This Master File Maintenance Coordinator will be responsible for maintaining all of the Master Files including carrier files, control cards, BFE third party mnemonic definition, reject code edit file, billing in process (BIP), edit file menu, response code mapping, and claim development table Implement new carriers in the Quest Billing System (QBS) Actively participate in

Provides medical care and management to members served by the program and participates in gathering clinical information for medical necessity determinations for service requests. Works with the Landmark Health Medical Director, Director of Health Services, Corporate Director of Health Services, and UM staff in the development and/or implementation of medical management p

Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing Understands and complies with long term care policies and procedures, including those that regulate nursing facilities and assisted living communities Establishes and maintains effective relationships with members and their legal representatives, faci

$25,000 Sign on Bonus OR $40,000 Student Loan Repayment

Perform Clinical Intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Complete patient referrals and patient callbacks daily Maintain clinical supplies and equipment and ensure proper storage of biohazards Clean exam/procedure rooms, instruments an

We don't just have a mission statement...we have a mission. At Springfield Behavioral of Pennsylvania, our commitment to optimal mental health and steadfast support isn't just for our clients; it extends to every team member. Springfield Behavioral realizes the strength of our practice is our exceptional staff. We support our clinicians in building a thriving and

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of

By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review targets for Length o

Compounding sterile medications/products Following USP 797 and company policies for compounding and cleaning daily Packaging and pulling medications and supplies Assisting with stocking shelves Assisting with monthly inventory tasks This role is equally challenging and rewarding. It's a fast paced, high volume environment where our patients are counting on us to deliver t

****$3,500 Sign-On Bonus for External Candidates****

Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t

Perform clinical intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Complete patient referrals and patient callbacks daily Maintain clinical supplies and equipment and ensure proper storage of biohazards Clean exam/procedure rooms, instruments an

Stay up to date with emerging technologies, frameworks, and industry trends related to payment systems and cloud computing Design and implement microservices based architecture using domain driven design principles. Utilize Kubernetes for container orchestration and management, ensuring scalability, reliability, and high availability of the payment system Implement robust

Develop and coordinate a clinical treatment program for the diagnosis, treatment, or referral of patients presenting moderate to severe social or mental behavior problems Involves patient and/or family in treatment planning as appropriate Conducts individual, family or group therapy sessions based on ethical and medical necessity guidelines. Option to develop and provide

Screen and assess patients for common mental health and substance abuse disorders Provide treatment for a variety of mental health conditions using treatment approaches including cognitive behavioral therapy, dialectical behavioral therapy, and other evidence based methods Systematically track treatment response and monitor patients for changes in clinical symptoms and tr