- University of Pennsylvania (Philadelphia, PA)
- …(OCR) in the Perelman School of Medicine and reports directly to the Executive Director of the OCR. Job Description The Accountant C is an integral member of ... School of Medicine and reports directly to the Executive Director of the OCR. Under the direction of the...to conduct monitoring of research finance compliance with the Medicare Clinical Trial Policy, including review of key elements,… more
- WellSpan Health (Chambersburg, PA)
- …14. Strives to avoid creating duplicate medical record numbers. 15. Understands Medicare and Medical Assistance regulations as they apply to registration of ... Manager/Manager of Patient Access. In the manager's absence, reports to the Director of Patient Access. Disclaimer: These essential job functions are requirements of… more
- Cognizant (Harrisburg, PA)
- …. Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with ... Medicare , Medicaid, and third-party guidelines. . Effectively document and...can be based on InterQual, Milliman Clinical Guidelines (MCG), Medicare guidelines, and health insurer specific guidelines. . Review… more
- St. Luke's University Health Network (Stroudsburg, PA)
- …to: RN care managers, assistants, coordinators, utilization management staff, and director . . Facilitates communication among all treatment team members. . Manages ... applicable state/federal regulatory notices as applicable ie.) Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Bundle… more
- St. Luke's University Health Network (Quakertown, PA)
- …to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among all treatment team members. + Manages ... applicable state/federal regulatory notices as applicable ie.) Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Bundle… more
- Danaher Corporation (Philadelphia, PA)
- …engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access team. ... + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer research, and… more
- Gentiva (Altoona, PA)
- …ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC)** We are seeking a dedicated Patient Care ... Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery of… more
- Aveanna Healthcare (Eldred, PA)
- …functions under the direction, instruction and supervision of the Clinical Director and/or appropriate supervisor. The DCW receives scheduling direction from the ... Confirms on a weekly basis, the scheduling of visits with the Supervisor/ Director , to coordinate necessary visits with other personnel Notifies the Company of… more
- WellSpan Health (York, PA)
- …institutional research policies, procedures and guidelines. With the oversight of the Director of Research Clinical Operations, has knowledge of and complies with ... in compliance with the above. Reports apparent or potential problems to the Director of Research Clinical Operations and the appropriate Service Line Leader. +… more
- Aveanna Healthcare (Exton, PA)
- …functions under the direction, instruction and supervision of the Clinical Director and/or appropriate supervisor. The DCW receives scheduling direction from the ... + Confirms on a weekly basis, the scheduling of visits with the Supervisor/ Director , to coordinate necessary visits with other personnel Notifies the Company of… more