- Genesis Healthcare (York, PA)
- …and managed centers is effectively managing resource utilization, improving clinical outcomes, maximizing reimbursement , complying with contractual obligations ... serve. Responsibilities The Manager, Case Management is responsible for the clinical , administrative, and financial oversight of the territory's center-based care… more
- Genesis Healthcare (PA)
- …and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center. *Conduct concurrent MDS ... social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement . Qualifications *Must be a graduate of an accredited School… more
- Penn Medicine (Lititz, PA)
- …by careful analysis and adherence to official coding guidelines assuring appropriate reimbursement , compliance with regulations, and accuracy for clinical care ... + Communicate with co-workers, management, physicians, and other hospital staff regarding clinical documentation and reimbursement issues. + Summarize and report… more
- Aveanna Healthcare (Allentown, PA)
- …need) Compensation:$70-80kbase salary plus monthly bonus potential, cell phone and mileage reimbursement What our Clinical Leaders find working at Aveanna: + ... Clinical Supervisor - RN Hybrid ApplyRefer a FriendBack...Monthly Cell Phone Stipend and Bonus Potential + Mileage reimbursement + 401(k) Savings Plan with Employer Matching +… more
- Heritage Ministries (Conneautville, PA)
- …functions. This individual will work in conjunction with the Management Company's Clinical Reimbursement Case Manager, acting as a liaison to finance/billing, ... as well as establish spells of illness and maintain communication with Clinical Reimbursement Case Manager/ Billing Department regarding benefits. + Coordinates… more
- Penn Medicine (Philadelphia, PA)
- …3+ years healthcare experience + Master of Arts or Science (Preferred + Clinical experience with knowledge of Medicare reimbursement system & coding structures ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- WellSpan Health (Chambersburg, PA)
- …includes engagement activities + Frequent training opportunities to obtain CEU's and clinical certifications during work time + Tuition reimbursement + Weekly ... a physically and psychologically safe environment for all and delivering effective clinical care. All are treated with empathy, dignity and respect for diversity,… more
- CVS Health (Pittsburgh, PA)
- …Responsible for predetermination reviews ad reviews of claim determinations, providing clinical , coding, and reimbursement expertise, using multiple computer ... system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a… more
- CVS Health (Harrisburg, PA)
- …Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement expertise as well as directing case ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources....The Medical Director will act as a business and clinical liaison to network providers and facilities if needed,… more
- Penn Medicine (Philadelphia, PA)
- …medical staff and their designees to obtain complete, accurate and timely clinical and financial information required for payer reimbursement .Asses clinical ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more