Care Manager Discovery Commons Bethel ParkCare ManagerPittsburgh, PA$2,022–$2,027Discovery Management Group leadsone of the nation’s most purpose-driven and people-centered senior livingorganizations, managing and enhancing senior living communities across theUnited States. At Discovery Senior Living, weare constantly challenging how we are doing things to ensure the lifestyle weare offering our residents is absolutely the greatest value proposition in themarketplace.
OP Nurse Coordinator I (Pediatric Pulmonary and Sleep Medicine University of Pittsburgh Medical CenterOP Nurse Coordinator I (Pediatric Pulmonary and Sleep MedicinePittsburgh, PAUtilizes research and evidence-based practice to support improvement in clinical care: identifies research issues or articles related to clinical specialty or areas of interestActively assists and participates in all preparation and maintenance activities for regulatory agency reviews and quality audits. They must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patients status and interpret the appropriate information needed to identify each patients requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures.
Epic Denials Management Coordinator DeloitteEpic Denials Management CoordinatorPittsburgh, PA$50,000–$60,000 / yearJoin Deloitte's AI & Engineering practice to support hospital denials management to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone calls to gather necessary information to understand denial reasons and root causes.
Employee Benefits Coordinator System OneEmployee Benefits CoordinatorPittsburgh, PAThis role serves as a primary point of contact for employee benefit inquiries, ensuring accurate and timely resolution of issues while supporting compliance, data integrity, vendor coordination, and benefits communication initiatives. Associate's or Bachelor's degree in Human Resources, Business Administration, or a related field preferred; equivalent combination of education and experience will be considered.
Patient Access Coordinator/Emergency Department - Jefferson Hospital - Part-time (Rotating shifts) Highmark IncPatient Access Coordinator/Emergency Department - Jefferson Hospital - Part-time (Rotating shifts)Jefferson Hills, PAConducts scheduling, registration, and admitting functions independently at bedside, validates patient demographic data, identifies and verifies insurance information through payor contacts via telephone, online resources, or electronic verification systems utilizing accurate plan code and COB order. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Patient Access Coordinator II / ED - Full Time - Rotational - West Penn Highmark IncPatient Access Coordinator II / ED - Full Time - Rotational - West PennPittsburgh, PAConducts scheduling, registration, and admitting functions independently at bedside, validates patient demographic data, identifies and verifies insurance information through payor contacts via telephone, online resources or electronic verification systems utilizing accurate plan code and COB order. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Quality Care Registered Nurse (RN) RedstoneQuality Care Registered Nurse (RN)Greensburg, PAFull timeQuality Care Registered Nurse (RN) - HospiceFull TimeTitle: Quality Care RN - HospiceStatus: Full TimeShift: 8:00 am - 4:30 pm, On-call RotationLocation: Redstone@HomeBeyond being a Difference Maker and World Changer in the lives of our residents, here's what awaits you:Paid Time Off (PTO)Paid Parental Leave: Supports employees during special life moments such as the birth of a child or placement of a child for adoption or foster care. Our collaborative approach modeled by our Leadership reflect our Core Values: Respect, Quality, Truth, Teamwork, Life Balance and Life-Long Learning.
Nurse Clinical Care Coord-Allegheny County University of Pittsburgh Medical CenterNurse Clinical Care Coord-Allegheny CountyPittsburgh, PASuccessfully engages member to develop an individualized plan of care in collaboration with their primary care provider and the interdisciplinary team that promotes symptom management, goals of care/advanced directives, healthy lifestyles, closes gaps in care, reduces unnecessary ER utilization and hospital admissions/readmissions, and manages social determinants of health. Collaborates and facilitates care with member's primary care provider, UPMC Your Care Interdisciplinary Team, other departments, providers, community resources and caregivers to achieve desired member outcomes throughout the continuum of care.
Respiratory Care Intern - UPMC East University of Pittsburgh Medical CenterRespiratory Care Intern - UPMC EastMonroeville, PAPurpose: Respiratory Care Interns (students will develop the ability to gain additional clinical experience and knowledge prior to the completion of their education in a CoARC approved Respiratory Care program and their subsequent credentialing as a licensed RCP. Responsible for the administration of diagnostic and therapeutic modalities of Respiratory Care in the general medical/surgical units observing all necessary precautions during therapy in order to prevent any adverse effects from occurring.