- Highmark Health (Harrisburg, PA)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- AmeriHealth Caritas (Harrisburg, PA)
- ** Behavioral Health Care Manager --PerformCare Pennsylvania** Location: Harrisburg, PA Primary Job Function: Behavioral Health ID**: 34296 **Job ... Brief** PerformCare PA seeking an experienced Behavioral Health Care Manager for a Full-Time opportunity. This is a 100% Remote position but prefer… more
- WellSpan Health (Mount Gretna, PA)
- Manager Behavioral Health Services - Adult Inpatient Services - Days Location: WellSpan Philhaven, Mount Gretna, PA Schedule: Full Time Full time (80 hours ... order to retain staff. + Facilitates problem solving and problem resolution of clinical care issues. + In collaboration with Nurse Manager , constructs a plan,… more
- WellSpan Health (Mount Gretna, PA)
- Manager Behavioral Health Operations - Access Center & ED's - Days Location: WellSpan Philhaven, Mount Gretna, PA Schedule: Full time (80 hours biweekly) ... patients in the assigned Emergency Departments with oversite to Supervisors and Behavioral Health Consultants (BHC's) in assigned emergency departments (ED's).… more
- CVS Health (Harrisburg, PA)
- …thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers… more
- Highmark Health (Harrisburg, PA)
- …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… more
- Lancaster General Health (Lancaster, PA)
- …University of Pennsylvania Health System (Penn Medicine), is a not-for-profit health system with a comprehensive network of care encompassing Lancaster ... Outpatient Pavilions, along with additional outpatient centers and Express and Urgent Care locations throughout the region. Lancaster General Health Physicians… more
- Lancaster General Health (Lancaster, PA)
- …and providers. + Functions as a coordinator and manager of a defined health population across care setting and for multiple physicians/ health care ... -managed patients. + Assist patients in problem-solving potential issues related to the health care system, financial and psychological barriers. + Be the system… more
- Lancaster General Health (Lancaster, PA)
- …and providers. + Functions as a coordinator and manager of a defined health population across care setting and for multiple physicians/ health care ... Health is recruiting for a full-time Inpatient Case Manager to join our team of dedicated unit-based Case...coordination of care to meet the patients' health care needs across the continuum in… more
- CAI (Harrisburg, PA)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs. + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
- Highmark Health (Harrisburg, PA)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Penn State Health (Harrisburg, PA)
- …& Quality Improvement Experience **PREFERRED QUALIFICATION(S):** + Minimum two (2) years Behavioral Health Care Quality Improvement Experience **WHY PENN ... **Penn State Health ** - **Pennsylvania Psychiatric Institute** **Location:** US:PA:Harrisburg **Work...and the ability to provide individualized, innovative, and specialized care to patients in the community. **For more information:**… more
- Highmark Health (Harrisburg, PA)
- …complex medical and/or psychosocial needs have access to high quality, cost-effective health care . Assists in the holistic assessment, planning, arranging, ... understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Harrisburg, PA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... a number of other activities to help improve the health outcomes of members; care plans include...1 year in advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy… more
- Highmark Health (Harrisburg, PA)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job is the primary liaison between strategically aligned provider groups in the Highmark ... entities, including ancillary provider networks, independent physician organizations and health systems/integrated delivery networks, to ensure success in value-based… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …used. Reinforces information previously supplied by the physician or nurse. Informs nurse care manager of obstacles to learning that will require enhancement. ... is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the... to patients with a variety of physical and/or behavioral problems. Works with the RN and/or MD/DO to… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …used. Reinforces information previously supplied by the physician or nurse. Informs nurse care manager of obstacles to learning that will require enhancement. ... is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the... to patients with a variety of physical and/or behavioral problems. Works with the RN and/or MD/DO to… more
- Highmark Health (Harrisburg, PA)
- …Preferred + None **EXPERIENCE** Required + 5 years of clinical or managed care experience Preferred + Health insurance experience **LICENSES OR CERTIFICATIONS** ... position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Prime Therapeutics (Harrisburg, PA)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... drives every decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary**...ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved,… more