- 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
- 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
- WellSpan Health (Chambersburg, PA)
- Clinical Manager - Behavioral Health Inpatient Services - Night Location: Chambersburg Hospital, Chambersburg, PA Schedule: Full Time Clinical Manager ... to identify, address, and decrease the rate of Post-Partum Hemorrhage. + ( Behavioral Health Services Inpatient only) Attains specified outcomes for Hospital… 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
- Penn State Health (Camp Hill, PA)
- …detailed steps for assistance._ **Position** Case Manager - DAY SHIFT - Behavioral Health Case Management 20 Erford Rd **Location** US:PA:Camp Hill | ... **Penn State Health ** - **Holy Spirit Medical Center** **Location:** US:PA:Camp...and the ability to provide individualized, innovative, and specialized care to patients in the community. **For more information:**… 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
- WellSpan Health (Chambersburg, PA)
- …as needed. Reporting Structure: A. Formal Reporting and Chain of Command - Clinical Manager of Outpatient Behavioral Health Services or delegated supervisor. ... Licensed Clinical Social Worker - Outpatient Behavioral Health - Days Location: Chambersburg...as required. 5. Completes hospital-required reviews, eg HIPAA, safety, health screening, care concerns, and others as… more
- Penn State Health (Camp Hill, PA)
- …the needs of patients, employees, visitors and other customers of the inpatient Behavioral Health Unit. **MINIMUM QUALIFICATION(S):** + High School degree or ... months of hire date **PREFERRED QUALIFICATION(S):** + **Preferred field of experience:** Behavioral health , criminal justice, mental health , social sciences… 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
- WellSpan Health (York, PA)
- Utilization Care Manager Location: York Hospital, York, PA Schedule: Part Time Hours: M-F Days Part Time: 20 hours/week General Summary Performs a variety of ... administered by the provider. + Coordinates services with medical utilization/ care management personnel of other health plans...5 years Post graduate experience as a provider of behavioral health treatment services. Required and +… more
- Highmark Health (Camp Hill, PA)
- …Manager to lead the development and execution of a digitally-enabled, omni-channel care solutions focused on improving member health outcomes, reducing costs, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… 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
- Highmark Health (Camp Hill, PA)
- …service, education on vendor delivered solutions and services, population health capabilities and resources, and alternative reimbursement model. The incumbent ... relationships with and work across many departments in the Health Plan. **ESSENTIAL RESPONSIBILITIES** **Value-Based Reimbursement Support** + Manage relationship… 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