- Heritage Ministries (Conneautville, PA)
- …in a human services related field. + Preferred experience as a caseworker, case manager , intake specialist, or related work experience with the long-term ... face sheet, and the primary insurance coverage (other than Medicare ). Verifies the Medicare benefit and coverage...and guidance until the process is completed and the case is opened. In cases, where there is no… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Enrollees by associates and Providers. + Serves as medical advisor and manager for all clinically related activities. + Assures that organization medical policies ... and procedures adhere to contractual obligations. + Performs clinical case reviews in conjunction with Medical Excellence Department. + Demonstrates knowledge of… more
- UPMC (Pittsburgh, PA)
- …confidential counseling and guidance to the employees, household members, Medicare members, students of various contracted organizations and telemedicine clients ... consultation with the Senior Director, Clinical Director, and/or Clinical Manager . + Assist supervisory/management personnel in assessing employee performance… more
- Penn Medicine (Lancaster, PA)
- …the continuum of care and arranging transition needs under the direction of the Case Manager Social Worker. + Qualified individuals must have the ability with ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...health insurance programs, ie not excluded from participation in Medicare , Medicaid or any other federal or state health… more
- Evolent (Harrisburg, PA)
- …Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the support services review process. ... as needed for new hires and completes new hire case assessment working on any defined areas of opportunity....by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- ChenMed (Philadelphia, PA)
- …+ Acts as a national pharmacy consultant for our physicians regarding patient case inquiries, drug interactions, therapy suggestions, and more. Our aim is to choose ... drug interactions, duplicate therapies, and other regimen-related factors, making case -by- case and population health interventions as necessary. Provides… more
- Banner Health (PA)
- …number of accounts for specific patient types and specialties in combination with the Case Mix Index and case financial information to formulate performance to ... both the Banner Coding Education team and your hiring manager , with continued support throughout your career here! _*This...to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG)… more
- Banner Health (PA)
- …of accounts for specific patient types and specialties in combination with the Case Mix Index and case financial information to formulate productivity standards, ... both the Banner Coding Education team and your hiring manager , with continued support throughout your career here! _*This...to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG)… more
- WellSpan Health (York, PA)
- …for case carts. + Collaborates with Central Sterile Processing Manager in evaluating change in policies and procedures and implements appropriate systems ... Technician I and Technician II staff and the Central Sterile Processing Manager as needed. + Maintains the Biological Monitoring System/Records for Instrument… more
- Penn Medicine (Lancaster, PA)
- …and/or Home Health Aide Supervisor. Promotes easy communication between the family, RN Case Manager and Scheduling Coordinator.Plan of Care - Follows the written ... provided to patients on a timely basis according to Medicare /JCAHO standards. Completes allotment of hours as ordered by...outlined in the Plan of Care unless instructed by Case Manager of designee. Reviews biweekly IDT… more
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