Clinical Care Reviewer-Utilization Management

19117 Philadelphia, Pennsylvania Staffing the Universe

Posted 3 days ago

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Job Description

Clinical Care Reviewer Utilization Management

Responsibilities: Under the direction of a supervisor, the Clinical Care Reviewer Utilization Management evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing provider requests, gathering necessary medical documentation, and making determinations based on established criteria.

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Clinical Care Technician A/B

19133 Philadelphia, Pennsylvania University of Pennsylvania

Posted 5 days ago

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University Overview
The University of Pennsylvania, the largest private employer in Philadelphia, is a world-renowned leader in education, research, and innovation. This historic, Ivy League school consistently ranks among the top 10 universities in the annual U.S. News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by Penn's distinctive interdisciplinary approach to scholarship and learning. As an employer Penn has been ranked nationally on many occasions with the most recent award from Forbes who named Penn one of America's Best Large Employers in 2023.
Penn offers a unique working environment within the city of Philadelphia. The University is situated on a beautiful urban campus, with easy access to a range of educational, cultural, and recreational activities. With its historical significance and landmarks, lively cultural offerings, and wide variety of atmospheres, Philadelphia is the perfect place to call home for work and play.
The University offers a competitive benefits package that includes excellent healthcare and tuition benefits for employees and their families, generous retirement benefits, a wide variety of professional development opportunities, supportive work and family benefits, a wealth of health and wellness programs and resources, and much more.
Posted Job Title
Clinical Care Technician A/B
Job Profile Title
Job Description Summary
New Bolton Center has an ongoing need for Clinical Care Technicians. This posting describes the basic responsibilities and requirements for this role. If you meet the qualifications outlined below and have an interest in being considered as positions become available, please apply to this posting. Your information will be reviewed, and you will be contacted if we would like to learn more about your background.
Penn Vet's New Bolton Center provides an internationally renowned standard of care. Located on a campus of some 700 acres in Chester County, Pennsylvania, New Bolton Center has one of the largest caseloads of any academic large animal hospital in the nation.
Job Description
Position is located in Kennett Square, PA where there is no public transportation available. You must have your own transportation.
Job Responsibilities:
+ Providing general patient care including grooming, daily stall cleaning and disinfecting, feeding and watering, walking, applying standing wraps, and stocking clinical areas.
+ Horse handling and restraint for procedures, medical exams and surgery, hydrotherapy, and additional animal husbandry duties as assigned.
+ Maintain patient treatment areas and equipment after procedures have been completed in addition to other housekeeping or grounds keeping tasks as assigned. Documenting stall cleaning status as needed and following Bio security protocols.
+ Collaborating frequently with other members of the clinical care team.
+ Client interactions including admitting and discharging patients.
+ Perform additional duties as assigned.
This position is eligible for a sign-on ince ntive of $1,000. Please contact Sally Tunstall at for further details.
Qualifications
Qualifications: High school graduate or equivalent is required. Ability to perform strenuous work and tolerate exposure to weather, chemicals and allergens required.
Clinical Care Technician A: 0-1 years of large animal handling experience is required.
Clinical Care Technician B: 1-3 years of large animal handling including equine experience is required.
Job Location - City, State
,
Department / School
School of Veterinary Medicine
Pay Range
Salary offers are made based on the candidate's qualifications, experience, skills, and education as they directly relate to the requirements of the position, and in alignment with salary ranges based on external market data for the job's level. Internal organization and peer data at Penn are also considered.
Equal Opportunity Statement
The University of Pennsylvania is an equal opportunity employer. Candidates are considered for employment without regard to race, color, sex, sexual orientation, religion, creed, national origin (including shared ancestry or ethnic characteristics) , citizenship status, age, disability, veteran status or any class protected under applicable federal, state or local law .
Special Requirements Background checks may be required after a conditional job offer is made. Consideration of the background check will be tailored to the requirements of the job.
University Benefits
+ Health, Life, and Flexible Spending Accounts : Penn offers comprehensive medical, prescription, behavioral health, dental, vision, and life insurance benefits to protect you and your family's health and welfare. You can also use flexible spending accounts to pay for eligible health care and dependent care expenses with pre-tax dollars.
+ Tuition : Take advantage of Penn's exceptional tuition benefits . You, your spouse, and your dependent children can get tuition assistance here at Penn. Your dependent children are also eligible for tuition assistance at other institutions.
+ Retirement: Penn offers generous retirement plans to help you save for your future. Penn's Basic, Matching, and Supplemental retirement plans allow you to save for retirement on a pre-tax or Roth basis. Choose from a wide variety of investment options through TIAA and Vanguard.
+ Time Away from Work: Penn provides you with a substantial amount of time away from work during the course of the year. This allows you to relax, take vacations, attend to personal affairs, recover from illness or injury, spend time with family-whatever your personal needs may be.
+ Long-Term Care Insurance: In partnership with Genworth Financial, Penn offers faculty and staff (and your eligible family members) long-term care insurance to help you cover some of the costs of long-term care services received at home, in the community or in a nursing facility. If you apply when you're newly hired, you won't have to provide proof of good health or be subject to underwriting requirements. Eligible family members must always provide proof of good health and are subject to underwriting.
+ Wellness and Work-life Resources : Penn is committed to supporting our faculty and staff as they balance the competing demands of work and personal life. That's why we offer a wide variety of programs and resources to help you care for your health, your family, and your work-life balance.
+ Professional and Personal Development: Penn provides an array of resources to help you advance yourself personally and professionally.
+ University Resources: As a member of the Penn community, you have access to a wide range of University resources as well as cultural and recreational activities. Take advantage of the University's libraries and athletic facilities, or visit our arboretum and art galleries. There's always something going on at Penn, whether it's a new exhibit at the Penn Museum, the latest music or theater presentation at the Annenberg Center, or the Penn Relays at Franklin Field to name just a few examples. As a member of the Penn community, you're right in the middle of the excitement-and you and your family can enjoy many of these activities for free.
+ Discounts and Special Services : From arts and entertainment to transportation and mortgages, you'll find great deals for University faculty and staff. Not only do Penn arts and cultural centers and museums offer free and discounted admission and memberships to faculty and staff. You can also enjoy substantial savings on other goods and services such as new cars from Ford and General Motors, cellular phone service plans, movie tickets, and admission to theme parks.
+ Flexible Work Hours: Flexible work options offer creative approaches for completing work while promoting balance between work and personal commitments. These approaches involve use of non-traditional work hours, locations, and/or job structures.
+ Penn Home Ownership Services: Penn offers a forgivable loan for eligible employees interested in buying a home or currently residing in West Philadelphia, which can be used for closing costs or home improvements.
+ Adoption Assistance: Penn will reimburse eligible employees on qualified expenses in connection with the legal adoption of an eligible child, such as travel or court fees, for up to two adoptions in your household.

To learn more, please visit: University of Pennsylvania's special character is reflected in the wide variety of backgrounds, experiences, and perspectives of the Penn community. We seek talented faculty and staff who will constitute a vibrant community and help create an educational and working environment that best supports the University's commitment to excellence in teaching, research, and scholarship. The University of Pennsylvania is an equal opportunity employer. Candidates are considered for employment without regard to race, color, sex, sexual orientation, religion, creed, national origin (including shared ancestry or ethnic characteristics), citizenship status, age, disability, veteran status, or any class protected under applicable federal, state or local law.
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Home Care Clinical Educator

19133 Philadelphia, Pennsylvania Trinity Health

Posted today

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Job Description

**Employment Type:**

Full time

**Shift:**

**Description:**

**Mercy Home Health Care has a need for a Full-time Clinical Educator in the Philadelphia area.**

**Summary:** The Home Care Educator assesses, develops, implements, and evaluates educational programs for home care and hospice staff, ensuring compliance with regulations. Collaborates with managers for orientation, competency development, and ongoing staff development. Acts as an informatics liaison, providing technology education and coordinating student learning activities.

**Qualifications:**

+ Graduate of an approved Nursing education program (bachelor's preferred)

+ Certification in OASIS within one year (Home Care only).

+ EPIC experience preferred.

+ Ten years of nursing practice, with five in Hospice preferred.

+ CPR Instructor Certification preferred.

+ Proficient in Microsoft applications.

+ Strong oral and written communication skills.

**Benefits:**

+ Day One Benefits: Medical, dental, and vision insurance.

+ Short and long-term disability coverage.

+ 403(b) with a generous matching contribution.

+ Paid time off PLUS seven paid holidays.

+ Comprehensive onboarding and training to ensure your success.

+ Tuition reimbursement available to help further your education.

+ Access to Daily Pay for added financial flexibility.

Mercy Home Care and Hospice located in the Greater Philadelphia area provides compassionate, exceptional care where people are most comfortable: at home. We are the area's most comprehensive home care provider with trusted quality of care. With new strategy, vision, and technology, we are growing and shaping the future of healthcare!

We have a pioneering care model with Home Care Connect, our integrated virtual care program that helps patients avoid preventable ER visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7 access to our Virtual Care Center RNs.

**Apply now!**

**Our Commitment**

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran
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Home Care Clinical Educator

19107 Philadelphia, Pennsylvania Trinity Health Corporation

Posted 3 days ago

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Job Description

Employment Type:

Full time

Shift:

Description:

Mercy Home Health Care has a need for a Full-time Clinical Educator in the Philadelphia area.

Summary: The Home Care Educator assesses, develops, implements, and evaluates educational programs for home care and hospice staff, ensuring compliance with regulations. Collaborates with managers for orientation, competency development, and ongoing staff development. Acts as an informatics liaison, providing technology education and coordinating student learning activities.

Qualifications:

* Graduate of an approved Nursing education program (bachelor's preferred)
* Certification in OASIS within one year (Home Care only).
* EPIC experience preferred.
* Ten years of nursing practice, with five in Hospice preferred.
* CPR Instructor Certification preferred.
* Proficient in Microsoft applications.
* Strong oral and written communication skills.

Benefits:

* Day One Benefits: Medical, dental, and vision insurance.
* Short and long-term disability coverage.
* 403(b) with a generous matching contribution.
* Paid time off PLUS seven paid holidays.
* Comprehensive onboarding and training to ensure your success.
* Tuition reimbursement available to help further your education.
* Access to Daily Pay for added financial flexibility.

Mercy Home Care and Hospice located in the Greater Philadelphia area provides compassionate, exceptional care where people are most comfortable: at home. We are the area's most comprehensive home care provider with trusted quality of care. With new strategy, vision, and technology, we are growing and shaping the future of healthcare!

We have a pioneering care model with Home Care Connect, our integrated virtual care program that helps patients avoid preventable ER visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7 access to our Virtual Care Center RNs.

Apply now!

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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Home Care Clinical Educator

19133 Philadelphia, Pennsylvania Trinity Health

Posted 10 days ago

Job Viewed

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Job Description

**Employment Type:**
Full time
**Shift:**
**Description:**
**Mercy Home Health Care has a need for a Full-time Clinical Educator in the Philadelphia area.**
**Summary:** The Home Care Educator assesses, develops, implements, and evaluates educational programs for home care and hospice staff, ensuring compliance with regulations. Collaborates with managers for orientation, competency development, and ongoing staff development. Acts as an informatics liaison, providing technology education and coordinating student learning activities.
**Qualifications:**
+ Graduate of an approved Nursing education program (bachelor's preferred)
+ Certification in OASIS within one year (Home Care only).
+ EPIC experience preferred.
+ Ten years of nursing practice, with five in Hospice preferred.
+ CPR Instructor Certification preferred.
+ Proficient in Microsoft applications.
+ Strong oral and written communication skills.
**Benefits:**
+ Day One Benefits: Medical, dental, and vision insurance.
+ Short and long-term disability coverage.
+ 403(b) with a generous matching contribution.
+ Paid time off PLUS seven paid holidays.
+ Comprehensive onboarding and training to ensure your success.
+ Tuition reimbursement available to help further your education.
+ Access to Daily Pay for added financial flexibility.
Mercy Home Care and Hospice located in the Greater Philadelphia area provides compassionate, exceptional care where people are most comfortable: at home. We are the area's most comprehensive home care provider with trusted quality of care. With new strategy, vision, and technology, we are growing and shaping the future of healthcare!
We have a pioneering care model with Home Care Connect, our integrated virtual care program that helps patients avoid preventable ER visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7 access to our Virtual Care Center RNs.
**Apply now!**
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
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DIRECT PATIENT CARE CLINICAL ADMINISTRATIVE LEAD-MEDICAL ASSISTANT-PRN

08104 Camden, New Jersey Cooper University Health Care

Posted today

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Job Description

About us

At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.

Discover why Cooper University Health Care is the employer of choice in South Jersey.

Short Description
Are you ready to apply Make sure you understand all the responsibilities and tasks associated with this role before proceeding.
3-5 years’ direct experience in customer service and direct patient care model, the ability to exercise sound administrative judgement when needed, a forward thinker and embrace innovation to creatively problem solve and serves as the subject matter expert for high quality concierge customer service. He/she assumes responsibility to ensure access to care is met within the Cooper Integrated Specialist Network. The clinical/admin DPC advocate is the liaison for the DPC clinicians and work directly with patients to schedule appointments and answering/addressing all incoming emails to the DPC practice.
The Clinical/Admin DPC Advocate will provide MA support to include EKG, vital screening, hearing, and additional requests when needed. Ordering bloodwork script for physicians. Responsible for maintaining EHR database, confirming appointments, registration of patients, printing documents for visits and ensuring patient completes them. After visit ensure scanning and uploading of documents into the EHR program.
The Clinical/Admin DPC Advocate handles and triages all DPC phone calls. Routine checking throughout the day of voicemail system to ensure all calls are returned quickly. All calls are considered high priority and voicemails must be checked AM/PM to ensure all calls have been properly addresses before end of business day. This position will be responsible for providing both check-in/out and MA services in the DPC model. This will include handling of all patient matters including walk-ins, phone calls, and scheduling of patients in Epic. This role requires ALL recertifications, referrals, and prior authorizations to be completed in the office. This role will oversee all scanning of documents, CDL physicals, and management of medication samples. Processing of record requests through MRO processing all new patient contracts and questions. Patient care to include rooming, vitals, injections of flu vaccine, PPD and B12. Performing testing to include EKG, hearing and vision.
This role is responsible for processing and/or printing incoming faxes through OnBase/fax and routing to provider for signatures or information. To ensure proper uploading into chart and category in a timely and efficiently. This role is responsible for ordering of supplies and stocking of the office.
Must have excellent time management, leadership aptitude, and organizational skills. Excellent listening and communication skills are required. Excellent escalation skills in handling customer complaints independently and assist clinicians with patient escalations. Must have experience with an EHR, computer skills, knowledge of patient scheduling and scheduling templates, the ability to work independently, creatively problem solve, compassionate and establish effective relationships. Knowledge of medical terminology required. Experience with hospital outpatient registration.
Experience Required

3-5 Years of experience

Education Requirements

MA Certification required

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