- UPMC (West Mifflin, PA)
- Join the UPMC Home Health Team! We are hiring a full-time Patient Care Coordinator role to assist the Home Health West Mifflin - South Branch area. Shift/Schedule: ... 8am-4:30pm / Rotating weekend and holiday shifts are required The Patient Care Coordinator is an on-site clinical team member who assists in coordinating care for… more
- Genesis Healthcare (Pottstown, PA)
- …while making a meaningful impact in the communities we serve. Responsibilities The MDS Coordinator - RN is responsible for the timely and accurate completion of the ... of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided within… more
- AmeriHealth Caritas (Pittsburgh, PA)
- …As a Service Coordinator , you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the ... Community Health Choices (CHC) agreement. ;You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social… more
- AmeriHealth Caritas (PA)
- …As a Service Coordinator , you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the ... Community Health Choices (CHC) agreement. ;You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social… more
- UPMC (Pittsburgh, PA)
- …physical disabilities in the Commonwealth who are covered by Medicare and Medicaid . To provide service coordination services across the continuum of care through ... access to needed LTSS and Medical Assistance services, as well as non- Medicaid funded medical, social, housing, educational, and other services and supports.… more
- BrightSpring Health Services (Greensburg, PA)
- …issues of denials or follow-up of claims. + Maintains current knowledge of Medicaid claim regulations and processes. + Produces reports and keeps management informed ... Desired: Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication… more
- Cardinal Health (Harrisburg, PA)
- …getting overwhelmed), required * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines for coverage, preferred * Knowledge ... of DME, MAC practices, preferred * Prior understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred * Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and… more
- Cardinal Health (Harrisburg, PA)
- …long- and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial plans while planning for various scenarios ... that may impact the manufacturer's product **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to… more
- Cardinal Health (Harrisburg, PA)
- …assignments and work with a sense of urgency + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Ability to ... work any schedule between 8am-5pm CST M-F **_What is expected of you and others at this level_** + Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments + In-depth knowledge in technical or specialty area… more
- Aveanna Healthcare (Bensalem, PA)
- …The Direct Care Worker receives scheduling direction from the Client Services Coordinator . Qualifications: + 18 years of age or older required + Completion ... Supervisor + The Personal Attendant receives direction from the Client Services Coordinator regarding the scheduling of assignments. Functional Abilities: + Must be… more