- Highmark Health (Harrisburg, PA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care + Medical/Surgical experience + Utilization Management (UM) or (UR)… more
- CVS Health (Harrisburg, PA)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- WellSpan Health (Gettysburg, PA)
- …Degree Required **Work Experience:** + 1 year Relevant experience. Required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... care , the patient's diagnosis, corporate policy and procedures and the Nurse Practice Act. Carries primary care management functions for assigned patients.… more
- Intermountain Health (Harrisburg, PA)
- **Job Description:** The RN Ambulatory Care Manager I delivers comprehensive ambulatory care management services to identified patients. Leveraging ... clinical expertise, this role involves conducting care management screenings, assessments, and evaluations. The ...abide by service behavior standards. **Minimum Qualifications** + Current Registered Nurse ( RN ) license in… more
- Wellpath (Lemoyne, PA)
- …care support. **How you make a difference** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director, Regional Medical ... from an accredited School of Nursing or Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management and… more
- CenterWell (Harrisburg, PA)
- …years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional ... caring community and help us put health first** Conviva Care Solutions is seeking a RN who...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- UPMC (Harrisburg, PA)
- …OR Licensed Social Worker (LSW) OR Other Healthcare Professional Licenses for Discharge Planning OR Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with ... UPMC is hiring a Discharge Plan Manager for our Case Management department in Harrisburg!...1) Diploma or associate degree in nursing and active Registered Nurse license. At least one year… more
- Select Medical (Harrisburg, PA)
- …+ Current Licensure in a clinical discipline per state guidelines required. ( Registered Nurse or Social Work (SW) preferred) **Preferred Qualifications** + ... Rehabiliation Hospital** **A UPMC partnership with Select Medical** **Position:** Case Manager , Discharge Planner( RN , LPN, MSW, Allied Health Professional)… 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 ... **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides… more
- WellSpan Health (Gettysburg, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... between visits. + Assists in the management of patient utilization of health care system and provides...HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment… more