Clinical Coordinator (CC)/Clinical Nurse Manager (CNM) is responsible for the coordination of clinical activities... 

Healogics

Sellersville, PA
9 hours ago
 ...forward-thinking, and growing company, please apply today! The Clinical Supervisor is responsible for providing supervision and...  ...response to treatment. Monthly supervision of clinical staff. Review and sign all clinical documentation submitted by team members.... 
Local area

Preventive Measures

Allentown, PA
2 days ago
 ...locations across five states. With an unrivaled, evidence - based clinical curriculum and highly individualized care, Avenues continues to...  ...timely client documentation, collaborating with Utilization Review as necessary ~ What We're Looking For ~ Master's degree (... 
Full time
Temporary work
Flexible hours

Avenues Recovery

Doylestown, PA
1 day ago
 ...providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Clinical Pharmacist – Oncology will provide collaborative pharmaceutical care to patients receiving antineoplastic therapy or palliative... 
Shift work
Monday to Friday

St. Luke's University Health Network

Bethlehem, PA
3 days ago