- 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
- Evolent (Harrisburg, PA)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… 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
- Penn State Health (Camp Hill, PA)
- …steps for assistance._ **Position** Medical Office Associate - Silver Spring Psychiatry Behavioral Health General **Location** US:PA:Camp Hill | Clerical and ... **Penn State Health ** - **Holy Spirit Medical Center** **Location:** US:PA: Camp Hill **Work Type:** Full Time **FTE:** 1.00 **Shift:** Day **Hours:** 8:30a-5:00p… more
- AmeriHealth Caritas (Harrisburg, PA)
- …in achieving their optimal level of health through self-management. The Community Care Manager is responsible for engaging the member, member care ... now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we... products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.… more
- Highmark Health (Harrisburg, PA)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… 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)
- …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
- J&J Family of Companies (Harrisburg, PA)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
- Sodexo (Camp Hill, PA)
- …is a 318-bed acute care hospital that includes state of the art Heart Center, Behavioral Health Unit, Long Care Acute unit and Level 2 Trauma Unit that ... **Role Overview** **Sodexo** is seeking a **Retail Cafe Manager ** for **Penn State Holy Spirit Medical Center**...benefits package that may include: + Medical, Dental, Vision Care and Wellness Programs + 401(k) Plan with Matching… more
- Sharecare (Harrisburg, PA)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
- Highmark Health (Harrisburg, PA)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- WellSpan Health (Gettysburg, PA)
- …is supported by 2,300+ employed physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight ... Gettysburg, PA Schedule: Full Time General Summary Provides musculoskeletal specialty care and medical to patients. General Orthopedic Surgery Gettysburg, PA… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr level role… more
- Evolent (Harrisburg, PA)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs,...either requesting or submitting prior authorization requests. Or relevant health care experience in claims or appeal… more
- CenterWell (Harrisburg, PA)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more