- Penn State Health (Hershey, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... genetic information._ **Union:** Non Bargained **Position** Inpatient RN Registered Nurse Care Coordinator I - Pediatric Care Management **Location** US:PA:… more
- St. Luke's University Health Network (Bethlehem, PA)
- …One year recent experience in a physician practice; supervisory experience; knowledge of managed care , federal and state regulations and guidelines. Current CPR ... regardless of a patient's ability to pay for health care . The Practice Clinical Coordinator supervises clinical...pay for health care . The Practice Clinical Coordinator supervises clinical and clerical office staff. Coordinates patient… more
- UPMC (Pittsburgh, PA)
- …HealthChoices in Centre & Mifflin Counties! UPMC Community HealthChoices (CHC) is a managed care plan that is available in all Pennsylvania counties that ... Medicare, Medicaid, or require a nursing facility level of care . The CHC Service Coordinator , Nursing Facilities will work daylight hours, Monday through Friday,… more
- Penn Medicine (Lancaster, PA)
- …changes in practice. + Designs, implements, and evaluates systems and processes to support managed care and case management that address the special needs of a ... coordination with the trauma administrative team. The Trauma PI Coordinator focuses on the entire process of care...care management teams to evaluate the effectiveness of managed care and case management of designated… more
- Penn Medicine (Philadelphia, PA)
- …timeframes. * Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. * Ensures all ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Penn Medicine (Philadelphia, PA)
- …* Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Additional Duties (where ... * Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Credentials: Education or… more
- Penn Medicine (West Chester, PA)
- …timeframes. Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. + Additional ... protocols Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. **Education and… more
- Humana (Harrisburg, PA)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Penn Medicine (Philadelphia, PA)
- …timeframes. Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Ensures all ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- UPMC (Pittsburgh, PA)
- Community Health Choices (CHC) is Pennsylvania's managed care long term services and supports (LTSS) program serving seniors and individuals with physical ... who are covered by Medicare and Medicaid. The CHC Assistant Service Coordinator assists in providing service coordination services across the continuum of … more