The practice provides comprehensive specialty care to teens, including mental health, reproductive health, eating disorders and developmental concerns. The department of pediatrics at Lehigh Valley Reilly Children's Hospital (LVRCH) at Lehigh Valley Health Network (LVHN) is a great place to start or...
Must be a Certified Recovery Specialist (CRS) or Certified Family Recovery Specialist (CFRS) preferred, or eligible to earn the CRS or CFRS certification, or similar certification. The CRS has experience with behavioral health services and is willing to use and share lived experiences and first-hand...
Function as a primary contact for members with behavioral health needs with the depth of engagement ranging from coaching interventions to intensive case management interventions. The overall goal is to help members navigate the health care system and develop condition self-management skills through...
The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior authorizations for applicable patient prescriptions. One year practice-based experience or in a similar healthcare setting. Luke's University Health Network is an. ...
Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills includi...
Review payer medical policies and contact the health plan’s UR department for first attempt appeal mitigation. Communicating with healthcare providers to gather additional information, clarify documentation or address any concerns related to the prior authorization process. Identify patients schedul...
Luke's University Health Network, the region's largest, most established health system, and major teaching hospital. Luke's Neurology Associates is part of the network's Neurobehavioral Service Line, a comprehensive and integrated team comprised of neurologists, neurosurgeons, neuro-rehabilitation a...
The Clinical Triage Specialist (CTS) (RN) - Access Center will compassionately deliver an exceptional patient experience and provide clinical support to CTS-MA team members by serving as a clinical resource. Verifies patient demographic information and accurately enters the updated information into ...
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientati...
Will consider RHIA, RHIT, CCS and/or CPC -eligible or candidate currently enrolled in health information technology/management program or other health-related field. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with AHA ICD-10-CM...
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access...
The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal process. Luke's University Health Network is an. ...
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access...
Interacts with health care professionals; participates in medical rounds as needed. Luke's University Health Network is an. ...
This position assists in providing content area training and technical supervision to other agency staff and ensures health services are supported by staff/consultants with training and experience in public health, nursing, health education, maternal and child health or health administration. Experi...
Certified Strength & Conditioning Specialist (CSCS) or American College of Sports Medicine Health Fitness Specialist Certification (HFS) – preferred. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an u...
Luke's University Health Network, the region's largest, most established health system, and major teaching hospital. Luke's Neurology Associates is part of the network's Neurobehavioral Service Line, a comprehensive and integrated team comprised of neurologists, neurosurgeons, neuro-rehabilitation a...
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access...
Creation and maintenance of relationships with specialists and/or hospital resources for providers employed in multi-specialty groups or health systems. Familiarity with electronic health records and population health IT solutions. Provide assistance to providers in the use of predictive analytic to...
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access...
Behavioral Health Certified Peer Support Specialist. If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challen...
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access...
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access...
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access...
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access...