• Risk Adjustment Program

    CVS Health (Blue Bell, PA)
    …personal, convenient and affordable. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ... project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs...+ Strong written and verbal communication. **Preferred Qualifications** + Risk adjustment program experience within… more
    CVS Health (09/04/24)
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  • Inpatient Registered Nurse or Social Worker (MSW)…

    St. Luke's University Health Network (Easton, PA)
    …to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... patient as healthy as possible in the outpatient setting, minimizing the risk of readmissions. + Issues applicable state/federal regulatory notices as applicable… more
    St. Luke's University Health Network (07/28/24)
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  • Patient Care Manager , St. Luke's Endoscopy…

    St. Luke's University Health Network (Sellersville, PA)
    …competencies, and initiates remedial actions when appropriate. + Serves as an internal Risk Manager /Patient Safety Officer for the Center, overseeing the safety ... ability to pay for health care. The Patient Care Manager is responsible for the quality, safety, and efficiency...future staffing based upon patient care needs and initiates adjustment as needed. + Maintains Center records for administrative… more
    St. Luke's University Health Network (09/18/24)
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  • Technical Specialist, Specialty Liability Outside…

    Travelers Insurance Company (Blue Bell, PA)
    …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators,… more
    Travelers Insurance Company (09/07/24)
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  • Sr Technical Specialist, Specialty Liability…

    Travelers Insurance Company (Blue Bell, PA)
    …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators,… more
    Travelers Insurance Company (08/06/24)
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