- UPMC (Pittsburgh, PA)
- …rate in accordance with departmental standards. + Facilitate compliance to the Medicare 72-Hour Rule by identifying and investigating related admissions, making the ... issues among coding, nursing administration, Patient Business Services, medical staff, case management, and other ancillary departments directly affected by DRG… more
- WellSpan Health (Lancaster, PA)
- …daytime hours **General Summary** Coordinates admissions, insurance authorizations, clinical case management, and discharge planning for children and adolescents ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- WellSpan Health (Chambersburg, PA)
- …to their risk, and to assist in identifying patients in need of Case Management. + Works with leadership to deliver patient care through practice integration ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- WellSpan Health (York, PA)
- …for referrals. + Provides backup support to Employee Health Coordinators, WC Case Managers, and Safety Specialists. + Assists with department data base management ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Commonwealth of Pennsylvania (PA)
- …Minimum Qualifications training and Test (SMQT) provided by the Centers for Medicare and Medicaid Services or an equivalent certifying body for the discipline, ... reports and documents based on interpretations and comprehension of law, case studies, regulations, investigations, and agency goals. Levels of Performance Select… more
- WellSpan Health (Chambersburg, PA)
- **General Summary** Provides financial case management for patients and their families. Evaluates and coordinates a variety of options for managing personal finances ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Humana (Harrisburg, PA)
- …test plans, test cases, and product requirements. + Participate in test case reviews and ensure alignment with stakeholder expectations. + Align testing activities ... are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Harrisburg, PA)
- …scientists, software engineers, and stakeholders to deliver high impact AI use case solutions. + Lead the development and maintenance ofcomplex machine learning ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- WellSpan Health (York, PA)
- …cases by setting up table, instruments and supplies according to type of case . + Prepares rooms between procedures and after terminal cleaning. Monitors and restocks ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- ChenMed (Philadelphia, PA)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be… more