- Always Best Care Senior Services (Philadelphia, PA)
- …evening rotations as needed. * Obtain pre-authorizations for home visits for managed care patients when necessary. Documentation * Complete initial assessments, ... only qualifying service. This role reports directly to the Clinical Manager . Essential Duties and Responsibilities * Perform comprehensive evaluations of patients… more
- St. Luke's University Health Network (Bethlehem, PA)
- …One year recent experience in a physician practice; supervisory experience; knowledge of managed care , federal and state regulations and guidelines. Current CPR ... which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses...performance of clinical staff members in coordination with Practice Manager and providers + Maintain high level of competence… more
- UPMC (Pittsburgh, PA)
- …cancer care . Nurses in this unit specialize in centralizing the care of medically managed patients who have received chemotherapy treatments. Ongoing ... and be a part of the future of cancer care . Nurses who work in these units are developed...Program , placements are determined by participant preference, Hiring Manager preference, and business need through a collaborative matching… more
- Always Best Care Senior Services (Philadelphia, PA)
- …equipment safely. * Maintain adherence to medical orders regarding treatment, visit frequency, and managed care authorizations. * Develop care plans for home ... involves assessing therapeutic needs, implementing treatment plans, and coordinating patient care as part of an interdisciplinary rehabilitation team. The PT also… more
- Sedgwick (Erie, PA)
- …of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In depth ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Program Implementation Advisor **PRIMARY PURPOSE** **OF THE ROLE** To...knowledge of claims management, managed care and/or absence management processes and… more
- Penn Medicine (Philadelphia, PA)
- …timeframes. Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. + Additional ... protocols Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. **Education and… more
- Penn Medicine (Philadelphia, PA)
- …* Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Additional Duties (where ... * Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Credentials: Education or… more
- ICW Group (Philadelphia, PA)
- …This position exists to provide data analytics and field case management support to the managed care and cost containment team in the execution of the team ... experience in data analysis or similar area required. Experience with managed care preferred. **CERTIFICATES, LICENSES, REGISTRATIONS** None required.… more
- Erickson Living (Glen Mills, PA)
- …schedules, and resident issues + Prepare and implement activity programs based on the Program Manager 's guidance + Lead and set up both group and individual ... a Program Assistant to enhance the well-being of Continuing Care residents through physical, intellectual, social, spiritual, and emotional activities. In this… more
- Penn Medicine (Lancaster, PA)
- …referrals. Communication may be via fax telephone electronically. + Review and analyze managed care patient visits and ensure proper documentation of required ... services. + Coordinate internal functions and recordkeeping related to managed care organizations to meet compliance. +...with other projects or responsibilities as required by Supervisor Manager . + Addresses gaps in care in… more