- CVS Health (Harrisburg, PA)
- …and optimal, cost-effective outcomes. Assessment of Members: Through the use of clinical tools and information/data review , conducts comprehensive assessments of ... English **Preferred Qualifications** + Crisis intervention skills preferred Managed care/utilization review experience preferred + Case management and discharge… more
- Kepro (Harrisburg, PA)
- …join our growing team. Job Summary: The Clinical Reviewer utilizes clinical expertise for the review of medical records against appropriate criteria in ... Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver… more
- Public Consulting Group (Harrisburg, PA)
- …efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine case closure + Travels ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- UPMC (Carlisle, PA)
- …delays in discharge. Documents all Avoidable Days in CANOPY system. + Performs clinical review on admission and/or continued stay using InterQual criteria to ... The Care Manager (CM) coordinates the clinical and...+ BSN or related Bachelor's degree preferred. + Previous case management experience preferred. + Knowledge of healthcare financial… more
- WellSpan Health (York, PA)
- …with the CM leadership team in developing and maintaining CM policy including, Utilization Review , Social Services and Clinical Case Management. + Identifies ... appropriate, cost effective and quality health care. Assists the Manager - Case Management in the provision of leadership...(BSN) Required Work Experience: + 2 years Experience in Case Management, Utilization Management, or clinical nursing… more
- WellSpan Health (York, PA)
- Registered Nurse Manager Clinical Operations - Urology York Location: WellSpan Medical Group, York, PA Schedule: Full Time Full Time Exempt General Summary ... across transitions of care. + Responsible for hiring, performance review of Clinical Supervisors. + Collaborates with...###@wellspan.org. We will evaluate requests for accommodation on a case -by- case basis. Please note that we will… more
- Bausch + Lomb (Harrisburg, PA)
- …of clinical trials that include, but are not limited to: clinical planning, protocol development, case report form (CRF) development, IRB submissions, ... of difficulty in which analysis of situation or data requires review of identifiable clinical factors and in which scientific and clinical perspectives… more
- J&J Family of Companies (Harrisburg, PA)
- …can reach their potential. At Johnson & Johnson, we all belong. Reporting to the manager of clinical research associates, the person in this role is responsible ... all data documentation, reports, records, transcripts, exam results for consistency with case report form, and determine if clinical study subject documentation… more
- WellSpan Health (Mount Gretna, PA)
- Manager Behavioral Health Operations - Access Center & ED's - Days Location: WellSpan Philhaven, Mount Gretna, PA Schedule: Full time (80 hours biweekly) Weekdays, ... of the Director of WellSpan Philhaven Operations, ensures the quality of clinical care being provided to patients in the assigned Emergency Departments with… more
- UPMC (Harrisburg, PA)
- …delays in discharge. Documents all Avoidable Days in CANOPY system. + Performs clinical review on admission and/or continued stay using InterQual criteria to ... position is eligible for a $6,000 Sign on Bonus! _** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs… more
- UPMC (Harrisburg, PA)
- …delays in discharge. Documents all Avoidable Days in CANOPY system. + Performs clinical review on admission and/or continued stay using InterQual criteria to ... The Care Manager (CM) coordinates the clinical and...+ BSN or related Bachelor's degree preferred. + Previous case management experience preferred. + Knowledge of healthcare financial… more
- UPMC (Harrisburg, PA)
- …delays in discharge. Documents all Avoidable Days in CANOPY system. + Performs clinical review on admission and/or continued stay using InterQual criteria to ... to develop safe and appropriate discharge plans using available resources._ The Care Manager (CM) coordinates the clinical and financial plan for patients.… more
- Highmark Health (Harrisburg, PA)
- …**JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- WellSpan Health (York, PA)
- …range, are handled in a timely and effective manner. + Provides the Clinical Nursing Coordinator and/or the Practice Manager with timely communication regarding ... are within appropriate ranges. - Responsible for reporting to the Clinical Nursing Coordinator, Office/Practice Manager or designee when temperatures… more
- Highmark Health (Harrisburg, PA)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical , case /utilization management and/or disease/condition management experience, or… more
- WellSpan Health (Lebanon, PA)
- …and need for inpatient level rehabilitation services. Assessment includes chart review , clinical physical assessment and interaction with the physician, ... Duties and Responsibilities Essential Functions: + Collaborates with physicians, therapists, case managers and others in the early identification of potential… more
- WellSpan Health (Lebanon, PA)
- …patients each year. Our highly trained staff are supported by a Director, Nurse Manager , Assistant Nurse Manager , Clinical Coordinators, Clinical ... of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Acts as a primary nurse for patients on the… more
- WellSpan Health (Lebanon, PA)
- …planning and implementation of patient care based upon sound nursing judgment, clinical preparation, knowledge, skills and experience. Nursing care is provided in ... State Board of Nursing. In addition, serves as a nursing resource for clinical staff. Position may be onsite, hybrid or remote. Duties and Responsibilities Remote… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …Standards of conduct so as to avoid conflicts of interest while serving as the HUD-VASH Case Manager . Travel may be required. Work Schedule: 8:00 am - 4:00 pm ... is located at the Lebanon VAMC and is responsible for coordination of case management services for Veterans receiving housing provided through HUD Section 8 housing… more
- UPMC (Harrisburg, PA)
- …+ Performs pulmonary function tests to be used by physician in diagnosis of case . + Consults with physician in the event of adverse reactions. + Maintains patient's ... situations. + Evaluates the appropriateness of medical orders. Interprets clinical data to optimize patient clinical objectives....as needed in the absence of the Supervisor or Manager based on department need. Functions as a senior… more