- Conduct second-level medical necessity/compliance status reviews for all payor types, utilizing expertise to make informed decisions.
- Meet with case management, utilization management, social work, and other healthcare team members to discuss selected cases and make recommendations regarding patient status through case reviews.
- Interact with medical staff to discuss medical necessity and concurrent denial cases, providing guidance and support.
- Act as a consultant for the medical staff regarding their decisions for the appropriate medical necessity status of hospitalized patients and supporting documentation, promoting high-quality care.
- Participate in the claims denial process by conducting peer-to-peer discussions with commercial payor medical directors for cases that have been denied concurrently, driving resolution and improved outcomes.
- Serve as a physician member of the Utilization Review Committee, which may require non-clinical medical staff privileges application, contributing to the development of policies and procedures.
- MD or DO degree from an accredited institution.
- Current, unrestricted medical license in Pennsylvania.
- 3+ years of experience in a hospital-based practice setting, demonstrating a track record of success.
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The Service Consultant is instrumental to connecting clients to Goodwill programs and services as well as to local community resources. · We offer life-changing work on a mission-minded team.We are 1,000 working as one and each of us is essential to helping our community thrive. ...
Pittsburgh $18.25 - $18.98 (USD)1 week ago
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The Service Consultant is instrumental to connecting clients to Goodwill programs and services as well as to local community resources.We offer life-changing work on a mission-minded team. · ...
Pittsburgh $18.25 - $18.98 (USD)1 month ago
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This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Service Consultant - REMOTE. · ...
Indiana5 days ago
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Operates a customer service window to provide customers with exceptional customer service on a variety of transactions. Suggests solutions and options to customers and refers them to appropriate areas of the bank. · ...
Latrobe, PA4 weeks ago
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ePs Packaging is hiring for a Professional Services Consultant (Accounting and Finance) to join our Packaging Suite team. · The successful candidate can be located anywhere in North America near an airport. Deliver professional services around the setup and use of ePs Packaging S ...
Pittsburgh3 days ago
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ePS Packaging is seeking a Professional Services Consultant to join our North American Packaging Services team. In this role, you will deliver professional services to new and existing ePS customers, supporting the successful implementation and optimization of our ERP/MIS solutio ...
Pittsburgh3 weeks ago
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We are shaping the future of packaging through technology and we're hiring a Professional Services Consultant to join our team in North America.ePs Packaging is a global leader in industry-specific business and production software that helps companies streamline operations and un ...
Pittsburgh, Pennsylvania, United States3 days ago
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Innovative Systems has openings for exceptional technically-skilled Professional Services Consultants to implement Innovative's solutions for enterprises across North America and Latin America. · ...
Pittsburgh, PA6 days ago
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Techstra Solutions is looking for a Consultant Services Manager to manage consultants and remote contract resources. · ...
Pittsburgh, PA6 days ago
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As a Salesforce Managed Services Consultant at TruSummit Solutions you will have direct oversight and responsibility for the day-to-day management of your assigned managed services client's engagements. · ...
Pittsburgh3 weeks ago
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The Head Teller is responsible for operating a customer service window to provide customers with exceptional customer service on a variety of transactions. They also provide technical direction and training for other customer service representatives. · ...
Derry1 month ago
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We are seeking a Salesforce Managed Services Consultant to join our team at TruSummit Solutions. As a member of our team, you will have direct oversight and responsibility for the day-to-day management of your assigned managed services client's engagements. · ...
Pittsburgh, PA3 weeks ago
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The Investment Services Consultant (ISC) role within PNC Wealth Management acts as a phone-based sales and service financial advisor within our fast-paced Investment Center. · ...
Pittsburgh, PA5 days ago
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We are looking for a tech-savvy professional who thrives in a fast-paced environment and is passionate about helping businesses optimize their technology infrastructure. · ...
Pittsburgh $85,000 - $95,000 (USD)1 month ago
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We are looking for a tech-savvy professional who thrives in a fast-paced environment and is passionate about helping businesses optimize their technology infrastructure. · ...
Pittsburgh, PA1 month ago
- Work in company
Technical Service Consultant, Flooring or Tiling Installation Systems, Center Township, PA
Only for registered members
As a Technical Service Consultant at ARDEX Americas, you'll be the go-to expert for customers and internal teams. You'll have strong industry expertise and be an engaging presenter and trainer. Some sales experience is advantageous. · ...
Plum2 weeks ago
- Work in company
Technical Service Consultant, Flooring or Tiling Installation Systems, Center Township, PA
Only for registered members
We are looking for a Technical Service Consultant to join our team. As a key member of our sales and technical support function, you will be responsible for providing expert technical guidance and training to our customers and internal teams. · This is a hands-on role where you w ...
Plum2 weeks ago
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Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey we put heart and soul into everything we do. · The Behavior Consultant will work in our Greensburg PA location earning $31-$40/hour. · The team designs and directs behav ...
Greensburg1 month ago
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We are seeking a Behavior Consultant to join our team in our Greensburg, PA location. ...
Greensburg $31 - $40 (USD)3 days ago
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We are seeking a Behavior Consultant to join our team in our Greensburg, PA location. · The Behavior Consultant designs and directs the implementation of a behavior modification intervention plan which is individualized to each child or adolescent and family needs. · ...
Greensburg $31 - $40 (USD) Part time1 week ago
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Earn up $31-$40/hour based on education, licensure, and experience as Behavior Consultant in Greensburg PA location at Merakey. · The Behavior Consultant designs individualized behavior modification intervention plans for children or adolescents. · ...
Greensburg $31 - $40 (USD)1 month ago
Clinical Services Consultant - Greensburg - beBeePhysicianAdvisor
Job title: Onsite Physician Advisor
Description
Key Responsibilities
Requirements
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Service Consultant
Only for registered members Pittsburgh
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Service Consultant
Only for registered members Pittsburgh
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Service Consultant
Only for registered members Indiana
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Head Teller Service Consultant
Only for registered members Latrobe, PA
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Professional Services Consultant
Only for registered members Pittsburgh
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Professional Services Consultant
Only for registered members Pittsburgh
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Professional Services Consultant
Only for registered members Pittsburgh, Pennsylvania, United States
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Professional Services Consultant
Only for registered members Pittsburgh, PA
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Consultant Services Manager
Only for registered members Pittsburgh, PA
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Salesforce Managed Services Consultant
Only for registered members Pittsburgh
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Head Teller Service Consultant
Only for registered members Derry
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Salesforce Managed Services Consultant
Only for registered members Pittsburgh, PA
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Licensed Investment Services Consultant
Only for registered members Pittsburgh, PA
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Service Desk Consultant Level III
Only for registered members Pittsburgh
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Service Desk Consultant Level III
Only for registered members Pittsburgh, PA
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Technical Service Consultant, Flooring or Tiling Installation Systems, Center Township, PA
Only for registered members Plum
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Technical Service Consultant, Flooring or Tiling Installation Systems, Center Township, PA
Only for registered members Plum
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Behavior Consultant
Only for registered members Greensburg
-
Behavior Consultant
Only for registered members Greensburg
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Behavior Consultant
Part time Only for registered members Greensburg
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Behavior Consultant
Only for registered members Greensburg