- UPMC (Mechanicsburg, PA)
- …and accurate documentation of appropriate data relating to concurrent denials. Assures regulatory compliance in determining denial of service and/or providing ... The Manager oversees the day-to-day operations of the Clinical...with physician and executive leadership.Understanding of clinical, financial, and regulatory processes.Ability to prepare and critically analyze data, make… more
- GE Aerospace (Imperial, PA)
- …to ensure all statutory filings are completed timely, efficiently and in compliance with state regulatory requirements. + Developing expertise within function. ... with other insurance products Responsible for driving technical accounting compliance , financial and operational internal controls, process simplification, and… more
- St. Luke's University Health Network (Quakertown, PA)
- …including but not limited to personnel, performance improvement, patient safety, regulatory compliance , programs/services, and physical plant issues. JOB DUTIES ... ability to pay for health care. Your next Career is HERE! The Patient Care Manager is responsible for the quality, safety and efficiency of patient care providers in… more
- St. Luke's University Health Network (Bethlehem, PA)
- …including but not limited to personnel, performance improvement, patient safety, regulatory compliance , programs/services, and physical plant issues. JOB DUTIES ... regardless of a patient's ability to pay for health care. The Patient Care Manager is responsible for the quality, safety and efficiency of patient care providers in… more
- GE Aerospace (Erie, PA)
- …activities across investment portfolios and reinsurance trust structures. Ensure compliance with internal guidelines and external/ regulatory requirements; ... globe, providing unmatched learning, development, and career growth opportunities. The Senior Manager - Investment Operations is a key role within the ERAC's… more
- Lutheran SeniorLife (Mars, PA)
- …limited to, health care services, financial security, supervising, CQI opportunities and regulatory compliance . Responsible for creating a balance between an ... Clinical RN Manager $6,000 Sign-on Bonus (to be paid throughout...school of Nursing and must possess a current Registered Nurse license, in good standing, from the Commonwealth of… more
- CVS Health (Chester Springs, PA)
- …using clinical tools and information/data. * Utilizes case management processes in compliance with regulatory and company policies and procedures. * Facilitates ... clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care… more
- UPMC (Pittsburgh, PA)
- …Hospital has fulfilled this mission since its founding in 1890.** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall ... Training sessions in order to maintain current knowledge of all payer and regulatory requirements, UPMC CM policies and procedures, community resources. + Ensures … more
- Highmark Health (Pittsburgh, PA)
- …and health professionals to accomplish organization and practice goals. + Ensures compliance with all regulatory requirements. + Participates in budget ... education as determined by the company in lieu of bachelor's degree. + Registered Nurse License required. + Bachelors of Science in Nursing required if working in an… more
- Highmark Health (Natrona Heights, PA)
- …resources are utilized appropriately and in a cost effective manner. (20%) + Ensures compliance with all policies and procedures of the facility and with all ... regulatory requirements. (20%) **QUALIFICATIONS:** Minimum + Current State of...RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). + 3 years recent nursing… more