• Clinical Associate / Home

    BAYADA Home Health Care (Harrisburg, PA)
    …to fill the position of ** Clinical Manager** for our Harrisburg Office home health office. This office provides best-in-class care to adult and geriatric ... **BAYADA** ** Home Health Care** is seeking a...**BAYADA** ** Home Health Care** is seeking a **Registered Nurse (RN)**...clinical and managerial experience within a Medicare Certified Home Health agency + Strong assessment and… more
    BAYADA Home Health Care (08/22/24)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Home Health

    Humana (Harrisburg, PA)
    …The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic, home health per diem, DME, and ... are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides… more
    Humana (11/06/24)
    - Save Job - Related Jobs - Block Source
  • Clinical Supervisor - RN - $5,000.00…

    Aveanna (Harrisburg, PA)
    …for overall management and supervision of patient care activities within the home care setting and provides ongoing supervision, clinical education, support, ... Clinical Supervisor - RN - $5,000.00 Sign-On Bonus...be flexible and work with all members of the health care team. Essential Job Functions Assume responsibility in… more
    Aveanna (09/05/24)
    - Save Job - Related Jobs - Block Source
  • Licensed Behavioral Health Professional

    WellSpan Health (Gettysburg, PA)
    …therapies. + Interviews patients and family members to obtain information about home environment, family relationships, health history, and patient's personality ... Licensed Behavioral Health Professional Location: WellSpan Health , Gettysburg,...Less than 1-year Related experience Required Licenses: + Licensed Clinical Social Worker Upon Hire Required or + Licensed… more
    WellSpan Health (11/12/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse - PRN

    BrightSpring Health Services (Camp Hill, PA)
    Our Company Grane Home Health & Hospice Overview Grane Home Health is seeking a PRN Registered Nurse - RN to join our team in Camp Hill, PA. This ... members + Complete supervision of Licensed Practical Nurses and Home Health Aide staff as appropriate +...self-motivator that feels comfortable interacting with a strong, supportive clinical team + Comfortable with learning or using an… more
    BrightSpring Health Services (10/02/24)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Southeast Region

    Humana (Harrisburg, PA)
    …on quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as inpatient rehabilitation). ... or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice… more
    Humana (10/29/24)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Acute Rehab Team

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical ...and compliance timelines. This is a full-time work from home opportunity. Candidates may live anywhere in the US… more
    Humana (11/05/24)
    - Save Job - Related Jobs - Block Source
  • Formulary Operations Management Advisor

    CenterWell (Harrisburg, PA)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior… more
    CenterWell (10/31/24)
    - Save Job - Related Jobs - Block Source
  • Senior Specialty Operations Pharmacist

    CenterWell (Harrisburg, PA)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to...chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health more
    CenterWell (11/01/24)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Mid West Region

    Humana (Harrisburg, PA)
    …focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient ... or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice… more
    Humana (10/29/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Harrisburg, PA)
    …Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine, and General Surgery clinical specialists **Work at Home Guidance** To ensure ... part of our caring community and help us put health first** The Corporate Medical Director relies on medical...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
    Humana (10/29/24)
    - Save Job - Related Jobs - Block Source
  • Senior Product Manager - Telephony Systems

    CenterWell (Harrisburg, PA)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** CenterWell leverages advanced technology to enhance primary...time that is best for your schedule. **Work at Home Statement** To ensure Home or Hybrid… more
    CenterWell (11/08/24)
    - Save Job - Related Jobs - Block Source
  • Financial Analytics Lead

    Humana (Harrisburg, PA)
    …savings) deals with health plans and other risk-bearing groups to provide home health , DME, and home infusion services. **Responsibilities:** The ... **Become a part of our caring community and help us put health first** CenterWell's Value-Based Organization is an integrated homecare service provider focused on… more
    Humana (10/29/24)
    - Save Job - Related Jobs - Block Source
  • Inbound Contacts Representative - Remote

    Conviva (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Inbound Contacts Representative represents the company by addressing incoming telephone, ... computations. Typically works on semi-routine assignments. **​This is a Work from Home Position** **Essential Functions** + Ensure accurate and timely processing of… more
    Conviva (11/12/24)
    - Save Job - Related Jobs - Block Source
  • Senior Market Finance Professional - Medicaid

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and reports on various market data ... Market Finance Professional works with Actuary, MRA, Corporate Finance, Clinical and Market Point internally and Providers/Hospitals/Ancillary externally to drive… more
    Humana (10/31/24)
    - Save Job - Related Jobs - Block Source
  • Manager Medical Coding

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Manager, Medical Coding in Payment Integrity leads a team that reviews clinical ... an impact** **Required Qualifications** + A minimum of an Associate 's Degree + 5 or more years of experience...time that is best for your schedule. **Work at Home /Remote Requirements** To ensure Hybrid Office/ Home associates'… more
    Humana (10/29/24)
    - Save Job - Related Jobs - Block Source
  • UM Administration Coordinator

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. ... on semi-routine assignments. The UM Administration Coordinator 2 provides non- clinical support for the policies and procedures ensuring best...time that is best for your schedule. **Work At Home / Internet Guidance:** To ensure Home more
    Humana (11/13/24)
    - Save Job - Related Jobs - Block Source
  • Lead Actuary, SPA-Rx Part B Pricing

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data ... development or other aspects of the pharmacy pricing process such as clinical pipeline, Humana Pharmacy Solutions (HPS) trade team, and benefit initiative scorecard… more
    Humana (11/01/24)
    - Save Job - Related Jobs - Block Source
  • UM Nurse-Compact RN License Required

    Humana (Harrisburg, PA)
    …in the (appropriate state) with no disciplinary action. + 3 - 5 years of Home Health + Previous experience in utilization management required + Prior clinical ... health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and...a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT… more
    Humana (11/13/24)
    - Save Job - Related Jobs - Block Source
  • Marketing Campaign Developer

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** In the fast-paced, ever-growing world of healthcare, Humana relies on the latest technology ... teams including Information Technology and in-line business teams (eg Marketing Communications, Clinical , Web) + Possess a keen analytical mindset and the capability… more
    Humana (11/01/24)
    - Save Job - Related Jobs - Block Source