- WellSpan Health (Mount Gretna, PA)
- …therapeutic environment through routine safety rounding, incident prevention strategies, and review of patient behavioral data. - Maintains readiness for compliance ... of care and adherence to evidence-based practices. - Leads clinical review and recommends strategic interventions for medically complex residents, addressing acute… more
- WellSpan Health (York, PA)
- …the direction of the provider. Provides related education, counseling, ongoing review and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation ... follow-up instructions. + Obtains basic health information from patient/family members to review with providers or clinical resource person to determine the urgency… more
- WellSpan Health (Chambersburg, PA)
- …GAF, etc.) 10. Assumes appropriate responsibility and accountability for the development, review and revision of the plan of care for outpatients. 11. Expected ... services, as per current policy. 14. Meets required thresholds for chart review and documentation. 15. Utilizes therapeutic communication skills with patients and… more
- Genesis Healthcare (Mechanicsburg, PA)
- …Clinical Operations Area Director in the timely completion of the annual merit review for therapy staff. 7. Assists Clinical Operations Area Director in the hiring ... and coordinates the timely completion of the annual merit review for therapy staff. 9. Assumes responsibility for hiring...period of one year. 6. A thorough knowledge of Medicare and third party billing is also required. Posted… more
- WellSpan Health (Lewisburg, PA)
- …the direction of the provider. Provides related education, counseling, ongoing review and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation ... follow-up instructions. + Obtains basic health information from patient/family members to review with providers or clinical resource person to determine the urgency… more
- Highmark Health (Pittsburgh, PA)
- …operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits (COB), and ... unique processing arrangements including Federal Employee Program (FEP) and Medicare Advantage. **ESSENTIAL RESPONSIBILITIES** + Coordinates the clinical care with… more
- Humana (Harrisburg, PA)
- …meet required timelines. + Submits required documents to state agencies for review and approval. + Regularly meet with Humana Healthy Horizons Medicaid markets ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- BAYADA Home Health Care (Dushore, PA)
- …or education/training experience strongly preferred. + Strong knowledge of Medicare /Medicaid regulations, OASIS documentation, and home health standards. + CPR ... + Office presence required for team collaboration, training, and documentation review . **Why Join BAYADA?** + Mission-driven, client-focused care model + Opportunity… more
- Fresenius Medical Center (Wilkes Barre, PA)
- …the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ... **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification requirements within… more
- Humana (Harrisburg, PA)
- …across our tax accounting operations. **Key Responsibilities** + Lead the preparation, review , and analysis of the company's quarterly and annual income tax ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more