- 1099 Independent Contractor
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Physician - Palliative Care
1 week ago
Penn State Health Camp Hill, United StatesPenn State Health - Community Medical Group · Location: US:PA:Camp Hill · Work Type: PRN · FTE: 0.001 · Shift: Day · Hours: 7:00a-7:00p · Recruiter Contact: Please contact Heather J. Peffley at for additional information. · Health Care That's Personal – The Human Connection · Pe ...
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Primary Care Physician
18 hours ago
Penn State Health Camp Hill, United StatesPenn State Health Medical Group · Location : US:PA:Camp Hill · Work Type : Part Time · FTE : 0.6 · Shift : Day · Hours : 8 · Recruiter : Please contact Heather Peffley at ) for additional information. · Health Care That's Personal – The Human Connection · Penn State Health is se ...
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Physician - Palliative Care
1 week ago
Penn State Health Camp Hill, United States PRN· Penn State Health - Community Medical Group · Location: US:PA:Camp Hill · Work Type: PRN · FTE: 0.001 · Shift: Day · Hours: 7:00a-7:00p · Recruiter Contact: Please contact Heather J. Peffley at for additional information. · Health Care That's Personal – The Human Connecti ...
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Physician Assistant Critical Care
2 hours ago
Penn State Health Camp Hill, PA, United States**Penn State Health** - **Medical Group** · **Location:** US:PA:Camp HIll · **Work Type:** Full Time · **FTE:** 1.0 · **Shift:** Varied · **Hours:** Varied · **Recruiter Contact:** Savannah Stauffer at · **SUMMARY OF POSITION:** · Penn State Health Holy Spirit Medical Center has ...
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Physician Assistant Critical Care
1 week ago
Penn State Health Camp Hill, United StatesPenn State Health - Holy Spirit Medical Center · Location: US:PA:Camp HIll · Work Type: Full Time · FTE: 1.0 · Shift: Varied · Hours: Days/Nights/Weekends/Holidays · Recruiter Contact: Jill R. Brubaker at ) · SUMMARY OF POSITION: · As part of a healthcare team, the physician ass ...
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Physician Assistant Critical Care
6 days ago
Penn State Health Camp Hill, United StatesPenn State Health - Holy Spirit Medical Center · Location: US:PA:Camp Hill · Work Type: Full Time · FTE: 1.0 · Shift: Varied · Hours: 12 · Recruiter Contact: Please contact Jill Brubaker at ) for additional information. · SUMMARY OF POSITION: · This position will support the Gen ...
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physician assistant critical care
5 days ago
Penn State Health Camp Hill, PA , USA, United States**Penn State Health** **Medical Group** · **Location:** US:PA:Camp HIll · **Work Type:** Full Time · **FTE:** 1.0 · **Shift:** Varied · **Hours:** varied · **Recruiter Contact:** Please contact Savannah Stauffer at for additional information. · **SUMMARY OF POSITION:** · Diagnos ...
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physician assistant critical care
1 week ago
Penn State Health Camp Hill, PA , USA, United States**Penn State Health - Holy Spirit Medical Center** · **Location:** US:PA:Camp Hill · **Work Type:** Full Time · **FTE:** 1.0 · **Shift:** Varied · **Hours:** 12 · **Recruiter Contact:** Please contact Jill Brubaker at ) for additional information. · **SUMMARY OF POSITION:** · Di ...
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Pinnacle Health Systems Harrisburg, United StatesUPMC Central PA#FamilyCare Lower Paxton#is seeking a full-time family medicine physician to join our growing primary care team#and play an integral role in helping to provide high-quality, compassionate care to all patients in our community.## About the Position: Provides direct ...
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GO Staffing Harrisburg, PA, United StatesGreat group in the Harrisburg, PA area looking for BC/BE Family Practice or Internal Medicine Physician to join their team.Full time, perm, M-F with most days being 8a-5p. One late night every 4-6 weeks until 7:30p ppd. 35 hours of patient time with 5 hours of admin, no call or w ...
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Pediatric Home Care Nurse
1 day ago
Aveanna Healthcare Harrisburg, United StatesLicensed Practical Nurse · Aveanna Healthcare, one of the largest home healthcare companies in the U.S. and is excited to now be serving South Dakota. We are building our team of compassionate Pediatric Nurses to provide skilled nursing care to patients in the home and school set ...
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Home Health Physical Therapist
1 week ago
LHC-Illinois Home Health Care Harrisburg, United States Full timeWe're hiring for a full-time Home Health Physical Therapist to join our passionate team in Marion, IL This role will be serving our patients in the Franklin and Saline counties. · At Illinois Home Health Care, we embrace a culture of caring, belonging, and trust and enjoy the mea ...
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Nurse Practitioner Crnp
5 days ago
Suburban Geriatrics Harrisburg, United StatesSuburban Geriatrics is seeking a Nurse Practitioner or Physician Assistant to provide primary care services, including, but not limited to, admissions, assessment and treatment to residents in long term care communities. · This is a full time, Monday - Friday day position. · Expe ...
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Resource Specialist-upmc Harrisburg
1 week ago
UPMC Harrisburg, United States**Purpose**: · This person is responsible for coordinating both discharge services and facilitating utilization review through timely communication of clinical information to third party payers to ensure certification, approval and authorization of inpatient and post discharge se ...
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Director, Operations Gme
4 days ago
UPMC Harrisburg, United States**Purpose**: · This individual is responsible for strategic decision-making, policy development, and policy implementation for the Office of Medical Education. The Director, Operations will work collaboratively with the DIOs, Program Directors and Program Coordinators physicians, ...
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Lpn Home Nurse
2 days ago
Family Practice Center Harrisburg, United StatesFamily Practice Center PC has a full or part-time home LPN position now available If you are looking for a work from home position, this could be the nursing position for you · Below is a listing of the qualifications and job description If you are interested, please send your re ...
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Lpn - Part Time Day-eve
1 week ago
PrimeCare Medical, Inc. Harrisburg, United States Part timePrimeCare Medical, Inc. is currently looking for **Licensed Practical Nurses (LPN) **to work in the medical department at the **Dauphin County Prison** located in Harrisburg, PA. · **Responsibilities**:The Licensed Practical Nurse will primarily be responsible for providing compr ...
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Medical Assistant or Emt
1 week ago
PrimeCare Medical, Inc. Harrisburg, United States Part timeWe are looking for enthusiastic and hard-working **Certified Medical Assistants (CMA)** to work in the medical department at the Dauphin County Correctional Facility in Harrisburg, PA. The position requires an every other weekend obligation · AVAILABLE - **PART TIME DAY/NIGHT** · ...
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Medical Assistant Full Time Day
1 week ago
PrimeCare Medical, Inc. Harrisburg, United States Full timeWe are looking for enthusiastic and hard-working **Certified Medical Assistants (CMA)** to work in the medical department at the Dauphin County Correctional Facility in Harrisburg, PA. The position requires an every OTHER weekend obligation · AVAILABLE - FULL TIME EVENING & NIGHT ...
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R&e Nurse- Med Care Services
20 hours ago
TulaRay Harrisburg, United States**Specific duties are as follows**: · Identify discrepancies through analysis of computer reports, PROMISe claims history profiles, MCO encounter data, other Medical Assistance (MA) documents and referrals/complaints in order to select MCO participating providers for review of co ...
Primary Care Physician - Harrisburg, United States - Health Advocates Network
Description
Primary Care Physician (PCP) NDC- ExpertPay Rate:
$130 / hour
Minimum Qualifications
Be board certified in family practice medicine. Possess an active
Pennsylvania medical license.
If feasible, be in active clinical practice in the area in which the Resource is board certified at least sixteen (16) hours per month.
Demonstrate an understanding of utilization review processes.Basic computer skills to include, but not limited, to Microsoft Office Products.
Role Description:
Resource will provide utilization and quality reviews of services for the Department.
Resource will conduct prospective, concurrent and retrospective review of any assigned adult and pediatric inpatient and outpatient medical cases covered by the Department including, but not limited to:
inpatient admissions; procedures performed in a physician's office, Short Procedure Unit or Ambulatory Surgical Center; home health services, medical supplies, and/or diagnostic studies or procedures.
Resource shall be responsible for making determinations regarding the medical necessity, place of service, appropriateness, compensability, and/or quality of care of services prescribed for and provided to Medicaid recipients.
It will be the Resource's responsibility to review all requests thoroughly and make a qualified determination in accordance with Medical Assistance regulations and criteria.
Depending on the type of case reviewed, Resource will be required to compile case findings, prepare summaries of case findings; make recommendations for case disposition, identify program violations; prepare appealed cases for hearings; and/or be available to testify at administrative hearings for cases under appeal.
The Resource will submit the above information to the Department using formats specified by each individual Bureau.
Resource, when requested, will assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators.
Resource may be asked to help the Department in determining if any changes should be made to criteria or regulations to better serve Medical Assistance recipients.
Health Advocates Network, Inc. is an equal opportunity employer.
All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies.
EOE including Veterans/Disability
