- CVS Health (Harrisburg, PA)
- …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... hours, 8:00am to 5:00pm. No weekends and no holidays. Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- Highmark Health (Harrisburg, PA)
- …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Highmark Health (Harrisburg, PA)
- …Required + 5 years of Post licensure experience in any combination of behavioral health clinical , case management and/or condition management Preferred ... through behavior change. **ESSENTIAL RESPONSIBILITIES** + Function as a primary integrated case manager for members with mental health/substance use and… more
- Highmark Health (Harrisburg, PA)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Highmark Health (Harrisburg, PA)
- …services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal and/or external customers ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- AmeriHealth Caritas (Harrisburg, PA)
- …care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about ... us at www.amerihealthcaritas.com. **Responsibilities:** The Community Care Manager assists members appropriate for care management and care coordination services in… more
- Highmark Health (Harrisburg, PA)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- WellSpan Health (Gettysburg, PA)
- …by 2,300+ employed physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, ... medicine physicians + Excellent support from an experienced Senior Practice Manager Our Commitment to You: + Physician-designed compensation model + Competitive… more