Lehigh Valley Hospital
  • East Stroudsburg, PA 18301, USA
Jul 03, 2022  
This is truly an extraordinary time to join the Lehigh Valley Health Network.  LVHN is one of the nation's most advanced health networks, offering comprehensive care in 95 clinical specialties. Love where you work!!*Overview:*Provides consultation on the level of care, utilization of resources, discharge issues and options, timeliness and appropriateness of care, payment denials, and other issues. Consults with physicians to improve the efficiency of care delivery, transitions of care, and clinical documentation.*Job Qualifications: ** Reviews clinical information on patients to determine the appropriate status.  * Performs Peer to Peer (P2P) reviews to attempt to overturn denials from Payors. * Writes backend appeals to overturn denials from Payors.       * Knows and understands the process approved by the Medical Director to determine status.             * Consults with Case Managers to aid in Discharge Planning.     * Consults with Providers to aid in determining appropriate...
Lehigh Valley Hospital Allentown, PA, USA