71 jobs found in Scranton, PA

ArchCare cares for people of  all  ages and faiths where they are most comfortable and best able to receive it --  at home, in the community and in nursing homes . As the Continuing Care Community of the Archdiocese of New York, we see enhancing the lives of our elders and others who need extra help to stay healthy and live life to its fullest as more than just a job.  To us, it's a privilege and our calling. We are proud to be Certified™ by Great Place to Work® , a testament to our commitment to fostering a positive, supportive, and inclusive workplace culture. Benefits/Perks: Includes accrued vacation days, sick days, and holidays. Participation in 403 (b) Voluntary Benefits: Short Term Disability, Life Insurance, Cancer Insurance, Pet Insurance Discounted membership: Plum Benefits Pay for work-related eligible commuter expenses with pre-tax dollars Responsibilities: Assesses and evaluates the health care needs of patients and...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Cardiology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months)....

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Neurology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months)....

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Surgery - Orthopedics, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months)....

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology Radiation, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Overview About the Role The Benefits Services Associate administers and effectively communicates University Hospital’s benefits programs, ensuring compliance with State of New Jersey regulations and University Hospital policies and procedures.     Responsibilities What You’ll Do Administer employee benefits programs, including medical, dental, vision, prescription, retirement, and supplemental benefit plans. Process benefit enrollments, changes, terminations, and payroll deductions accurately and in a timely manner. Counsel employees on health, welfare, and retirement benefits, and conduct new hire benefits orientations. Maintain accurate electronic benefits records and perform audits to ensure data integrity and compliance. Serve as a liaison between employees, payroll, state agencies, and third-party vendors to resolve benefits-related issues. Review and process retirement, pension, deferred compensation,...

Overview About the Role The primary purpose of the Inpatient Coding Data Quality Auditor/Educator is to ensure the consistent processing of claims and collection of data to optimize DRG reimbursement and produce quality data that accurately reflects the severity and intensity of hospital inpatient services. Audits inpatient coded records, provides continuing education of all inpatient coding staff and facilitates the inpatient coding work flow.   Responsibilities What You’ll Do     Performs daily data quality reviews on inpatient records to validate ICD-10 diagnosis and procedure codes Ensures accuracy, proper sequencing, and adherence to coding guidelines on all cases Reviews cases identified as OIG-focused DRGs, transfer DRGs, and other target areas as needed Verifies the accuracy and appropriateness of the selected DRG Communicates coding corrections to coders and explains the rationale for...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Community Health Worker Company: Oak Street Health Role Description: The purpose of a Community Health Worker (CHW) at Oak Street Health is to act as the bridge between our patients, community, and medical systems in order to remove barriers and increase wellness across all life domains. A CHW is a patient’s advocate or liaison, accompanying patients through proactive in-person and phone outreach based on their care needs to promote health literacy and increase access to resources needed to live healthier lives. High...

Cooperstown Center is hiring an LPN Nurse Educator in Cooperstown, NY . Duties: • Assist with staff development and training programs by providing education on safety, body mechanics, infection control, hazardous materials, and other topics required by NYSDOH and regulatory agencies. • Support employee orientation, onboarding, and ongoing education programs. • Coach and educate nursing staff to promote clinical excellence and regulatory compliance. • Maintain records of educational activities, attendance, competencies, and training completion. • Report on active projects and educational initiatives on a daily, weekly, and monthly basis. • Participate in QAPI meetings and quality improvement projects. • Assist the Director of Nursing and leadership team in planning, coordinating, and implementing staff education programs. • Assist with data collection, audits, and evaluations related to staff education and performance improvement initiatives. • Keep the Director of Nursing...

Richmond Center is hiring an CNA Program Instructor (RN) in Staten Island, NY. POSITION SUMMARY: The  Program Instructor  will work with the Program Coordinator on the presentation of the curriculum. This person works collaboratively to teach lecture and lab content and to coordinate clinical training and supervision of the course participants. This person will also be responsible to supervise the students on the units during their clinical experience. Candidates must meet the following qualifications: Must be a Registered Nurse with at least two (2) years of nursing experience, including a minimum of one (1) year in a long-term care setting Must have experience teaching adults, supervising nurse aides, or have completed a course in adult education Strong communication, leadership, and training skills preferred Ability to work collaboratively in a clinical education environment About us: Richmond Center for Rehabilitation and Healthcare is a...

Malen here from Provider Healthcare. I am working with a FQHC South of Syracuse. They are seeking a Dental Hygienist for a full time position. They are looking for an individual with excellent bedside manners and attention to quality patient care. Quick Facts - Full Time Schedule - Salary $83,000 - $101,000 a year - Patients of all ages - 1-2 years of experience - EMR- Athena - Start Date - ASAP You can email, text, or call me if you are interested or have additional questions. If you know someone that is looking for a new job, please pass this information along. I look forward to hearing from you. Malen Director of Recruitment Provider Healthcare Office Work Mobile:

We represent a mission?driven, non?profit Federally Qualified Health Center (FQHC) located in Staten Island, New York. The organization is seeking an Internal Medicine Physician who is committed to providing comprehensive, high?quality

ArchCare cares for people of  all  ages and faiths where they are most comfortable and best able to receive it --  at home, in the community and in nursing homes . As the Continuing Care Community of the Archdiocese of New York, we see enhancing the lives of our elders and others who need extra help to stay healthy and live life to its fullest as more than just a job.  To us, it's a privilege and our calling. We are proud to be Certified™ by Great Place to Work® , a testament to our commitment to fostering a positive, supportive, and inclusive workplace culture. Benefits/Perks: Includes accrued vacation days, sick days, and holidays. Participation in 403 (b) Voluntary Benefits: Short Term Disability, Life Insurance, Cancer Insurance, Pet Insurance Discounted membership: Plum Benefits Pay for work-related eligible commuter expenses with pre-tax dollars Responsibilities: Assesses and evaluates the health care needs of patients and...

Job Summary The Nurse Educator assesses the educational needs of nursing staff, students and others in order to plan and deliver orientation and continuing education. Serves as a resource by mentoring staff and monitoring/evaluating clinical competencies to assure the highest quality clinical outcomes and safety. Participates in committees to facilitate and reinforce the implementation of evidence based care. Ensures that nurses are in full compliance with regulatory standards. Acts as a role model to all staff. Core Job Responsibilities A Nurse Educator is a highly experienced, registered nurse who uses their knowledge, skills and expertise to provide clinical education and professional development to nursing staff. Plans, develops, implements and evaluates educational programs for the staff, the hospital and the community. Contributes to the professional development of peers and colleagues through innovative programs in both a classroom setting and on the nursing...