- WellSpan Health (Lewisburg, PA)
- …through interdisciplinary collaboration, Shared Decision-Making activities including peer review . Integrate Shared Decision Making by unit committee membership ... 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)
- …objectives and approaches to assignments. + Reviewing staff monthly QA review variances + Daily inventory monitoring and assignment of escalated inventory ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …expiration. + Compiles submitted documentation to accompany claim submission. + Review submitted medical orders for completeness and accuracy according to payer ... and + Experience working with all payer types to include Medicare , Medicaid and third-party commercial insurance companies.required Knowledge, Skills and Abilities… more
- WellSpan Health (Hanover, PA)
- …and follow-up instructions. + Obtains basic health information from patient/family members to review with providers or clinical resource person at the time of the ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- UPMC (Pittsburgh, PA)
- …to contractual arrangements and prepare contractual and other legal documentation. + Review and recommend changes to corporate policy to ensure compliance with legal ... estate, labor and employment, antitrust, insurance, commercial and finance; Medicare , Medicaid, licensure, accreditation, malpractice liability, medical staff, patient… more
- WellSpan Health (York, PA)
- …and follow-up instructions. + Obtains basic health information from patient/family members to review with providers or clinical resource person at the time of the ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Highmark Health (Harrisburg, PA)
- …skills, as well as conceptual and analytic skills in order to review and articulate corporate objectives and regulations across all relevant audiences. + ... and cross-functional strategy development. + Experience with managed care, Medicare and federal and/or state regulations, quality improvement and compliance… more
- WellSpan Health (Lancaster, PA)
- …and group activities within LADV including: meeting regularly for 1:1 goal review with residents; planning and running therapeutic and recreational activities and ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Help at Home (Allentown, PA)
- …+ Travels to and participates in monthly team meetings, ISP meetings, Annual Review Updates and other team meetings as necessary. + Respects the autonomy and ... manner and in compliance with local, State and Federal laws, Medicare /Medicaid regulations and established personnel policies and procedures. + Performs other… more
- WellSpan Health (Chambersburg, PA)
- …performance of the practice + Prepares the annual budget for Department-level review and approval by Director. Monitors budget variance reports and presents ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more