- 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)
- …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 (York, PA)
- …team to provide support as appropriate. + Assumes responsibility for awareness of behavioral management plans for acute patients in cooperation with treatment team + ... client-centered questionnaires as assigned. + Provides direct support to teach behavioral symptom management techniques and assists clients in adapting to and/or… more
- WellSpan Health (York, PA)
- …WellSpan Medical Group, York, PA Schedule: PRN/Per Diem General Summary Provides clinical and administrative services involving primary medical care to patients in ... practice from day one + An experienced Senior Practice Manager + Call is 1:7 and is taken from...250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland.… more
- CenterWell (Harrisburg, PA)
- …Establish collaborative relationships and work with strategic key stakeholders, including clinical teams, technology and data analytics leaders, and care integration ... experience of management experience preferred in VBC/experience working within case management programs. **Preferred Qualifications** + Master's degree in health… more
- WellSpan Health (York, PA)
- …services for patients and mentors and models palliative care principles for clinical staff. Mentors residents, students, fellows and medical staff in palliative care ... than 2,000+ employed physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals,… more
- Maxim Healthcare Services (York, PA)
- …changes in patient/client status to the Director of Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee Minimum Requirements: ... nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and… more
- Elevance Health (Harrisburg, PA)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... health and general well-being. + Collaborates with social worker and/or care manager to develop action plan. + Develops trusting relationship with employees by… more
- Highmark Health (Harrisburg, PA)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more