- Penn Medicine (Philadelphia, PA)
- …Spruce Street Philadelphia, PA Summary: + Under minimal supervision, the Care Coordinator in Penn Signature Services (PSS) is responsible for providing the highest ... Global Medicine and The Pavilion at HUP). The Care Coordinator serves as the primary point of contact and...received and have been translated into English so that case review by clinical staff can proceed. Assist with… more
- UPMC (Pittsburgh, PA)
- …practices, and their impact on human culture. + LTSS, Service Coordination or Case Management experience preferred. + Ability to work independently in virtual ... activities to Assigned Enrollees in need of complex care management and LTSS CP supports, including but not limited...who serve the Participant (ie state agency or service coordinator assigned to case + Collect program… more
- Medtronic (Pittsburgh, PA)
- …**A Day in the Life** **Careers that Change Lives** The **Sr. Inventory Coordinator ** role is an on-site/office position that is responsible for managing the Spinal ... the local area surrounding the office. The Sr. Inventory Coordinator works closely with local sales managers and sales...inventory within assigned region (or outside) to support local case demand + Maintain regional office inventory to ensure… more
- Penn Medicine (Philadelphia, PA)
- …one week in advance whenever possible. Provide accurate information to billing and case management to assure payment of claims. Willingly accepts responsibility ... will ensure access to integrated health care; achieve clinically appropriate authorization to assure optimal reimbursement for the hospital for services provided.… more
- AmeriHealth Caritas (Philadelphia, PA)
- …clarification and supporting documentation by escalating issues to appeals and grievances management + Obtain authorization for release of sensitive and ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- Highmark Health (Bethel Park, PA)
- …appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization /referral deficiencies. (20%) + ... more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections)… more
- Highmark Health (Pittsburgh, PA)
- …documentation and follow up to physician offices, case management department, and payors regarding authorization /referral deficiencies. + Identifies ... more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections)… more
- Penn Medicine (King Of Prussia, PA)
- …care coordination with staff within the organization or with outside agencies including case managers. Manages the patient's clinical care from the time of referral ... family, and caregivers. + Performs active service recovery and appropriate escalation to management to address patient and staff concerns. + Functions as a clinical… more
- St. Luke's University Health Network (Allentown, PA)
- … management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to communicate effectively ... with mental health illness. Previous experience in discharge planning and case management models preferred.Current Behavioral Health department program for… more
- Datavant (Harrisburg, PA)
- …compliance and accurate job completion. + Immediately report to team lead/ coordinator /supervisor or management any security breaches, unsafe behavior witnessed ... releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Position Highlights:** +...reviewed by Ciox Human Resources and determined on a case -by- case basis. Depending on the state in… more
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