- Spectrum Health Services (Philadelphia, PA)
- …hospital, specialty care practices, health plan staff, and others, the Nurse Care Manager identifies and proactively manages the needs of patients with high ... basis appropriate to the needs of the individual. The care manager develops and implements a person-centered...to support patient access to needed services. + Provide care coordination with primary/specialty medical care… more
- IQVIA (Pittsburgh, PA)
- **S** **r Care Manager ** As the only global...organized and financed, and how they interact to deliver medical and health care . + **The Patient's ... prescribers. With the right experience, you can help deliver medical breakthroughs in the real world. **Position Summary:** AllCare...Plus Pharmacy, an IQVIA company, is seeking a Sr Care Manager Responsibilities will vary by program… more
- Sunrise Senior Living (Upper St Clair, PA)
- …to our residents. **RESPONSIBILITIES & QUALIFICATIONS** **NOW HIRING A FULL TIME MED CARE MANAGER /MEDICATION TECHNICIAN!** **Responsibilities:** As a ... Sunrise of Upper St. Clair **Job ID** 2024-217589 **JOB OVERVIEW** The Medication Care Manager is responsible for providing the highest degree of quality care… more
- Commonwealth of Pennsylvania (PA)
- Aging Care Manager 1 (LG) Wayne County Area Agency on Aging (Multiple Vacancies) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4637657) ... Apply Aging Care Manager 1 (LG) Wayne County Area...matters of a personal nature such as financial resources, medical limitations, mental capabilities, housing status, or social and… more
- AmeriHealth Caritas (Philadelphia, PA)
- **RN Care Manager II, Special Needs, BSN (must reside within 30 minutes of Philadelphia County, PA)** Location: Philadelphia, PA Primary Job Function: Medical ... administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Care Manager II assists members appropriate for care… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Part-time Care Manager II - Remote Philadelphia area only** Location: Philadelphia, PA Primary Job Function: Medical Management ID**: 34526 Your career ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Care Manager /Coordinator (RN/SW) assists members appropriate for … more
- UPMC (Media, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Licensed Professional Care Manager to support the Care Management team in the Delaware ... conditions, drug or alcohol addiction, and developmental disabilities. The Care Manager will work daylight hours, Monday...procedures, in regards to services. + Utilizes supervision with medical director and clinical manager regularly. +… more
- St. Luke's University Health Network (Sellersville, PA)
- …ability to pay for health care . The responsibilities of the Residential Care Manager are to plan, organize and implement an independent living skills ... and self-sufficiency in an independent living situation. The Residential Care Manager provides on-duty coverage and on-call...arranging for the provision of services such as psychotherapy, medical care and Social Security benefits from… more
- UPMC (Blawnox, PA)
- …members you are caring for? UPMC Health Plan is hiring a full-time Clinical Care Manager to support our partnership with various physician practices. This role ... with no evenings, weekends, or holidays! As a Clinical Care Manager , you will be responsible for...medical , behavioral, and social needs and barriers to care . You will develop a comprehensive care … more
- UPMC (Pittsburgh, PA)
- …health needs that might be negatively impacting the member's health and well-being. The Care Manager Associate will work daylight hours in a hybrid work ... clinical, and financial outcomes along the defined continuum of care . The Care Manager Associate...medical needs that affect health and access to care . + Successfully engage member in developing an individualized… more
- St. Luke's University Health Network (Sellersville, PA)
- … in the communities we serve, regardless of a patient's ability to pay for health care . The Patient Care Manager is responsible for the quality, safety, and ... budgeting, marketing, clinical review and committee structure. The Patient Care Manager also assumes a leadership role...industry and specialty areas. + Works closely with appropriate medical staff leadership and members in the development and… more
- UPMC (Mechanicsburg, PA)
- **UPMC is hiring a Sr. Professional Care Manager for UPMC West Shore! This is a full time, day shift position and requires a rotating weekend and holiday ... schedule.** **Purpose:** The Senior Care Manager (CM) coordinates the clinical and...Documents Freedom of Choice re: post-acute services. + Reviews medical record daily to ensure patient continues to meet… more
- IQVIA (Philadelphia, PA)
- Care Manager As the only global...organized and financed, and how they interact to deliver medical and health care . + **The Patient's ... prescribers. With the right experience, you can help deliver medical breakthroughs in the real world. **Position Summary:** AllCare...AllCare Plus Pharmacy, an IQVIA company, is seeking a Care Manager ! Responsibilities will vary by program… more
- Magellan Health Services (Bethlehem, PA)
- …problems and/or inefficiencies. + Maintains an active workload in accordance with Care Manager Performance Standards. + Works with community agencies as ... and assures coordination with other service providers such as medical , speech, occupational therapy, physical therapy and IEP services...quality of care . General Job Information Title Care Manager - Autism, licensed - Remote… more
- Magellan Health Services (Johnstown, PA)
- …and analysis. + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. ... to mental health and substance abuse treatment to ensure medical necessity and effectiveness. + Provides telephone triage, crisis...quality of care . General Job Information Title Care Manager , BH (Licensed/Remote in PA/Cambria Cty)… more
- Magellan Health Services (Chalfont, PA)
- …to help build a high-performance team. + TRFs to be reviewed by Masters level Care Manager only, but RNs may perform all other related duties. Other Job ... to mental health and substance abuse treatment to ensure medical necessity and effectiveness. + Performs concurrent reviews for...of care . General Job Information Title Senior Care Manager - BH Grade 25 Work… more
- UPMC (Harrisburg, PA)
- **Professional Care Manager (RN) - Cardiac Team - Harrisburg Hospital** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan ... overall utilization management, resource management, discharge planning and post-acute care referrals and authorizations. Works with multi-disciplinary team in… more
- UPMC (Harrisburg, PA)
- **UPMC is hiring a Professional Care Manager ! This is a full time, day shift position with rotating weekend and holiday schedule.** **_ This position is eligible ... for a generous Sign on Bonus! _** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization… more
- UPMC (Pittsburgh, PA)
- The Care Manager will assist the inpatient treatment teams to ensure appropriate level of care for all patients. The Care Manager will coordinate ... Care Management processes as established by industry standards.Complete Care Management reviews according to established medical necessity criteria.Complete… more
- St. Luke's University Health Network (Bethlehem, PA)
- … in the communities we serve, regardless of a patient's ability to pay for health care . The Social Worker Care Manager is responsible for coordinating the ... and psychosocial processes. + Uses electronic systems to accurately document care manager functions. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for… more