- Community Legal Services, Inc. (Philadelphia, PA)
- …to provide representation and advocacy for parents in their child welfare case . JOB DUTIES AND RESPONSIBILITIES: The job duties and responsibilities necessary for ... facing Department of Human Services involvement, including providing clients with brief case management, referrals to other agencies and legal advice under the… more
- Penn State Health (Hershey, PA)
- …Social Services or related field required. + 5 years of experience in medical , social or customer service required. PREFERRED QUALIFICATIONS: + Bilingual - ... **Penn State Health** - **Community Medical Group** **Location:** US:PA: Hershey **Work Type:** Full...claims. + Identify appropriate level of risk for each case and determine when escalation to Patient Safety, Quality,… more
- Datavant (Harrisburg, PA)
- …operationalize updates from CMS (eg, Final Rules, model updates, guidance on medical record standards). + Implement and monitor processes that ensure defensibility ... + Bachelor's degree in a related field (healthcare, business, technology). ** Preferred ** + Experience with AI/ML models for disease prediction or real-time… more
- Datavant (Harrisburg, PA)
- …in Business, Operations Management, or a related field; MBA or equivalent advanced degree preferred . + At least 8 to 10 years of experience in healthcare technology ... improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a diverse...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Datavant (Harrisburg, PA)
- …a bachelor's degree in business, finance, marketing, or related area. Masters preferred . + Previous ROI and/or Project Management experience ( preferred ) + ... reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Highmark Health (Pittsburgh, PA)
- …law enforcement entities and work with those agencies through closure of the case . Conduct audits for proactive and investigative purposes to comply with internal ... specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of risk exposure and develop plans… more
- UPMC (Pittsburgh, PA)
- …in adherence with established protocols and standards of care; accessing online medical command or other resources when appropriate, and employing the skills, ... pertinent patient information promptly. Collects and promptly processes demographic, medical necessity, and other necessary billing information. Participates constructively… more
- IQVIA (Erie, PA)
- …including but not limited to, the ICU, OR, and Cath Lab. + Ventricular medical device case support, including on call support. + Complete proactive rounds ... new opportunities. This part time position will be responsible for providing case support, patient management, and education to both new and existing accounts… more
- NiSource (Uniontown, PA)
- …and medical agencies for consultation and information regarding specific medical conditions + Maintain organization to ensure case management protocols ... + Knowledgeable of OSHA and HIPPA requirements with ability to make sound medical decisions in each area ** Preferred Qualifications** + Bachelor of Science… more
- Magellan Health Services (Bethlehem, PA)
- …problems, plan and implement solutions that directly influence quality of care preferred . Provides support to Care Managers and other clinical team members through ... ABA services and assures coordination with other services providers such as medical , speech, occupational therapy, physical therapy and IEP services provided through… more