• Social Services Specialist - Case…

    WellSpan Health (Ephrata, PA)
    …**Essential Functions:** + Interviews patients and family members to obtain information about home environment, family relationships, behavioral health history, ... + Evaluates data gathered in terms of the behavioral health plan of treatment, available social service programs (FBMHS...1 year Relevant experience. Required **Benefits Offered:** + Comprehensive health benefits + Flexible spending and health more
    WellSpan Health (08/19/25)
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  • Denials Management Specialist

    St. Luke's University Health Network (Allentown, PA)
    …care in the communities we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third ... coding or other issues that may require record review. Provides billing with information needed to obtain payment of claims. JOB DUTIES AND RESPONSIBILITIES: +… more
    St. Luke's University Health Network (08/19/25)
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  • Fiscal Management Specialist 3

    Commonwealth of Pennsylvania (PA)
    Fiscal Management Specialist 3 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5054842) Apply  Fiscal Management Specialist 3 ... the Pennsylvania State Police (PSP)! We are seeking an experienced and detail-oriented Fiscal Management Specialist 3 to join our team in the Bureau of Bureau… more
    Commonwealth of Pennsylvania (09/07/25)
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  • Quality Assurance/Risk Management

    Commonwealth of Pennsylvania (PA)
    Quality Assurance/Risk Management Specialist - Warren State Hospital Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5059211) Apply  ... Quality Assurance/Risk Management Specialist - Warren State Hospital Salary...related to patient rights. This process entails gathering essential information from various sources, including staff, patients, medical records,… more
    Commonwealth of Pennsylvania (09/03/25)
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  • Fiscal Management Specialist 2

    Commonwealth of Pennsylvania (PA)
    Fiscal Management Specialist 2 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5054913) Apply  Fiscal Management Specialist 2 ... the Pennsylvania State Police (PSP)! We are seeking an experienced and detail-oriented Fiscal Management Specialist 2 to join our team in the Bureau of Bureau… more
    Commonwealth of Pennsylvania (09/07/25)
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  • RN Registered Nurse Utilization Management

    Penn State Health (Hershey, PA)
    …._ **Union:** SEIU Healthcare Pennsylvania **Position** RN Registered Nurse Utilization Management Specialist - Utilization Management **Location** US:PA: ... **Penn State Health ** - **Hershey Medical Center** **Location:** US:PA: Hershey...compliance with the CMS Conditions of Participation for Utilization Management . **MINIMUM QUALIFICATION(S):** + Bachelors Degree in Nursing or… more
    Penn State Health (08/20/25)
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  • Fiscal Management Specialist 1

    Commonwealth of Pennsylvania (PA)
    Fiscal Management Specialist 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5067374) Apply  Fiscal Management Specialist 1 ... ###@pa.gov + Description + Benefits + Questions THE POSITION What makes the Fiscal Management Specialist 1 position at the PA Department of Banking and… more
    Commonwealth of Pennsylvania (09/05/25)
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  • Behavior Health Specialist - Day…

    Penn State Health (Harrisburg, PA)
    …(including pregnancy), sexual orientation, veteran status, and family medical or genetic information ._ **Position** Behavior Health Specialist - DAY SHIFT ... population and age specific needs. Delivery of a variety of mental health treatment modalities, including psycho-educational groups, milieu management , and… more
    Penn State Health (08/30/25)
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  • Quality Assurance/Risk Management

    Commonwealth of Pennsylvania (PA)
    Quality Assurance/Risk Management Specialist - Clarks Summit State Hospital Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5041882) Apply  ... Quality Assurance/Risk Management Specialist - Clarks Summit State Hospital...management . You will also assess the types of information available within the organization and how such … more
    Commonwealth of Pennsylvania (09/07/25)
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  • Prior Authorization and Referral Management

    St. Luke's University Health Network (Orwigsburg, PA)
    …pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral process for ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...and Epic to provide up to date and accurate information . + Provides insurance company with clinical information more
    St. Luke's University Health Network (08/19/25)
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