- Cardinal Health (Harrisburg, PA)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Highmark Health (Erie, PA)
- …:** **$10,000 sign on bonus available** **GENERAL OVERVIEW:** This job collaborates with the interdisciplinary team of providers, clinicians, health plans, and ... external partners while advocating for patients and families/caregivers to coordinate care across the continuum. The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of… more
- Highmark Health (Pittsburgh, PA)
- …:** GENERAL OVERVIEW: Coordinates patient progress toward achieving quality and cost outcomes; mobilizes resources and manages the system in response to current ... variances according to pre-established standards. ESSENTIAL RESPONSIBILITIES: + Responsible for the coordination and completion of post-discharge needs for patients requiring home care or extended care facility services. (40%) + Communicates and collaborates… more
- UPMC (Harrisburg, PA)
- …+ Identify clinical, psychosocial, historical, financial, cultural, and spiritual needs that guide the planning process with the patient to attain optimal outcomes. ... Take patient/family/caregiver level of health literacy into consideration. Evaluate patient/family/caregiver level of understanding and engagement with the progress toward goals and incorporate findings into the plan of care. Balances resources with patient… more
- St. Luke's University Health Network (Sellersville, PA)
- …Must have ability to sit for 2 total hours per day, and up to 1 total consecutive hour. Must be able to stand for 8 total hours per day and up to 2 total consecutive ... hours. Must be able to walk 6 total hours per day and up to 10 total consecutive minutes. Must have the ability for hearing as it relates to normal conversation, high frequency and low frequency hearing sounds. Must have the ability for seeing as it relates to… more
- Trinity Health (Philadelphia, PA)
- …Mercy Home Health - Philadelphia, Pennsylvania $10,000 bonus Position Overview As a Home Care Registered Nurse (RN) at Trinity Health at Home and Mercy Home Health, ... you'll deliver one-on-one, high-quality care to patients in the comfort of their homes. Using advanced technology and your clinical expertise, you'll assess, plan and manage individualized care that promotes healing and independence. This position is based out… more
- ASM Research, An Accenture Federal Services Company (Harrisburg, PA)
- …+ Analyze incoming cases to determine and relay applicable guidance to issuers + Provide exemplary customer service through phone and email + Answer inbound phone ... calls + Validate issuer requests and articulate any deficiencies back to the issuer to ensure all necessary information is gathered + Understand and follow escalation criteria to forward issues where the requests are not resolved promptly + Build and maintain… more
- WellSpan Health (Chambersburg, PA)
- …**Minimum Education:** + Bachelors Degree Must be degreed in social work or social welfare per PA Act 68 of 2008. Required **Work Experience:** + Less than 1 year ... Relevant experience. Required **Licenses:** + Basic Life Support Upon Hire Required + Licensed Social Worker Upon Hire Preferred **Knowledge, Skills, and Abilities:** + Excellent interpersonal/communications skills. + Basic computer skills. + Able to maintain… more
- Commonwealth of Pennsylvania (PA)
- …+ Yes 08 WORK BEHAVIOR 1 -REVIEW DOCUMENTS AND CASE /RECORDS Perform a pre-trial review of all petitions filed under ... order to familiarize themselves with the nature of the case ; understand full legal significance of all petitions; review...of the issues and that the facts of the case are heard within a timely fashion and all… more
- Commonwealth of Pennsylvania (PA)
- …Program, and Consumer Reimbursement Program. This involves training care managers in case records, policies, and other job duties, as well as preparing the ... 1 - SUPERVISION Distributes and monitors work assignments of case aides and care management and assessment staff; monitors...+ Credits/Clock Hours 10 WORK BEHAVIOR 2 - REVIEWS/ANALYZES CASE RECORDS Reviews and analyzes case records… more