- 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
- WellSpan Health (York, PA)
- … Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... . + Facilitates and coordinates the progression of patient care to optimize throughput and the utilization ... of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient,… more
- WellSpan Health (Lebanon, PA)
- … Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... . + Facilitates and coordinates the progression of patient care to optimize throughput and the utilization ... of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient,… more
- Veterans Affairs, Veterans Health Administration (Perry Point, MD)
- … care . Responsibilities The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse ( RN ) is responsible for providing competent primary ... to patients and oversight of licensed practical nurses. This nurse provides direct Veteran care and ...level degree in Nursing may have opportunity to become registered as a nurse with a state… 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
- CenterWell (Lancaster, PA)
- …sit on-site at our Lancaster, PA branch location.** The ** RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- CenterWell (Lancaster, PA)
- …sit on-site at our Lancaster, PA branch location.** The ** RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Wellpath (Lemoyne, PA)
- …of care support. **About this role** 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
- Amergis (Bel Air, MD)
- The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, ... Director in development and review of the patient's individualized coordination of care plan + Ensures that the patients' medical needs are addressed; consults… more
- Penn Medicine (Lancaster, PA)
- …around the clock. + Communicates and collaborates with physicians, registered nurses, Nurse Manager and other health care providers regarding patient ... in assessing patient family status to plan of nursing care . + Assists Nurse Manager ...advocate. **Minimum Required Qualifications:** + Current licensure as a Registered Professional Nurse is required, issued by… more
- UPMC (Lititz, PA)
- …Licensed Social Worker (LSW) OR Other Healthcare Professional Licenses for Discharge Planning OR Registered Nurse ( RN ) + Act 34 *Current licensure either in ... UPMC is hiring a Discharge Plan Manager for our Clinical Care Coordination...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
- Penn Medicine (Lancaster, PA)
- …around the clock. + Communicates and collaborates with physicians, registered nurses, Nurse Manager and other health care providers regarding patient ... in assessing patient family status to plan of nursing care . + Assists Nurse Manager ...others. Credentials: + Basic Cardiac Life Support (Required) + Registered Nurse - PA (Required) Education or… more
- Select Medical (Hummelstown, PA)
- …+ Current Licensure in a clinical discipline per state guidelines required. ( Registered Nurse or Social Work (SW) preferred) **Preferred Qualifications** + ... Matters:** Join a team of over 44,000 committed to providing exceptional patient care **Responsibilities** The Case Manager is responsible for the coordination… more
- WellSpan Health (Lebanon, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health … 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
- Centene Corporation (Newark, DE)
- …perspective on workplace flexibility. **Position Purpose:** The Clinical Program Manager is responsible for identifying, managing and tracking clinical, quality, ... of the Health Plan's strategic goals. The Clinical Program Manager facilitates the development of internal and external reports...to improve member experience, 2) improve the quality of care and 3) to reduce health care … more
- WellSpan Health (Lancaster, 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
- WellSpan Health (York, 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