- WellSpan Health (Lebanon, PA)
- …16-18 patients, participating in all areas of treatment along with a team of a nurse case manager (solely dedicated to team duties), a case worker, and ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Penn Medicine (West Chester, PA)
- …and posts items at the request of nursing leadership. Seeks clarification from Nurse Manager or Director as needed. Answers call bells in a timely manner and ... copies records for patient transfer to another institution when case management is not available. Uses the Soarian Financial...for the next shift as requested. Ensures that required Medicare paperwork has been signed and given to the… more
- WellSpan Health (York, PA)
- …Room Support, PCMH, Diagnostic Test Tracking, Med Reconciliation and PCMN. + Assumes manager role when Practice Manager /Front Office Supervisor is unavailable. + ... to their risk, and to assist in identifying patients in need of Case Management. + Works with leadership to deliver patient care through practice integration… more
- ChenMed (Philadelphia, PA)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed standards… more
- Cardinal Health (Harrisburg, PA)
- …helps manufacturers rethink how far their products can go. **Accountabilities** The Case Manager supports patient access to therapy through Reimbursement Support ... prior authorizations, and appeals, preferred (2+ years) + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and policies, preferred… more
- WellSpan Health (Lebanon, PA)
- …of alternative treatment settings to provide appropriate care. + Coordinate with Case Management as indicated. + Participates in the review of policy and ... inappropriate utilization of resources to the attention of the appropriate manager (s). + Identifies educational opportunities. Uses a proactive and solution-oriented… more
- Helping Hands Home Care Service (Cranberry Township, PA)
- …Documents supervisory visits in the patient record. * Conducts regularly scheduled case conferences, either face-to-face or by telephone, and patient record reviews ... agency's Code of Conduct. * Complies with local, state and federal laws, Medicare home health regulations and established agency policies and procedures. The primary… more
- ChenMed (Philadelphia, PA)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be… more
- Highmark Health (Harrisburg, PA)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges… more