- Humana (Harrisburg, PA)
- …to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Penn Medicine (Philadelphia, PA)
- …Blvd Hours: On-Site, M-F, 8:00AM- 5 PM Under minimal supervision, the Care Coordinator in Penn Signature Services (PSS) is responsible for providing the highest ... patients accessing the University of Pennsylvania Health System/Penn Medicine remote and in person services that are supported by...Global Medicine and The Pavilion at HUP). The Care Coordinator serves as the primary point of contact and… more
- Humana (Harrisburg, PA)
- …medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + ... Medical Terminology and/or ICD-10 codes + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization +… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Operating Procedures, and Policies and Procedures, as defined by CHC Agreement ( Prior Authorization , Concurrent Review) + Assessing and applying Medical ... Living Philosophy + Maintains awareness and complies with Plan CHC authorization timeliness standards based on DHS/NCQA requirements. + Provide technical assistance,… more
- Utilities Service, LLC (Chambersburg, PA)
- …Certified Arborist or ability to gain with 6 months of start preferred. + Prior experience with GIS software/technology a plus. + Being Bi-Lingual (Spanish) is a ... environment; vehicle and foot patrol of utility power lines; remote locations as well as urban, city environment; physical...who desire a reasonable accommodation can contact the ADA Coordinator by calling ###. We partner with the Department… more