• Medical Case Manager ( Remote

    Highmark Health (Harrisburg, PA)
    …AND CERTIFICATIONS** **Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **Preferred** + None **Skills** + ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
    Highmark Health (10/01/24)
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  • Complex Case Manager RN

    Highmark Health (Harrisburg, PA)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (09/07/24)
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  • Case Manager RN

    CVS Health (Harrisburg, PA)
    …make health care more personal, convenient and affordable. **Position Summary** **This Case Manager RN position is 100% remote and the employee can live ... as appropriate when the member has met discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound judgment… more
    CVS Health (10/04/24)
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  • Registered Nurse ( RN

    Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
    Registered Nurse ( RN ) Case Manager -...**The position is on site at the facility, and remote work will not be considered.** Benefits of the ... Registered Nurse ( RN ) Case Manager... Registered Nurse ( RN ) Case Manager : + It...**The position is on site at the facility, and remote work will not be considered.** Are you a… more
    Spring Creek Rehabilitation and Nursing Center (09/22/24)
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  • RN - Registered Nurse Care…

    Geisinger (Danville, PA)
    Job Summary The Registered Nurse Case Manager serves as a liaison between hospital, Geisinger at Home, Care Coordination & Integration, and community ... Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life… more
    Geisinger (10/02/24)
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  • Home Care Registered Nurse (Mom/Baby…

    Trinity Health (Newtown Square, PA)
    …**Minimum Qualifications:** + Graduate of an accredited nursing education program + Licensure as a Registered Nurse ( RN ) in Pennsylvania + At least one year ... Make a Difference Every Day as a Home Care RN (Mom/Baby) At Mercy Home Health, part of Trinity...personalized care plans in collaboration with our Population Health Case Manager . + Provide functional support to… more
    Trinity Health (09/26/24)
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  • Home Care Registered Nurse (Mom/Baby…

    Trinity Health (Newtown Square, PA)
    …assessment and care plan development in collaboration with the Population Health Case Manager . Provides functional support/supervision to Home Healthcare Aides ... hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7 access to our Virtual...an approved nursing education program + Licensure as a Registered Nurse in the state of PA… more
    Trinity Health (08/24/24)
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  • Transplant Care Nurse - Registered

    Highmark Health (Harrisburg, PA)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
    Highmark Health (09/07/24)
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  • Clinical Care Reviewer, Pediatric Shift Care,…

    AmeriHealth Caritas (Philadelphia, PA)
    **Clinical Care Reviewer, Pediatric Shift Care, Registered Nurse ** Location: Philadelphia, PA Primary Job Function: Medical Management ID**: 34518 **Job Brief** ... The Clinical Care Reviewer refers the member to a Special Needs/Pediatric Shift Care Case Manager and works collaboratively with that Case Manager more
    AmeriHealth Caritas (10/01/24)
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  • ( RN ) Nurse Case Management…

    The Cigna Group (Pittsburgh, PA)
    …maintain clinical expertise and certification as appropriate.** **Minimum requirements** **Active unrestricted Registered Nurse ( RN ) license in state or ... meet business needs. Must be open to work evenings.** ** Nurse Case managers are healthcare professionals, who...Residence** **Within four (4) years of hire as a case manager will possess a URAC-recognized certification… more
    The Cigna Group (10/05/24)
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  • Case Manager RN

    CVS Health (Harrisburg, PA)
    …preferred that RN license is part of the compact. + Certified Case Manager is preferred + Demonstrates proficiency with standard corporate software ... make health care more personal, convenient and affordable. This is a full-time remote role open to candidates throughout the United States located in EST. External… more
    CVS Health (09/29/24)
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  • RN Sanction Specialist - EMTALA…

    Kepro (Harrisburg, PA)
    …status protected by applicable Federal, State, or Local law. Requirements + Unrestricted, active Registered Nurse ( RN ) license required + 5+ years of ... being a vital partner for health solutions in the public sector. Acentra seeks an RN Sanction Specialist to join our growing team. Job Summary: The RN Sanction… more
    Kepro (08/30/24)
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  • RN Care Manager II, Special Needs,…

    AmeriHealth Caritas (Philadelphia, PA)
    …+ Bachelor's Degree in Nursing or healthcare related field. + Current and unrestricted Registered Nurse licensure in Pennsylvania. + 3+ years of experience as a ... ** RN Care Manager II, Special Needs,... case manager preferred. + Minimum of 3...healthy. **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid work schedules, competitive pay, paid time… more
    AmeriHealth Caritas (08/09/24)
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  • Care Manager II, RN (Delaware…

    AmeriHealth Caritas (Philadelphia, PA)
    …in a health-related field is required. BSN is preferred. * Current and unrestricted Registered Nurse licensure in Pennsylvania is required. * **This is a ... **Care Manager II, RN (Delaware County, PA)**...* Minimum of three years of experience as a case manager , preferably providing telephonic case more
    AmeriHealth Caritas (10/05/24)
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  • RN Clinical Manager - RN

    Gentiva (Blue Bell, PA)
    …a **Patient Care Manager ** to join our team. ** RN Clinical Manager - RN Nurse Manager - Hospice - FT - Mon-Fri 8a-5p - SOB** **This is primarily ... remote ).** **$$ $7,500.00 SOB $$** **Must have Hospice Case Management experience.** You will report directly to the...nursing care in patients homes **About You** **Education/Experience:** + Registered Nurse with a minimum of Associate's… more
    Gentiva (09/05/24)
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  • Contingent Hospice RN

    Trinity Health (Newtown, PA)
    …**St. Mary' Home care & Hospice in Bucks County, Pa. is seeking a Contingent Hospice RN Case Manager for coverage to the Director after hours and weekends ... access to our Virtual Care Center RNs. **Contingent Hospice RN Case Manager position summary**...an approved nursing education program + Licensure as a Registered Nurse in the State of Pennsylvania… more
    Trinity Health (09/25/24)
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  • Intake Nurse ( RN ) - VNA Home…

    WellSpan Health (York, PA)
    Intake Nurse ( RN ) - VNA Home Health - Day...must have been with a VNA. Required Licenses: + Licensed Registered Nurse Upon Hire Required or + ... Bonus Eligible Location: 540 S. George Street, York, PA Remote Hybrid - 2 days per week Work from...Registered Nurse Multi State License Upon Hire Required Knowledge, Skills,… more
    WellSpan Health (09/18/24)
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  • Part-time Care Manager II - Remote

    AmeriHealth Caritas (Philadelphia, PA)
    …regularly scheduled meetings as needed. **Education & Experience:** + Bachelor's Degree Registered Nurse required + 3 years professional practice experience and ... **Part-time Care Manager II - Remote Philadelphia area only** Location: Philadelphia, PA Primary Job...active state RN license. + 3 to 5 years Case more
    AmeriHealth Caritas (10/01/24)
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  • Case Manager

    Insight Global (Norristown, PA)
    …and experience navigating downtown. They will be reimbursed for their milage and parking. Case Manager are eligible for a productively bonus based off their 3 ... experience. The other 25% of their week will be remote coordinating with patients and providers via email/calls and...month average of billed invoices. Case Manager need to be helpful and… more
    Insight Global (09/07/24)
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  • Telephonic Case Manager

    Sedgwick (Harrisburg, PA)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
    Sedgwick (09/28/24)
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