- UPMC (Pittsburgh, PA)
- …qualify for Medical Assistance! Additionally, CHC is also for individuals that qualify for Medicare , Medicaid, or require a nursing facility level of care. The ... individual's health needs through communication and available resources to promote quality , cost-effective outcomes. The Nursing Facilities CHC Service… more
- Humana (Harrisburg, PA)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service ... 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time management… more
- Aveanna Healthcare (Philadelphia, PA)
- …personal care, household assistance and assistance with daily living activities that improve quality of life by allowing our patients to remain in their home while ... assistance and assistance with daily living activities that improve quality of life by allowing our patients to remain...oral hygiene, dressing and eating * Assist with household management , such as: o Home safety and sanitation o… more
- Humana (Harrisburg, PA)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service ... of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the 60's, to the largest US hospital corporation in… more
- UPMC (Pittsburgh, PA)
- …DRG assignment for coding personnel, the medical staff, physician extenders (PAs, CRNPs), nursing case management and ancillary departments. + Track and report ... coding, nursing administration, Patient Business Services, medical staff, case management , and other ancillary departments directly affected by DRG assignment. +… more
- UPMC (Pittsburgh, PA)
- …coding, nursing administration, Patient Business Services, medical staff, case management , and other ancillary departments directly affected by DRG assignment. + ... DRG assignment for coding personnel, the medical staff, physician extenders (PAs, CRNPs), nursing case management and ancillary departments. + Assist the Coding… more
- WellSpan Health (York, PA)
- …Standards. + Clinical Activities: In partnership with hospital teams, coordinates management across the continuum of trauma care, which includes the planning ... and implementation of clinical protocols and practice management guidelines, monitoring care of in-hospital patients and serving as a resource for clinical practice.… more
- WellSpan Health (York, PA)
- …Experience in Utilization Management , Case Management , or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire ... a variety of duties and applies utilization and case management techniques to determine the most efficient use of...care and the provision of appropriate, cost effective and quality health care. Works in a team model with… more
- WellSpan Health (York, PA)
- … experience. Required + Experience in Care Management or Clinical Nursing specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required ... of patients under value-based care risk arrangements, such as pain, symptom management , behavioral health, DME's, home health, assistance with daily living, and/or… more
- WellSpan Health (Ephrata, PA)
- …the charge nurse in ensuring the delivery of safe, high quality , cost-effective holistic patient care. + Maintains current knowledge of technological advances ... standards of care and recommended practices set forth by the professional nursing organizations and other associate organizations and agencies as well as the… more