- Humana (Harrisburg, PA)
- …on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation ... teaching conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , ...quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative… more
- Humana (Harrisburg, PA)
- … first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works ... clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing… more
- CVS Health (Harrisburg, PA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...care resources. This is a remote based (work from home ) role. Preferred candidates will have Internal Medicine or… more
- BAYADA Home Health Care (Norristown, PA)
- …case managers, and clients and families at designated facilities to coordinate the initiation of home health care ( Medicare ) services. This will be a hybrid ... Health + Demonstrate mastery of clinical and regulatory home care eligibility criteria. + Review all...of strong interpersonal skills. + Demonstrated knowledge of the Medicare COPs and other program requirements, as applicable. +… more
- WellSpan Health (York, PA)
- …all staff and demonstrates support of the organization. + Related to Home Health Management/Hospice* Participates in the planning, implementation, management and ... Of Participation to ensure all regulations are followed under Medicare .* Ensures that quality and efficient care is provided...evaluation of the Home Health & Hospice Services Program as… more
- Penn Medicine (Bala Cynwyd, PA)
- …employees shape our future each day. Are you living your life's work? Penn Medicine Home Health staff provide exceptional care and truly make a difference in the ... with the recruitment team. **Learn more about our teams:** Home Health Division: Penn Medicine Home...aides . IV therapy **Why Choose Penn Medicine at Home ?** .Accredited by the Joint Commission . Medicare … more
- Aveanna Healthcare (Scranton, PA)
- Home Health Physical Therapist PT Full Time ApplyRefer a FriendBack Job Details Requisition #: 206407 Location: Scranton, PA 18501 Category: PT Salary: ... currently looking for aPhysical Therapist (PT)to join our dynamic home health care team. In this position,...resulting in no technical or clinical denials subsequent to review of documentation by payers + Maintain effective communication… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …practitioners. Responsible for consistently meeting quality expectations for documentation review , coding, and meets Redeemer Health 's expected productivity ... Must be detail oriented and have sound computer skills. . Experience with review of electronic health records software applications. LICENSE AND REGULATORY… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- OVERVIEW Embark on an enriching nursing career at Redeemer Health , where you can select the clinical environment that matches your passion and skills. Whether it's ... our hospital, home care services, or senior care communities, you are...indicators. Goal is to collaborate with patients, families and health care providers to promote health and… more