- Humana (Harrisburg, PA)
- …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience ... focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient… 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 and ... 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
- BAYADA Home Health Care (Philadelphia, PA)
- …of Home Health + Demonstrate mastery of clinical and regulatory home care eligibility criteria. + Review all medical documentation and work with ... at Home by **BAYADA** , a leading home health care company-and we believe that...of strong interpersonal skills. + Demonstrated knowledge of the Medicare COPs and other program requirements, as applicable. +… more
- BAYADA Home Health Care (Bethlehem, PA)
- …The successful Physical Therapist or Occupational Therapist should have prior experience in Medicare Home Health . This position offers the successful ... care + Ensure adherence to policies and procedures + Review clinical documentation, including OASIS and care plan coding...experience + Prior clinical and managerial experience within a Medicare Certified Home Health agency… 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 (Mountain Top, PA)
- Home Health Physical Therapist PT Full Time ApplyRefer a FriendBack Job Details Requisition #: 205428 Location: Mountain Top, PA 18707 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
- Fresenius Medical Center (Harrisburg, PA)
- …all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients ... manner. **PRINCIPAL RESPONSIBILITIES AND DUTIES** PATIENT CARE: + Assist other health care members in providing patient specific detailed education regarding… more
- Aveanna Healthcare (Bala Cynwyd, PA)
- …the best care possible! This Aveanna branch services the pediatric unskilled population and provides Home Health Aide services to our clients in the home ... (Nursing Supervisor) Aveanna Healthcareis a leading national provider of home health services to medically fragile children... through "Start of Care Assessments" and "Re-evaluations" + Review physicians' orders and update the plans of care… more
- Humana (Harrisburg, PA)
- …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience ... focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient… more