- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- UPMC (Carlisle, PA)
- …required with 4-6 weeks of hire. + UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act 34 *Current licensure either in the ... The Care Manager (CM) coordinates the clinical and financial plan...**Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state… more
- CVS Health (Harrisburg, PA)
- …computer skills including navigating multiple systems and keyboarding + Certified Case Manager + Demonstrates proficiency with standard corporate software ... enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we… more
- Evolent Health (Harrisburg, PA)
- …care across multiple settings and with multiple providers - Required + Current Registered Nurse license - Maryland or Compact License - **Required** + ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...this population. **What You Will Be Doing:** + This RN Care Manager The RN … more
- Highmark Health (Harrisburg, PA)
- …AND CERTIFICATIONS** **Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **Preferred** + None **Skills** + ... **Job Description :** **JOB SUMMARY** This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health… more
- UPMC (Harrisburg, PA)
- …required with 4-6 weeks of hire. + UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with renewal ... The Care Manager (CM) coordinates the clinical and financial plan...**Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state… more
- UPMC (Harrisburg, PA)
- …required with 4-6 weeks of hire. + UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with renewal ... criteria preferred. **Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state where the facility… more
- UPMC (Harrisburg, PA)
- …required with 4-6 weeks of hire. UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) *Current licensure either in the state where ... **UPMC is hiring a Professional Care Manager ! This is a full time, day shift...preferred. **Licensure, Certifications, and Clearances:** Current licensure as a Registered Professional Nurse either in the state… more
- 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 successful return to work through… more
- Evolent Health (Harrisburg, PA)
- …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
- Elevance Health (Harrisburg, PA)
- **Clinical Review Nurse Sr.** National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare ... - 4:30 EST. Hours are flexible.** The **Clinical Review Nurse Sr** . is responsible for coordinating and overseeing...responsible for coordinating and overseeing the work of the case managers, review, or utilization nurses. **H** **ow** **you… more
- CVS Health (Harrisburg, PA)
- …into available internal/external programs - Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting ... of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution… more