- Penn Medicine (Elizabethtown, PA)
- …on an ongoing basis. + Participates in the development, implementation, and review of departmental and LG systems, policies, and procedures. Identifies system of ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...health insurance programs, ie not excluded from participation in Medicare , Medicaid or any other federal or state health… more
- Penn Medicine (Lancaster, PA)
- …and procedures. + Completes mandatory education and training that includes review of age-specific needs, caring behaviors, and interpersonal skills as defined ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...health insurance programs, ie not excluded from participation in Medicare , Medicaid or any other federal or state health… more
- Penn Medicine (Lancaster, PA)
- …ICD in regards to function and stored events/episodes since last device evaluation. Review data as needed with Device Company Technical Services and/or physicians. + ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...health insurance programs, ie not excluded from participation in Medicare , Medicaid or any other federal or state health… more
- CenterWell (Harrisburg, PA)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing… more
- WelbeHealth (Harrisburg, PA)
- …technical analysis, operations, and internal controls + Oversee the preparation and review process for financial and operational reports required by our core ... + Assist with month-end close, quarterly financial reporting, financial audit, Medicare /Medicaid audits, and other PACE specific projects + Keep a… more
- Prime Therapeutics (Harrisburg, PA)
- …strategic plans that achieve Star Ratings and quality outcomes for Medicare , Medicaid, Individual Health Insurance Marketplace, and Commercial lines of business. ... the client quality support model strategy for all lines of business ( Medicare , Medicaid, commercial/HIM); serve as primary enterprise point of contact and subject… more
- Kestra Medical Technologies, Inc (Scranton, PA)
- …status + Completion of background check + Completion of drug screening testing + Review and agree to hospital policies and procedures + Completion of online courses, ... Food and Drug + Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- WellSpan Health (York, PA)
- …Care* Follows Conditions Of Participation to ensure all regulations are followed under Medicare .* Ensures that quality and efficient care is provided to all patients ... the identification and development of new clinical policies and the regular review and updating of existing clinical policies as indicated.* Coordinates services… more
- Sunrise Senior Living (Haverford, PA)
- …(RAI) process. + Reviews and assists in case management of both Medicare & non- Medicare guests/residents. + Ensures interdisciplinary notes reflect the ... + As applicable, all Sunrise team members who drive a Sunrise vehicle must review and sign the Driver job description. + Ability to work weekends, evenings and… more
- Banner Health (PA)
- …knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment ... accurate coding based on documentation for positive outcomes. 5. Performs ongoing audits/ review of inpatient and/or outpatient medical records to assure the use of… more