- CenterWell (Lancaster, PA)
- …the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including ... the decision to admit patients to service. Assigns appropriate clinicians to a case , as needed. + Instructs and guides clinicians to promote more effective… more
- AmeriHealth Caritas (Philadelphia, PA)
- …policies and procedures adhere to contractual obligations. + Performs clinical case reviews in conjunction with Medical Excellence Department. + Demonstrates ... + Assists IHCM Managers in assessing members' need for case management services + Attends case management...3 years of utilization management experience in a Medicaid, Medicare , dual eligible or commercial health plan. + Minimum… more
- WellSpan Health (Lebanon, PA)
- …policies and procedures. + Follows policies and procedures regarding Intensive Case Management patients. + Follows policies and procedures regarding Family Focus ... patients. + Fosters cooperation between crisis counselors and MH/MR case managers (this would include follow-up calls to case managers regarding contact with… more
- WellSpan Health (Gettysburg, PA)
- …policies and procedures. + Follows policies and procedures regarding Intensive Case Management patients. + Follows policies and procedures regarding Family Focus ... patients. + Fosters cooperation between crisis counselors and MH/MR case managers (this would include follow-up calls to case managers regarding contact with… more
- WellSpan Health (York, PA)
- …policies and procedures. + Follows policies and procedures regarding Intensive Case Management patients. + Follows policies and procedures regarding Family Focus ... patients. + Fosters cooperation between crisis counselors and MH/MR case managers (this would include follow-up calls to case managers regarding contact with… more
- BAYADA Home Health Care (Norristown, PA)
- …Manager (TCM)** . Clinical Liaisons at BAYADA interact with discharge planners, case managers, and clients and families at designated facilities to coordinate the ... initiation of home health care ( Medicare ) services. This will be a hybrid role. The...in the state of practice OR have experience with case management in a Hospital setting + Demonstrated record… more
- UPMC (Pittsburgh, PA)
- …individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. The CHC Assistant Service Coordinator assists in providing ... providers who serve the Participant (ie state agency or service coordinator assigned to case + Collect program data to track participant progress on a monthly basis… more
- UPMC (Philadelphia, PA)
- …individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. To provide service coordination services across the continuum of ... an active caseload based on state-mandated ratios according to residential setting, case intensity, and acuity. Collect program data to track participant progress on… more
- CareGivers Home Care (Erie, PA)
- …RN's not ready to hang up their stethoscopes just yet! Job Specifics: Primarily case opens & updates, aide supervisions, med setups for home care clients, skilled ... nursing visits, dressing changes, Medicare opens. Pay rate is by visit, and varies...varies by visit type, here is an overview: + Case opens/updates, aide supervisions - $30.00 / hour +… more
- Datavant (Harrisburg, PA)
- …+ Proficient in ICD-10 coding. + Experienced in HCC coding across Medicare , commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more