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UnitedHealth Group
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Philadelphia, Pennsylvania
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quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization ... participates in the Quality Improvement programs for the company.
The Medical Director also provides
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UnitedHealth Group
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Altoona, Pennsylvania
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Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient ... Front Office Assistants is essential to delivering quality care and creating success in our centers
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UnitedHealth Group
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Erie, Pennsylvania
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Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient ... Front Office Assistants is essential to delivering quality care and creating success in our centers
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UnitedHealth Group
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Lebanon, Pennsylvania
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delivering quality, convenient, affordable health care and exceeding our patients’ expectations. Our ... of experience navigating computer systems, tools, and technologies – such as Microsoft Office, point
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UnitedHealth Group
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Pittsburgh, Pennsylvania
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delivering quality, convenient, affordable health care and exceeding our patients’ expectations. Our ... computer systems, tools, and technologies – such as Microsoft Office, point of sale (POS), electronic
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UnitedHealth Group
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Mt Lebanon, Pennsylvania
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Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient ... friendly Front Office Assistants is essential to delivering quality care and creating success in our
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UnitedHealth Group
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Philadelphia, Pennsylvania
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. Our clinical vision drives the team to improve the quality of care our consumers receive ... . This individual will interact directly with Psychiatrists, Prescribers, and other clinical
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UnitedHealth Group
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Philadelphia, Pennsylvania
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and removing barriers to quality care. The work you do here impacts the lives of millions of people ... .**
The Telephonic RN Case Manager will be the primary care manager for a panel of members with complex
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UnitedHealth Group
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Philadelphia, Pennsylvania
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clinical case reviews, as needed
Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care
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UnitedHealth Group
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Hershey, Pennsylvania
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delivering quality, convenient, affordable health care and exceeding our patients’ expectations. Our ... computer systems, tools, and technologies – such as Microsoft Office, point of sale (POS), electronic
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UnitedHealth Group
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Philadelphia, Pennsylvania
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presentations
Coordination of training, tracking, and compliance with quality measures
Assist in ... ability to obtain by start date
Certified in Basic Life Support
3+ years of clinical experience
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UnitedHealth Group
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Lebanon, Pennsylvania
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Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient ... working in conjunction with physicians, advanced practice clinicians, front office and clinical staff
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UnitedHealth Group
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Pittsburgh, Pennsylvania
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delivering quality, convenient, affordable health care and exceeding our patients’ expectations. Our ... computer systems, tools, and technologies – such as Microsoft Office, point of sale (POS), electronic
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UnitedHealth Group
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Bridgeville, Pennsylvania
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delivering quality, convenient, affordable health care and exceeding our patients’ expectations. Our ... computer systems, tools, and technologies – such as Microsoft Office, point of sale (POS), electronic
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UnitedHealth Group
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Pittsburgh, Pennsylvania
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delivering quality, convenient, affordable health care and exceeding our patients’ expectations. Our ... computer systems, tools, and technologies – such as Microsoft Office, point of sale (POS), electronic
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UnitedHealth Group
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Easton, Pennsylvania
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high-quality patient outcomes and satisfaction. As a result, our clinical teams can spend quality-time ... systems
Knowledge of CPT, ICD-9 and HCPC codes
Knowledge of clinical standards of care
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UnitedHealth Group
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Carlisle, Pennsylvania
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clinical information for medical necessity determinations for service requests. Works with the Landmark ... in the development and/or implementation of medical management policy, clinical protocols
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UnitedHealth Group
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Chambersburg, Pennsylvania
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clinical information for medical necessity determinations for service requests. Works with the Landmark ... in the development and/or implementation of medical management policy, clinical protocols
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UnitedHealth Group
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Reading, Pennsylvania
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clinical information for medical necessity determinations for service requests. Works with the Landmark ... in the development and/or implementation of medical management policy, clinical protocols
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UnitedHealth Group
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Hanover, Pennsylvania
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clinical information for medical necessity determinations for service requests. Works with the Landmark ... in the development and/or implementation of medical management policy, clinical protocols
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UnitedHealth Group
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Shippensburg, Pennsylvania
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clinical information for medical necessity determinations for service requests. Works with the Landmark ... in the development and/or implementation of medical management policy, clinical protocols
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UnitedHealth Group
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Indiana, Pennsylvania
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delivering quality, convenient, affordable health care and exceeding our patients’ expectations. Our ... experience navigating computer systems, tools, and technologies – such as Microsoft Office, point of sale
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UnitedHealth Group
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Philadelphia, Pennsylvania
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clinical case reviews, as needed
Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care
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UnitedHealth Group
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Pittsburgh, Pennsylvania
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meetings
Quarterly Quality Improvement Committee meetings
Continuing education/journal club programs
Implements HEDIS measure campaigns and other quality initiatives as directed by Corporate
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UnitedHealth Group
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Greensburg, Pennsylvania
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delivering quality, convenient, affordable health care and exceeding our patients’ expectations. Our ... computer systems, tools, and technologies – such as Microsoft Office, point of sale (POS), electronic
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UnitedHealth Group
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Carlisle, Pennsylvania
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delivery systems
Knowledge of CPT, ICD-9 and HCPC codes
Knowledge of clinical standards of care ... in gathering clinical information for medical necessity determinations for service requests. Works
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UnitedHealth Group
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Elizabethtown, Pennsylvania
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delivery systems
Knowledge of CPT, ICD-9 and HCPC codes
Knowledge of clinical standards of care ... in gathering clinical information for medical necessity determinations for service requests. Works
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UnitedHealth Group
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Allentown, Pennsylvania
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systems
Knowledge of CPT, ICD-9 and HCPC codes
Knowledge of clinical standards of care ... medical care and management to members served by the program and participates in gathering clinical
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UnitedHealth Group
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Harrisburg, Pennsylvania
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delivery systems
Knowledge of CPT, ICD-9 and HCPC codes
Knowledge of clinical standards of care ... in gathering clinical information for medical necessity determinations for service requests. Works
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UnitedHealth Group
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Lebanon, Pennsylvania
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delivery systems
Knowledge of CPT, ICD-9 and HCPC codes
Knowledge of clinical standards of care ... in gathering clinical information for medical necessity determinations for service requests. Works
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