- St. Luke's University Health Network (Bethlehem, PA)
- …and interventions according to hospital policy and other regulatory guidelines (ie Medicare , CARF, JCAHO, etc.). Documentation is completed in a progressional and ... timely manner and includes interventions, recommendations, and referrals. + Facilitates authorizations, pre-certifications, concurrent reviews, and retro authorizations related to rehabilitation services and services pertinent to discharge planning. PHYSICAL… more
- WellSpan Health (Lebanon, PA)
- …health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and ... one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000… more
- WellSpan Health (Ephrata, PA)
- …health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and ... one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000… more
- WellSpan Health (Gettysburg, PA)
- …health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and ... one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000… more
- UPMC (Pittsburgh, PA)
- …on a daily basis + Working knowledge of Commercial, Medicaid and Medicare plans;Working knowledge regarding Coordination of Benefits + Ability to maintain quality ... and production designated standards established for handling work, problem solve effectively and organize workflow + Ability to handle multiple priorities in a fast-paced production environment + Some travel may be required. + Must be able to serve as a… more
- WellSpan Health (Lebanon, PA)
- …health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and ... one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000… more
- WellSpan Health (Gettysburg, PA)
- …health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and ... one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000… more
- Highmark Health (Harrisburg, PA)
- …include legislators, consumers, special interest groups, advocacy agencies, CMS, state Medicare /Medicaid administrators, and other regulatory bodies such as DPW. + ... Ensure or participate in ensuring that systems are updated and accurate for compliance. + Responsible for understanding and applying accreditation and regulatory requirements. May support Regulatory Compliance department to ensure all state renewals,… more
- WellSpan Health (Ephrata, PA)
- …health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and ... one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000… more
- UPMC (Pittsburgh, PA)
- …confidential counseling and guidance to the employees, household members, Medicare members, students of various contracted organizations and telemedicine clients ... who are experiencing personal, mental health and/or job-related problems. EAP Specialist will provide short term, focused clinical interventions for clients utilizing telemedicine platform. EAP Specialist will establish collaborative relationships with… more