We are seeking an experienced Claims Review Management Nurse (RN) to support the Pennsylvania Medicaid program... with leadership and stakeholders to ensure efficient and compliant program operations. The ideal candidate will bring an active...
, accuracy of care, and compliance with state and federal healthcare regulations. In this role, the RN will conduct... accuracy, and regulatory compliance, while identifying potential indicators of fraud, waste, abuse, or quality concerns. The...
the phone to conduct comprehensive assessments and collaboratively develop care plans. You'll use motivational... applications. Primary Responsibilities: Engage with members in community settings or over the phone. Conduct comprehensive...
team within a program dedicated to protecting and improving the lives of individuals receiving home and community-based... influences quality, safety, and accountability across a broader healthcare system. In this role, you will have the opportunity...
As a Licensing Technician for the Commonwealth of Pennsylvania, your work becomes a direct line of protection... for some of the Commonwealth’s most vulnerable residents. Every inspection you coordinate, complaint you prioritize, and incident...
As a Licensing Technician for the Commonwealth of Pennsylvania, your work becomes a direct line of protection... for some of the Commonwealth’s most vulnerable residents. Every inspection you coordinate, complaint you prioritize, and incident...
Seeking a detail-oriented and driven Licensing Technician Supervisor to support the oversight and regulation of child... residential, child day treatment, and mental health programs throughout the Commonwealth. This role offers a meaningful...
Seeking a highly analytical and organized Workload Manager to join the Office of Long-Term Living in a hybrid role... each week. This position offers a unique opportunity to play a critical role in managing statewide operations that support the...
the phone to conduct comprehensive assessments and collaboratively develop care plans. You'll use motivational... applications. Primary Responsibilities: Engage with members in community settings or over the phone. Conduct comprehensive...
As a Licensing Technician for the Commonwealth of Pennsylvania, your work becomes a direct line of protection... for some of the Commonwealth’s most vulnerable residents. Every inspection you coordinate, complaint you prioritize, and incident...