Clinical Coder Level I HIM Impatient Specialist (Full-Time, Remote) Penn MedicineClinical Coder Level I HIM Impatient Specialist (Full-Time, Remote)PARemoteSummary: Position Summary: Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to official coding guidelines assuring appropriate reimbursement, compliance with regulations, and accuracy for clinical care analysis and provider profiling. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Medical Assistant I - Steelton Family Care Hamilton Health Center IncMedical Assistant I - Steelton Family CarePAIn this role, you will assist with patient intake, clinical procedures, and care coordination while working closely with a team of providers and clinical staff to ensure efficient, high-quality patient care. Our mission is to improve the health of Central Pennsylvania's residents by delivering high-quality, respectful, and patient-centered health and related social services that promote access, treatment, education, and prevention, regardless of health, economic, or insurance status.
NewOnsite Medical Representative Amazon.com IncOnsite Medical RepresentativeYork, PAThe Amazon Workplace Health & Safety (WHS) team sets the strategic direction to provide resources, best practices, and safe environments to proactively manage the health and wellbeing of our workforce. As an OMR, you will independently assess and administer first aid as well as offer guidance to Amazon Associates (AAs) on both occupational and non-occupational injuries or illnesses.
Customer Service Specialist Fortune Brands Innovations IncCustomer Service SpecialistPA$44,000–$66,000 / yearThis role serves as the central point of coordination between customers, field teams, and internal stakeholders assuring jobsite readiness, resource availability, and clear communication before, during, and after each job. At Fortune Brands, we support the overall health and wellness of our associates by offering comprehensive, competitive benefits that prioritize all aspects of wellbeing and provide flexibility for our teammates' unique needs.
Authorization Specialist 1855 Powder Mill RdAuthorization SpecialistYork, PennsylvaniaScreens and analyzes the patient’s medical records for the documentation and criteria required to meet medical necessity for the authorization process.• Obtains patients benefit information from the insurance company.• Familiarizes self with medical policies and criteria for each insurance company.• Follows up in a timely manner with the doctor’s team if additional information is needed. JOB SUMMARY:⯠â¯The basic function of the Authorization Specialist is to verify benefits/eligibility and obtain authorizations when necessary for visits, procedures, surgery, treatment, and testing with the patient’s corresponding insurance company as authorized by the physician.
Customer Service Specialist THLP Co., LLCCustomer Service SpecialistConestoga, PAPart timeAny unsolicited resumes sent to Turkey Hill, including unsolicited resumes sent to a Turkey Hill mailing address, fax machine or email address, directly to Turkey Hill employees, or to Turkey Hill’s resume database will be considered Turkey Hill property. The employee is required to talk and/or hear in an office setting (noise level is low) and manufacturing setting where noise levels can be high (PPE required).
NewAccounts Receivable Specialist Surface Preparation Technologies LLCAccounts Receivable SpecialistPASurface Preparation Technologies, LLC (the "Company") may order a "consumer report" (a background report) or "investigative consumer report" on you in connection with your employment application, and if you are hired, or if you already work for the Company, may order additional background reports on you for employment purposes, to the maximum extent permitted by applicable law. This position plays a vital role in ensuring timely cash collections, maintaining accurate customer accounts, and supporting contract closeout and compliance activities in a fast-paced construction environment.
Customer Service Specialist Turkey HillCustomer Service SpecialistConestoga, PennsylvaniaAny unsolicited resumes sent to Turkey Hill, including unsolicited resumes sent to a Turkey Hill mailing address, fax machine or email address, directly to Turkey Hill employees, or to Turkey Hill’s resume database will be considered Turkey Hill property. The employee is required to talk and/or hear in an office setting (noise level is low) and manufacturing setting where noise levels can be high (PPE required).
Patient Growth Specialist CVS Health CorpPatient Growth SpecialistLancaster, PA$18.50–$35.29 / hourWorking in close collaboration with Outreach Managers, Directors, and Community Relationship Managers, you will execute targeted strategies to build trust and expand our patient base within your assigned market. Role Description: The Patient Growth Specialist (internally known as an Outreach Executive) is a community-facing role dedicated to connecting Medicare-eligible seniors with Oak Street Health.
Administrative Support Specialist Select Medical CorpAdministrative Support SpecialistCamp Hill, PASelect Medical and its parent company, Select Medical Holdings Corporation (NYSE: SEM), are based in Mechanicsburg, Pennsylvania, and are honored to be recognized as one of America's Best-In-State (Pennsylvania) Employers 2020 by Forbes. Select Medical strives to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
Clinical Assessment Specialist Select Medical CorpClinical Assessment SpecialistCamp Hill, PA$70,000–$90,000 / yearAs an integral part of our hospital business development team, the Clinical Assessment Specialist facilitates patient admissions to the rehabilitation hospital by assisting the field clinical liaisons with PAS completion and pull-through. Responsibilities: Works within the hospital Admissions Department to assess patients for appropriateness for our specialty services and to help secure insurance authorization for referred patients.
Clinical Assessment Specialist Select Specialty Hospital - Camp HillClinical Assessment SpecialistCamp Hill, Pennsylvania$70,000–$90,000 / yearAs an integral part of our hospital business development team, the Clinical Assessment Specialist facilitates patient admissions to the rehabilitation hospital by assisting the field clinical liaisons with PAS completion and pull-through. Works within the hospital Admissions Department to assess patients for appropriateness for our specialty services and to help secure insurance authorization for referred patients.
Part-Time Administrative Specialist Temple UniversityPart-Time Administrative SpecialistHarrisburg, Pennsylvania$24 / hourThe Medication Administration Training Program administrative specialist will perform a wide variety of administrative, clerical, customer service, and receptionist duties in support of the Medication Administration Training Program. Compliance Statement: In the performance of their functions as detailed in the position description employees have an obligation to avoid ethical, legal, financial and other conflicts of interest to ensure that their actions and outside activities do not conflict with their primary employment responsibilities at the institution.
Customer Solution Specialist Schaedler Yesco DistributionCustomer Solution SpecialistMechanicsburg, PAThis position assumes ownership of data sales product and service offerings and supports the sales department’s efforts in meeting company goals, profitability targets, and desired sales results. Provide the sales department and customers with the necessary support for all aspects of datacom solutions, including structured cabling, surveillance, fire alarm, and access control opportunities.
Datacomm Sales Specialist Schaedler Yesco DistributionDatacomm Sales SpecialistMechanicsburg, PAThis position assumes ownership of data sales product and service offerings and supports the sales department’s efforts in meeting company goals, profitability targets, and desired sales results. Provide the sales department and customers with the necessary support for all aspects of datacom solutions, including structured cabling, surveillance, fire alarm, and access control opportunities.
Health System Specialist (FMTS/EFMP) U.S. Department of DefenseHealth System Specialist (FMTS/EFMP)Carlisle Barracks, PA$62,972–$81,868 / yearFOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. Through a robust healthcare delivery system, and a dedicated team of inspired professionals, the Agency ensures the worldwide delivery of medical, dental, and pharmacy programs to more than 9.5 million uniformed service members, retirees, and their families, by improving health and building readiness.
Residential Lawn Specialist/Aerator TruGreen Companies L.L.C.Residential Lawn Specialist/AeratorLititz, PA$850–$1,200 / weekCalifornia Residents: When you express interest in or apply for a job with TruGreen Limited Partnership, we collect personal information about you, potentially including personal identifiers, contact information, protected classifications, pre-hire information, professional or employment-related information, education history, and/or medical information, for the following business purposes: to comply with state and federal law and regulations requiring employers to maintain certain records; to evaluate your job application and candidacy for employment; and to obtain and verify background checks (including criminal and motor vehicle records), pre-employment drug testing, and references. As a Residential Lawn Care Specialist, you''ll be both a skilled technician and a turf whisperer, breathing life into lawns while earning the trust of homeowners who take pride in their outdoor spaces.
Strength and Conditioning Specialist Loyal Source Government Services LLCStrength and Conditioning SpecialistHarrisburg, PACurrent certification by the National Strength and Conditioning Association (NSCA) as a Certified Strength and Conditioning Specialist (CSCS) or the Strength & Conditioning Coach Certified (SCCC) through the Collegiate Strength & Conditioning Coaches association (CSCCA). Minimum of 5 years of demonstrable accumulated experience (continuous and sustained experience preferred) in developing long and short-range planning and coordination of sport/mission-specific performance programs.
Senior Strength and Conditioning Specialist Loyal Source Government Services LLCSenior Strength and Conditioning SpecialistHarrisburg, PACurrent certification by the National Strength and Conditioning Association (NSCA) as a Certified Strength and Conditioning Specialist (CSCS) or Strength & Conditioning Coach Certified (SCCC) through the Collegiate Strength & Conditioning Coaches association (CSCCa). With a focus in government healthcare, technical and support services, engineering, and travel healthcare, Loyal Source provides exceptional custom solutions to both private enterprise and government agencies.
Body Shop Parts Specialist Transteck IncBody Shop Parts SpecialistHarrisburg, PAOur large size means that we have the resources to provide the best in class facilities, training and equipment while working with the industry leader in large heavy duty trucks. But despite our size, our 13 locations located from Pittsburgh to New Jersey through Maryland to Northern VA are all small enough to get the personal touch needed to keep you trained and motivated.
Customer Service Support Specialist DENTALEZCustomer Service Support SpecialistLancaster, PAFull timeHandle inbound customer calls regarding repair requests/estimates, product inquiries, warranty concerns, product registrations and support needs with professionalism and courtesy. The Customer Service Support Specialist is responsible responsible for delivering exceptional customer service while handling repair requests and performing hands-on technical work.
Program Specialist 4 22nd Century Technologies, Inc.Program Specialist 4Harrisburg, PADirect protective services supervisors to essential collateral contacts (e.g., care providers, medical professionals, legal representatives, family members, other collaborative agencies/departments/entities) to advance stalled or complex investigations. This contracted position supports the Pennsylvania Department of Aging's Protective Services Intensive Technical Assistance (PSITA) initiative, funded through the FY2026 Elder Justice Act - Adult Protective Services grant.
NewEQUIPMENT SPECIALIST (TITLE 32) United States ArmyEQUIPMENT SPECIALIST (TITLE 32)PA$61,722–$80,243 / yearSPECIALIZED EXPERIENCE:GS09 Must have at least one year of specialized experiences at the GS-07 level or the equivalent which provided a working knowledge of National Guard missions, organizations, and federal civilian or military personnel programs; which provided knowledge and skill in applying commonly used equipment, facility, or service principles and concepts; experience in the use of tools and test equipment; experience which provided knowledge of maintenance programs and techniques; experience in applying principles, concepts, and methods of equipment design; experience in the use of tools and test equipment; experience developing, installing, inspecting, or revising equipment maintenance programs and techniques. AREA OF CONSIDERATION: This position is in the Excepted Federal Civil Service "under the authority of 32 U.S.C. 709" and is open to Category 1: All permanent/indefinite (T32 and T5) technicians employed by the agency Category 3: All current military members of the Florida National Guard; and Category 4: All individuals who qualify for membership in the Florida National Guard and are willing to become T32 Dual Status technicians.
Centralized Clinical Support Representative - Medical Group Shared Services Centralized Clinical Support - Days WellSpan HealthCentralized Clinical Support Representative - Medical Group Shared Services Centralized Clinical Support - DaysYork, PALife in York County offers affordable housing options, higher education, a thriving arts and cultural community, historical attractions, parks, and recreational resources, a semi-professional baseball team, fine dining, and more - within an easy drive of major East Coast cities. Conducts outreach to patients by phone, mail, MyChart, secure messaging, and in-person to identify overdue preventative care services and to assist in scheduling appointments for these screenings/tests on behalf of the primary care offices.
Commercial Specialist AutoZone IncCommercial SpecialistLancaster, PAAs permitted by state or local law, AutoZone may consider certain offenses to be relevant to positions responsible for conducting or overseeing financial transactions on behalf of AutoZone, driving company vehicles and/or supervision of minors. Since opening our first store in 1979, AutoZone has grown into a leading retailer and distributor of automotive parts and accessories across the Americas.
NewPhlebotomy and Customer Service Specialist Float (Per Diem Day & Evening Shifts) Penn MedicinePhlebotomy and Customer Service Specialist Float (Per Diem Day & Evening Shifts)Lancaster, PAThe regions would consist of floating between labs at Columbia, County Line, Crooked Oak, Downtown Pavilion, Ephrata, Harrisburg Ave, Kissel Hill, Lebanon, Lincoln, Manheim, Norlanco, Parkesburg, Suburban Pavilion, Walter L. Documents all stages of specimen collection in required computer systems including investigating and processing orders, “receiving” specimens, canceling tests, running collection lists and producing and using reconciliation reports.
Customer Service Specialist Turkey Hill DairyCustomer Service SpecialistPAAny unsolicited resumes sent to Turkey Hill, including unsolicited resumes sent to a Turkey Hill mailing address, fax machine or email address, directly to Turkey Hill employees, or to Turkey Hill's resume database will be considered Turkey Hill property. The employee is required to talk and/or hear in an office setting (noise level is low) and manufacturing setting where noise levels can be high (PPE required).
NewBilling Specialist (62826) Union Community CareBilling Specialist (62826)Lancaster, PAWe envision vibrant and healthy communities supported by inclusive healthcare that embraces each member's unique culture, needs, and values, and emboldens them to make healthful choices that fuel their well-being and the well-being of others. This position is responsible for a variety of complex clerical and accounting functions related to medical accounts receivable (A/R), including insurance verification, insurance claim submission, along with collection, posting, and managing account payments.
NewCustomer Service Specialist, Emergency Medicine - 3rd shift Penn MedicineCustomer Service Specialist, Emergency Medicine - 3rd shiftLancaster, PAThe Customer Service Specialist provides accurate and efficient patient access services within the Emergency Department, including patient identification, arrival, registration, insurance verification, and visitor management. This role requires strong communication skills and the ability to perform effectively in a fast-paced, high-volume environment, including situations involving complex patient needs or medical/social concerns.
Contact Center Specialist I - MRI Scheduling Penn MedicineContact Center Specialist I - MRI SchedulingEast Petersburg, PAVariety and change: Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations. Position Summary: The Contact Center Specialist provides complete and accurate scheduling, registration, insurance verification, ordering of tests and coordination of applicable physician office and outpatient hospital services.
ED Customer Service Specialist (Part Time/Day Shift) Penn MedicineED Customer Service Specialist (Part Time/Day Shift)Lancaster, PAEngage in assisting patients and or visitors in waiting room management tasks including transfer in out of cars, making phone calls, providing comfort measures, informing of delays wait times and rooming process. Performs complete and accurate bedside patient registration including all areas of the ED Fast Care, Main, Behavioral Health including verification of demographics, emergency contacts, guarantor information and other hospital account information which may also include insurance coverage.
Intake Coordinator, Billing Specialist UCP Central PAIntake Coordinator, Billing SpecialistCamp Hill, PennsylvaniaFull timeYou’ll coordinate referrals, guide families through the intake process, manage service authorizations, and support billing operations so our programs can deliver high-quality services to the people we support. As an Intake Coordinator, Billing Specialist , you’ll support UCP Central PA’s mission by helping individuals and families successfully begin services while ensuring accurate billing, authorizations, and system documentation.
NewAccounts Payable Specialist Hamilton Health Center IncAccounts Payable SpecialistHarrisburg, PA$19–$24 / hourJob Summary: The Accounts Payable Specialist (Entry-Level) plays a vital role in supporting the daily financial operations of Hamilton Health Center by ensuring the accurate and timely processing of vendor invoices, payments, and financial records. The Accounts Payable Specialist will work with AI-assisted accounting tools and automated workflows to support invoice processing, reduce manual entry, and improve operational accuracy.
Medical Assistant I - Pediatrics Hamilton Health Center IncMedical Assistant I - PediatricsHarrisburg, PAJob Summary: The Medical Assistant will act as direct medical support to providers with direct patient care in an ambulatory care clinic setting, while under the direct supervision of a physician and/or physician extender and a Clinical Supervisor. Our mission is to improve the health of Central Pennsylvania's residents by delivering high-quality, respectful, and patient-centered health and related social services that promote access, treatment, education, and prevention, regardless of health, economic, or insurance status.
Medical Assistant I - Millersburg Hamilton Health Center IncMedical Assistant I - MillersburgPAEssential Duties and Responsibilities: Participate as a Care Team member under the direction of a medical provider by assisting patients to set goals, monitor progress, and address barriers to achieving goals, identify patient needs, and facilitate directing them to the care coordinator or other Hamilton services to address those needs. Job Summary: The Medical Assistant will act as direct medical support to providers with direct patient care in an ambulatory care clinic setting, while under the direct supervision of a physician and/or physician extender and a Clinical Supervisor.
NewMedical Assistant I - Adult Medicine Hamilton Health Center IncMedical Assistant I - Adult MedicineHarrisburg, PAEssential Duties and Responsibilities: Participate as a Care Team member under the direction of a medical provider by assisting patients to set goals, monitor progress, and address barriers to achieving goals, identify patient needs, and facilitate directing them to the care coordinator or other Hamilton services to address those needs. Job Summary: The Medical Assistant will act as direct medical support to providers with direct patient care in an ambulatory care clinic setting, while under the direct supervision of a physician and/or physician extender and a Clinical Supervisor.
NewMedical Assistant I - Women's Health Hamilton Health Center IncMedical Assistant I - Women's HealthHarrisburg, PAJob Summary: The Medical Assistant will act as direct medical support to providers with direct patient care in an ambulatory care clinic setting, while under the direct supervision of a physician and/or physician extender and a Clinical Supervisor. Our mission is to improve the health of Central Pennsylvania's residents by delivering high-quality, respectful, and patient-centered health and related social services that promote access, treatment, education, and prevention, regardless of health, economic, or insurance status.
Accounts Payable Specialist Job Armstrong World Industries IncAccounts Payable Specialist JobLancaster, PA$47,000–$53,000 / yearReporting to the Accounts Payable Manager, the Accounts Payable Specialist would effectively support the accounts payable function to ensure best in class performance for productivity, quality and customer satisfaction regarding vendor payments and other related support functions. We are committed to: Engaging a diverse, purpose-driven workforce; Transforming buildings from structures that shelter into structures that serve and preserve the health and well-being of people and planet; Pursuing sustainable, innovative solutions for spaces where we live, work, learn heal and play; Being a catalyst for change with all of our stakeholders; and.
Accounts Payable Specialist Job Armstrong CeilingsAccounts Payable Specialist JobLancaster, PA$47,000–$60,000 / yearReporting to the Accounts Payable Manager, the Accounts Payable Specialist would effectively support the accounts payable function to ensure best in class performance for productivity, quality and customer satisfaction regarding vendor payments and other related support functions. We are committed to: Engaging a diverse, purpose-driven workforce; Transforming buildings from structures that shelter into structures that serve and preserve the health and well-being of people and planet; Pursuing sustainable, innovative solutions for spaces where we live, work, learn heal and play; Being a catalyst for change with all of our stakeholders; and.
Equipment Reliability Specialist ImageFIRST Healthcare Laundry SpecialistsEquipment Reliability SpecialistLancaster, PennsylvaniaFull timeThe Equipment Reliability Specialist travels extensively to ImageFIRST facilities nationwide, collaborates with local maintenance teams, and ensures tunnel systems are fully operational and production-ready before the start of each production shift . Acquired by private equity firm Calera Capital in 2018, ImageFIRST serves medical facilities nationwide providing linen, patient gowns, scrubs, and more while managing their clients’ linen inventory for cost management.
NewStaffing Specialist PeopleReady, Inc.Staffing SpecialistYork, PA$17–$20 / hourThis individual will support the Territory Manager by assisting with daily operations, including helping recruit new applicants, assisting applicants through the employment process, matching applicants with rewarding work, ensuring our customers' open positions are filled, setting appointments, meeting with new and existing customers, generating sales and more. Backed by over 35 years of experience, PeopleReady's workforce solutions have been carefully crafted to service businesses and workers across a wide range of industries, including construction, manufacturing and logistics, retail, and hospitality.
NewCertified Medical Assistant (CMA) Twin Rose Columbia/Days/Full Time Penn MedicineCertified Medical Assistant (CMA) Twin Rose Columbia/Days/Full TimeColumbia, PAFor Regional Positions: Travels regularly to various sites within the region to support operational needs as listed above and Assists at new practices and sites by mentoring and leading other team members during the initial onboarding period. Summary: To provide clinical support services to patients at a provider's office under the supervision and direction of a provider and/or licensed nurse.
Certified Medical Assistant (CMA) Commercial Avenue/Days/Full Time Penn MedicineCertified Medical Assistant (CMA) Commercial Avenue/Days/Full TimeEast Petersburg, PAFor Regional Positions: Travels regularly to various sites within the region to support operational needs as listed above and Assists at new practices and sites by mentoring and leading other team members during the initial onboarding period. Summary: To provide clinical support services to patients at a provider's office under the supervision and direction of a provider and/or licensed nurse.
Certified Medical Assistant (CMA) Abbeyville Family Medicine/Days/Full Time Penn MedicineCertified Medical Assistant (CMA) Abbeyville Family Medicine/Days/Full TimeLancaster, PAFor Regional Positions: Travels regularly to various sites within the region to support operational needs as listed above and Assists at new practices and sites by mentoring and leading other team members during the initial onboarding period. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Certified Medical Assistant (CMA) Diabetes and Endocrinology/Days/Full Time Penn MedicineCertified Medical Assistant (CMA) Diabetes and Endocrinology/Days/Full TimeLancaster, PAFor Regional Positions: Travels regularly to various sites within the region to support operational needs as listed above and Assists at new practices and sites by mentoring and leading other team members during the initial onboarding period. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Certified Medical Assistant (CMA) Diabetes and Endocrinology/Days/Part Time Penn MedicineCertified Medical Assistant (CMA) Diabetes and Endocrinology/Days/Part TimeLancaster, PAFor Regional Positions: Travels regularly to various sites within the region to support operational needs as listed above and Assists at new practices and sites by mentoring and leading other team members during the initial onboarding period. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Certified Medical Assistant (CMA) Podiatry/Days/Full Time Penn MedicineCertified Medical Assistant (CMA) Podiatry/Days/Full TimeLancaster, PAFor Regional Positions: Travels regularly to various sites within the region to support operational needs as listed above and Assists at new practices and sites by mentoring and leading other team members during the initial onboarding period. Summary: To provide clinical support services to patients at a provider's office under the supervision and direction of a provider and/or licensed nurse.
NewCertified Medical Assistant (CMA) Orthopaedics/Full Time/Days Penn MedicineCertified Medical Assistant (CMA) Orthopaedics/Full Time/DaysLancaster, PAFor Regional Positions: Travels regularly to various sites within the region to support operational needs as listed above and Assists at new practices and sites by mentoring and leading other team members during the initial onboarding period. Summary: To provide clinical support services to patients at a provider's office under the supervision and direction of a provider and/or licensed nurse.
Certified Medical Assistant (CMA) Lancaster Physicians for Women/Full Time/ Days Penn MedicineCertified Medical Assistant (CMA) Lancaster Physicians for Women/Full Time/ DaysLancaster, PAFor Regional Positions: Travels regularly to various sites within the region to support operational needs as listed above and Assists at new practices and sites by mentoring and leading other team members during the initial onboarding period. Summary: To provide clinical support services to patients at a provider's office under the supervision and direction of a provider and/or licensed nurse.
Certified Medical Assistant (CMA) Orthopedics/Days/Full Time Penn MedicineCertified Medical Assistant (CMA) Orthopedics/Days/Full TimeLancaster, PAFor Regional Positions: Travels regularly to various sites within the region to support operational needs as listed above and Assists at new practices and sites by mentoring and leading other team members during the initial onboarding period. Summary: To provide clinical support services to patients at a provider's office under the supervision and direction of a provider and/or licensed nurse.