Head of Ancillary Services jobs in Harrisburg, PA
Head of Ancillary Services directs and coordinates all aspects of non-nursing ancillary services like pharmacy, respiratory, medical records, and occupational or physical therapy. Sets policies and procedures and ensures all services meet the objectives of the organization. Being a Head of Ancillary Services requires a bachelor's degree. Typically reports to top management. The Head of Ancillary Services typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Head of Ancillary Services typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
Recently Added Head of Ancillary Services jobs
Ancillary Services Case Manager
- Health Partner Plans, Inc.
-
Harrisburg, PA
FULL_TIME
-
Why Choose Jefferson Health Plans?
We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We are committed to creating a community where everyone belongs, acknowledges, and celebrates diversity and has opportunities to grow to their fullest potential.
While this job currently provides a flexible remote option, due to in-office meetings, training as required, or other business needs, our employees are to be residents of PA or the nearby states of DE or NJ.
Perks of JHP and why you will love it here:
- Competitive Compensation Packages, including 401(k) Savings Plan with Company Match and Profit Sharing
- Flextime and Work-at-Home Options
- Benefits & Wellness Program including generous Time Off
- Impact on the communities we service
General Description:
Work under general supervision to assure cost-effective, quality patient care management for DME, homecare, home infusion, hospice at home, shift care, medical day care, transportation, and outpatient rehab services (including waiver programs, occupational therapy, and speech therapy and physical therapy).
As the Ancillary Services Case Manager, your daily duties may include:- Process/review requests for durable medical equipment (DME), home care, home infusion, hospice at home, transportation, and outpatient rehab services such as occupational therapy, physical therapy, speech therapy shift care, and medical day care.
- Evaluate and authorize home care, home infusion, hospice at home, DME, transportation, and outpatient rehab requests for proper medical management and cost-effectiveness.
- Manage authorization requests received via 278 transactions via the provider portal and right fax queue
- Within the scope of required education and training, provide a clinical review for appropriateness of care. Utilization of InterQual criteria and Health Partners Criteria will be a source of review and standard for prior authorization.
- Coordinate with discharge planning, UM, and SNU to facilitate timely approval and coordination of services.
- Provide ongoing case management with a focus on preventing admissions and ER visits.
- Provide written and oral communication to members and providers for approvals/denial of services.
- Select and complete with appropriate language letters to providers and members.
- Track assigned cases for timely reviews/updates and ensure decisions are reflected in case documentation.
- Identify duplication of services and opportunities for improvement.
- Function as a liaison between ancillary providers and members
- Provide telephone service promptly and courteously.
- Consults with Medical Directors for medical director review and medical necessity determinations.
- Meet specified timeframes established by regulators (DHS, NCQA, DOH, and CMS).
- Identify expanded and continuity of care services and track them for the transition of care.
- Accurately code all services using appropriate ICD-10, CPT, and HCPCS coding systems.
- Serves as liaison to customer service representatives, grievance & appeals staff, and other internal staff departments.
- Assists and supports all related processes, including developing policies, procedures, and process improvement efforts as assigned.
- Participate in on-call program
- Current Pennsylvania State RN
- 2 year’s clinical nursing experience.
- Homecare and outpatient rehab services experience preferred. Experience working in managed care environment preferred.
- Experience with Medicare/Medicaid populations a plus.
- Knowledge of medical necessity principles, including clinical criteria
- Knowledge of InterQual
- Computer literacy, including familiarity with Windows and Microsoft Office programs
- Ability to work independently
- Ability to work efficiently, with excellent time management skills
- Excellent communication skills both verbal and written
- Ability to work well with all types of providers/members
- Ability to maintain professional demeanor and confidentiality
- Sensitivity to the needs of every individual to be treated with respect and fairness
- 4 Days Ago
Ancillary Insurance Verification Representative
- UPMC
-
Harrisburg, PA
FULL_TIME
- Purpose: Do you have experience with medical insurance? UPMC is looking to hire full-time Ancillary Insurance Verification Representatives. Although not common, flexible full-time and part-time positi...
- 24 Days Ago
IV Therapy RN/Registered Nurse - DAY SHIFT - Ancillary Nurse IV Therapy
- Penn State Health
-
Camp Hill, PA
FULL_TIME
- Holy Spirit Hospital Location : US:PA:Camp HIll Work Type : Full Time FTE : 0.90 Shift : Day Hours : 12 Hour Shifts Recruiter Contact: Natalie Speece at nspeece@pennstatehealth.psu.edu *** $20K Sign o...
- 14 Days Ago
Head cashier
- Lowe's
-
Mechanicsburg, PA
FULL_TIME
- Essential Functions : NOTE : Minors in this role may not be responsible for some of the activities listed below Assisted Self Check Out Demonstrates ability to monitor and identify customers who need ...
- 4 Days Ago
Head cashier
- Lowe's
-
Lewistown, PA
FULL_TIME
- Essential Functions : NOTE : Minors in this role may not be responsible for some of the activities listed below Assisted Self Check Out Demonstrates ability to monitor and identify customers who need ...
- 5 Days Ago
Toddler Head Teacher
- Summit Early Learning
-
Lewistown, PA
FULL_TIME
- Be responsible for ensuring delivery of a quality early childhood education program in compliance with all applicable regulations for enrolled children and families. Oversee operation and activities o...
- Just Posted
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0 Head of Ancillary Services jobs found in Harrisburg, PA area
Relationship Manager
- Advanced Disaster Recovery
-
Harrisburg, PA
- Company Description Advanced Disaster Recovery, Inc. (DRI) is widely regarded as the expert firm to call - day or night ...
- 5/8/2024 12:00:00 AM
Recovery Support Professional
- Gaudenzia
-
Harrisburg, PA
- Overview: We need hope-bringers and changemakers because the work we all do matters. If youre passionate about making an...
- 5/8/2024 12:00:00 AM
General Manager
- Primanti Bros
-
Hanover, PA
- Come and join a winning team here at Primanti Bros. where we are not just another sports bar, not just another family-fr...
- 5/8/2024 12:00:00 AM
Home Depot - Cashier/Cusomter Service Representative
- Home depot
-
Harrisburg, PA
- Cashiers play a critical customer service role by providing customers with fast, friendly, accurate and safe service. Th...
- 5/8/2024 12:00:00 AM
Project Manager
- Vector Consulting, Inc
-
Harrisburg, PA
- Our government client is looking for an experienced Project Manager on a hybrid 9+ months renewable contract role in Har...
- 5/7/2024 12:00:00 AM
Retail Store Department Head - (Seasonal Department) - Full Time
- Ocean State Job Lot
-
Mechanicsburg, PA
- Compensation for this opportunity is based on candidate experience and position Join our team! All associates receive a ...
- 5/7/2024 12:00:00 AM
General Manager - Holiday Inn Express & Suites York
- Palette Hotels
-
York, PA
- Position: General Manager - Holiday Inn Express & Suites York Job Description: Palette Hotels is currently seeking a cre...
- 5/4/2024 12:00:00 AM
Brand Standards, Guest Experience & Food Safety Advisor
- Ecolab
-
Harrisburg, PA
- Ecolab is seeking a Brand Protection Advisor to join its EcoSure division, an industry leader in brand protection progra...
- 4/29/2024 12:00:00 AM
About Harrisburg, Pennsylvania
Harrisburg (/ˈhærɪsbɜːrɡ/ HARR-iss-burg; Pennsylvania German: Harrisbarrig)[citation needed] is the capital city of the Commonwealth of Pennsylvania in the United States, and the county seat of Dauphin County. With a population of 49,192, it is the 15th largest city in the Commonwealth. It lies on the east bank of the Susquehanna River, 107 miles (172 km) west of Philadelphia. Harrisburg is the anchor of the Susquehanna Valley metropolitan area, which had a 2017 estimated population of 571,903, making it the fourth most populous in Pennsylvania and 96th most populous in the United States.
Harr...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Head of Ancillary Services jobs
$143,082 to $207,388
Harrisburg, Pennsylvania area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Head of Ancillary Services do?
Head of Ancillary Services in Lynchburg, VA
Based on our compensation data, the estimated salary potential for Ancillary Services Head will increase 13 % over 5 years.
February 15, 2020