- Integra LifeSciences (Harrisburg, PA)
- …sales of these products for a defined territory within the Hospital OR/Surgery and post - acute wound care setting. Primary responsibility will be to achieve or ... exceed defined territory sales revenue targets through strategic planning, relationship building, new account targeting, extensive product knowledge and exceptional customer service. The Account Managers will call on multiple call points/specializations with… more
- UPMC (Pittsburgh, PA)
- …ability to educate patients and families regarding payer requirements / coverage for post - acute care services and the ability to effectively advocate on behalf ... of the patient. + Continue to monitor and evaluate the plan of care, options and available services throughout the hospital stay to effectively meet the patient and family's need. Reassess the plan of care as status changes or at a minimum of every 3 days. +… more
- Geisinger (Wilkes-Barre, PA)
- …medicine research + Progressive care models focused on early intervention and post - acute care Compensation & Benefits + Competitive salary with recruitment ... incentives up to $175k + Comprehensive benefits package including health, dental, vision, and life insurance + Three retirement plans + CME allowance and relocation assistance + Generous paid time off and work-life balance support Living in Northeast… more
- UPMC (Pittsburgh, PA)
- …ability to educate patients and families regarding payer requirements / coverage for post - acute care services and the ability to effectively advocate on behalf ... of the patient to obtain authorizations for continued care as appropriate. + Demonstrate the ability to identify, assess, counsel and effectively intervene with medically and psychosocially complex patients with the ability to understand complex dynamics… more
- UPMC (Pittsburgh, PA)
- …ability to educate patients and families regarding payer requirements / coverage for post - acute care services and the ability to effectively advocate on behalf ... of the patient to obtain authorizations for continued care as appropriate. + Demonstrate appropriate professional practice, maintaining respect for confidentiality and freedom of choice as outlined by the Code of Ethics by the National Association of Social… more
- Highmark Health (Monroeville, PA)
- …through effectively communicating with providers, interdisciplinary team members, payers, and post - acute partners to assure effective outcomes and care. (15%) ... + Leverage understanding of industry standards to provide applicable education to patients, families, providers, and interdisciplinary team partners including but not limited to: appropriateness of care, documentation requirements, utilization review… more
- UPMC (Pittsburgh, PA)
- …ability to educate patients and families regarding payer requirements / coverage for post - acute care services and the ability to effectively advocate on behalf ... of the patient to obtain authorizations for continued care as appropriate. + Collaborate effectively with the healthcare team, patients and families and relevant community resources to develop and implement and individualized plan of care. + MSW degree from a… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …manner. This position includes collaboration with third party payers as well as post - acute providers. The Care Management Assistant will also be responsible for ... timely and appropriate documentation, including the Care Management System, Soarian, and Denial Management spreadsheet. CONNECTING TO MISSION: All individuals, within the scope of their position are responsible to perform their job in light of the Mission &… more
- Geisinger (Wilkes-Barre, PA)
- …program. + Progressive care models focused on innovative early intervention and post - acute care options rather than historical reactivity to decrease hospital ... and ED congestion. + Growing pediatric emergency medicine program. + Established trauma program with trauma designations at multiple sites. Each region includes a Level 1 trauma center, comprehensive stroke center, and STEMI receiving center. + Embedded,… more
- Highmark Health (Monroeville, PA)
- …of urgent / emergent authorizations, continued stay authorizations and authorizations for post - acute services as needed and with compliance with all regulatory ... and contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively formulates plans of action for denial trends with the care coordination teams, performance… more