- AccentCare, Inc. (Elizabethtown, PA)
- …in problem-solving, understanding referral patterns, and navigating or learning Medicare regulations and hospice reimbursement practices. Proficient with Microsoft ... Office Suite; available for after-hours and weekend referrals as needed. Physically capable of frequent standing, walking, typing, and working on hard/rough surfaces; occasional lifting, kneeling, reaching, and exposure to chemicals, dust, extreme… 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 (Mount Gretna, 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
- Penn State Health (Lancaster, PA)
- …feedback regarding compliments, complaints and grievances as defined by the Centers for Medicare and Medicaid Services (CMS) and as regulated by the Department of ... Health (DOH), and to ensure compliance with all regulatory requirements from the aforementioned bodies. Shares information with process owners for purpose of review and correction if necessary and communicates (or coordinates the communication of clinical)… more
- UPMC (Pittsburgh, PA)
- …primarily be responsible for assisting patients with applying for Medicaid, Medicare , UPMC Financial Assistance, Energy Assistance Programs, setting patients up in ... shelters, assistance with housing applications, and tracking patients and following through with what they are being assisted with (and other duties as assigned) **Responsibilities:** + Tasks related to patient navigation include but are not limited to:… more
- WellSpan Health (Lewisburg, 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
- Banner Health (PA)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health ... Care Financing Administration (HCFA), as well as company and applicable professional standards. 4. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes. 5. Able to identify validation edits and… more
- Highmark Health (Harrisburg, PA)
- …and cross-functional strategy development. + Experience with managed care, Medicare and federal and/or state regulations, quality improvement and compliance ... oversight. + The ability to comprehend and interpret regulatory, legislative, and contractual mandates. + Experience managing multiple projects and managing professional staff on numerous projects to ensure corporate deadlines and objectives are met. + The… more
- Humana (Harrisburg, PA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Aveanna Healthcare (Willow Grove, PA)
- …leaves of absence, compensation, and training As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more