- Banner Health (PA)
- …Looking for a motivated, experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or CCS and/or RHIT or RHIA Certifications,** to join ... of accounts for specific patient types and specialties in combination with the Case Mix Index and case financial information to formulate productivity standards,… more
- Comcast (Willow Grove, PA)
- …one of the fastest growing providers of Ethernet services. **Job Summary** The Complex Sales Engineer 5, Public Sector is responsible for developing solutions with ... as well as state and local government clients. The Complex Sales Engineer 5 is a technical lead on...plus solving configuration challenges through the standard or Individual Case Basis (ICB) process. + Collaborate with Sales, Network… more
- Penn Medicine (Lancaster, PA)
- …work? Care Connections is a short-term program integrating medical and care management services. Our team-based approach helps connect the dots for patients with ... complex challenges. Our team is looking for a board-eligible...team. Our team consists of patient care navigator, nurse case manager, clinical pharmacist, physicians, advanced practice providers, social… more
- UPMC (Altoona, PA)
- …care, to include complex and/or specialized care. Responsibilities: + Coordinates case management activities within an interdisciplinary health care team to ... be determined by education, experience, and certifications. Responsibilities: + Coordinates case management activities within an interdisciplinary health care… more
- UPMC (Pittsburgh, PA)
- …of the practice of held licensure. + Demonstrates knowledge of clinical treatment, case management and community resources. + Encourages coordination of care ... of priority or special needs populations who present with complex needs for coordination of their behavioral health services...+ Maintains contact with and refers members to community-based case management services as appropriate. + Possesses… more
- St. Luke's University Health Network (Allentown, PA)
- … Work Queues for Medical Necessity and Late-Pick-Up/Notification that are entered by Case Management and Business Office. + Monitors retro denials to ensure ... level and final decision with revenue impact. + Assists Case Management as necessary to ensure that...on revenue and trending. + Coordinates RAC appeals for complex case reviews for medical necessity, including… more
- Datavant (Harrisburg, PA)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... you will own sales execution and drive revenue for Datavant's Health Information Management (HIM) product suite across an assigned geographic Zone. This role blends… more
- UPMC (Pittsburgh, PA)
- …to unusual case scenarios in order to determine eligibility of complex absence requests with legal input as necessary. + Proactively identifies opportunities and ... Health Plan and WorkPartners is hiring a Supervisor, Absence Management . This role will predominantly work remotely. The Supervisor...configuration and claim processing. Research and review case law and apply knowledge and information… more
- Lincoln Financial (Radnor, PA)
- …laws, changes/developments in the laws and other industry developments (legislative, regulatory, case law) and assist Funds Management Legal and Compliance ... SEC-registered investment advisers, that are responsible for providing investment management services to proprietary mutual funds and separate accounts. You… more
- CDM Smith (Harrisburg, PA)
- …provides oversight and technical guidance on the preparation of moderate to highly complex sections of management consulting reports. Leads the creation of ... can be for Harrisburg, Pittsburgh, Philladelphia, Lancaster* Construction Program Management responsible for overseeing multiple construction projects within a… more