- WellSpan Health (Lewisburg, PA)
- …responsibilities of membership in managed care. + Completes necessary paperwork, prior authorizations and/or scheduling of appointments for patients who are ordered ... to the benefits, risks, contraindications, and safety issues of hyperbaric oxygen therapy prior to treatment. + For HBO: Evaluates the patient outcome and meets with… more
- Geisinger (Danville, PA)
- …billing and collection functions either at the time of the initial interview, prior to the services being rendered and/or after the insurance carrier has paid. ... with inadequate and no insurance coverage to obtain suitable financial arrangements prior to the services being rendered, when applicable for admissions, in and… more
- Guthrie (Troy, PA)
- …coordination of Utilization Management (UM) processes and requirements of prior authorization/certification for reimbursement of patient care services. The ... Care Coordination and other hospital departments as appropriate to obtain prior authorization required to meet contractual reimbursement requirements and to assist… more
- WellSpan Health (Lebanon, PA)
- …professional and departmental standards and protocols. Provides care, assessment prior , during and post-procedural instruction to patients. Prepares and maintains ... invasive procedures in the Cardiac Cath Lab. Provides care for patients prior , during and after procedures. Scrubs and assists Cardiologist as requested. Responds… more
- Guthrie (Sayre, PA)
- …utilization management. Can navigate through the requirements imposed by all payers. Prior experience in Pennsylvania and New York payer environments is highly ... desirable. Prior experience in leadership/management, computer applications and systems activity...practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities.… more
- RTX Corporation (State College, PA)
- …Requirements:** Active and transferable US government issued security clearance is required prior to start date. US citizenship is required, as only US citizens ... possess the ability to multi-task, adapt to rapidly changing circumstances, effectively network , and communicate to the appropriate levels of the organization and… more
- WellSpan Health (Mount Gretna, PA)
- …and factual incident reports. + Ensures all documentation is submitted as required prior to end of shift. + Completes vehicle checklist. + Completes monthly ... to advance to a Security Officer II position, must complete the required training prior to applying for a Security Officer II position. Newly hired Security Officer… more
- Highmark Health (Jefferson Hills, PA)
- **Company :** Allegheny Health Network **Job Description :** **_Sign on Bonus Eligible $10,000 (2 year commitment)_** **GENERAL OVERVIEW:** This job performs various ... (ARRT). Within 24 months of hire. Employees in an Interventional Radiology Technologist role ( prior to September 1, 2024) who do not have a VI certification are not… more
- Genesis Healthcare (York, PA)
- …oversees the personnel and processes necessary to ensure that the territory's network of owned and managed centers is effectively managing resource utilization, ... 2. Five to seven years of clinical nursing experience is required. Prior experience in utilization review, case management or discharge planning is required.… more
- Grant Thornton (Pittsburgh, PA)
- …organized and detail oriented + Flexible, adaptable and an eager self-starter + Prior consulting industry experience or prior experience in an internal ... cross-border culture. Grant Thornton is part of the Grant Thornton International Limited network , which provides access to its member firms in more than 150 global… more