• Analyst, Case Management (Remote)

    CVS Health (Harrisburg, PA)
    …with heart, each and every day. **Program Summary:** Join our Aetna care management team as we lead the way in providing exceptional care to dual eligible ... Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid. As a member of the care team , you will collaborate with members, the internal care … more
    CVS Health (08/01/25)
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  • Assistant Service Coordinator- Must be located…

    UPMC (Pittsburgh, PA)
    …Participant identified needs through other sources, including services provided under Medical Assistance, Medicare or private insurance and other community ... individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. The CHC Assistant Service Coordinator assists in providing… more
    UPMC (07/30/25)
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  • Bilingual Case Manager

    Cardinal Health (Harrisburg, PA)
    …knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy ... and electronically as needed + Scrutinize forms and supporting documentation thoroughly for any missing information or new information...High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers… more
    Cardinal Health (07/18/25)
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  • Clinical Supervisor - Registered Nurse

    Aveanna Healthcare (PA)
    …foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here's what sets us apart: ... patient, family, environment, and clinical caregivers and complete timely follow-up documentation . Availability to take on-call duties as assigned, demonstrating a… more
    Aveanna Healthcare (07/15/25)
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  • Care Management Resident

    St. Luke's University Health Network (Easton, PA)
    …and documentation system to access information in the electronic medical record. + Assists in initial assessments, creating referrals to post-acute providers ... including home health care, skilled nursing facilities and durable medical equipment providers. + Assists in obtaining insurance authorizations and bed search for… more
    St. Luke's University Health Network (07/04/25)
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  • Supervisor Point of Care Testing

    Penn Medicine (West Chester, PA)
    …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... financial parameters; ensure that written and approved technical procedures and documentation are maintained for each determination performed; and manage personnel.… more
    Penn Medicine (06/26/25)
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  • RN Clinical Manager

    CenterWell (Lancaster, PA)
    …Ensures final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending ... in developing patient Plan of Care (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers.… more
    CenterWell (06/17/25)
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  • Certified Nursing Assistant - PDN

    Aveanna Healthcare (Chester, PA)
    …foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here's what sets us apart: ... + Aveanna has a tablet in each patient's home allowing for electronic documentation + Career Pathing with opportunities for skill advancement + Weekly and/or Daily… more
    Aveanna Healthcare (08/01/25)
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  • Coding Specialist (40 hours/week on 1st Shift)

    Penn Medicine (East Petersburg, PA)
    …coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment, ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
    Penn Medicine (07/29/25)
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  • Home Health Aide - HHA

    Aveanna Healthcare (Coatesville, PA)
    …foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here's what sets us apart: ... a tablet in each patient's home allowing for electronic documentation + Career Pathing with opportunities for skill advancement...per state law + Perform, assist, evaluate and document medical care, such as: + Basic First Aid +… more
    Aveanna Healthcare (08/02/25)
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