Head of Ancillary Services jobs in Pennsylvania
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 Partners Plans
-
Philadelphia, 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 We are seeking a talented and enthusiastic Ancillary Services Case Manager to join our team! 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 Qualifications 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. Skills, We Value: 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
- 28 Days Ago
Ancillary Services Case Manager
- Health Partner Plans, Inc.
-
Erie, 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 includ...
- 28 Days Ago
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 includ...
- 29 Days Ago
Ancillary Services Case Manager
- Health Partner Plans, Inc.
-
Pittsburgh, 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 includ...
- 30 Days Ago
Ancillary Services Case Manager
- Health Partner Plans, Inc.
-
Scranton, 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 includ...
- 30 Days Ago
Ancillary Equipment Technician
- Deep Well Services
-
Pittsburgh, PA
FULL_TIME
- Ancillary Equipment Technician The Ancillary Equipment Technician is responsible for the preventative maintenance, service, repair and testing of Light Plants, Power Swivels, Tong’s, Hydraulic Pumps, ...
- 2 Months Ago
Head of Ancillary Services jobs at Popular Companies
LCSW - Assistant Program Director - 216972
- Medix™
-
Los Angeles, CA
- Medix is looking to hire an Assistant Program Director to join a residential facility with a non-profit organization in ...
- 6/2/2024 12:00:00 AM
Regional Head of Service Sales (m/w/d)
- Johnson Controls International
-
- Regional Head of Service Sales (m/w/d) As a global leader in smart, healthy and sustainable buildings, our mission is to...
- 6/1/2024 12:00:00 AM
Head Of Service (Lead Mental Health Therapist)
- Youth Quest Guidance Center
-
Bakersfield, CA
- Job Description Job Description Position Overview – Head of Service oversees general operation of Mental Health programm...
- 5/31/2024 12:00:00 AM
Driver, Truck
- The Judge Group
-
Forrest City, AR
- Hiring Company: Boar's Head Provisions Co., Inc.Overview:Ensures orders are processed in accordance with the Boar's Head...
- 5/29/2024 12:00:00 AM
Development Director
- Allies for Every Child
-
Culver City, CA
- Job Description Job Description #ALLIESNEEDALLIES $2500 SIGN-ON INCENTIVE BONUS Annual Pay Range: $120,000 - $140,000 (I...
- 5/29/2024 12:00:00 AM
ERSEA Specialist
- Louisiana State University Healthcare Network: New Orleans
-
Baton Rouge, LA
- The incumbent will manage the Eligibility, Recruitment, Selection, Enrollment, and Attendance (ERSEA) processes that are...
- 5/29/2024 12:00:00 AM
Community Outreach Coordinator (036039)
- Lutheran Services Florida
-
Jacksonville, FL
- #Nowhiring Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communiti...
- 5/24/2024 12:00:00 AM
RN - Registered Nurse - Oncology Office Practice RN - Head/Neck Service
- Johns Hopkins Medicine
-
Baltimore, MD
- The Johns Hopkins Hospital, Baltimore, MD The Oncology Office Practice RN is a Registered Nurse position supporting The ...
- 5/23/2024 12:00:00 AM
About Pennsylvania
Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east.
Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Head of Ancillary Services jobs
$146,618 to $212,513
Most Popular Cities in Pennsylvania for Head of Ancillary Services Jobs
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