- CVS Health (Harrisburg, PA)
- …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- AmeriHealth Caritas (Harrisburg, PA)
- … Health Care Manager PerformCare Pennsylvania** **Responsibilities:** The PerformCare-PA Behavioral Health Clinical Care Manager (BH-CCM) is a ... ** Behavioral Health Care Manager --PerformCare Pennsylvania** Location:...CCM is responsible for proving utilization management and both case and care management, as well as supporting and… 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
- CAI (Harrisburg, PA)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated RN Case Manager ready to take us to the next level! If you have ... career move, apply now. **Job Description** We are looking for a **RN Case Manager ** to provide community-based care coordination/management for our client's… 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
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job is responsible for the overall clinical support of account and sales specific activities within the Clinical ... Services division. The incumbent works with leaders in clinical services and sales/account management as a liaison, developing...team to assure that there are clear expectations for Case Managers & Disease Managers as it relates to… more
- Sharecare, Inc. (Harrisburg, PA)
- …leadership for each year. + Direct questions from providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for ... college pre-requisites is required; BNS preferred. + Minimum of 3-5 years clinical experience; Telephonic Case Management experience and/or CCM certification… more
- WellSpan Health (York, PA)
- Clinical Coordinator - Emergency Department - Nights Location: York Hospital, York, PA Schedule: Full Time Full time/Nights 7pm-7am Emergency Department (ED)is a 54- ... treatment spaces, we have a 3-bed trauma bay and secure unit for behavioral health patients. General Summary Assists in managing the daily operations and activities… 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 reviews ... and applies utilization and case management techniques to determine the most efficient use...in the organizing of utilization reports and revision of clinical policies and procedures as required. Duties and Responsibilities… more
- Highmark Health (Camp Hill, PA)
- …**JOB SUMMARY** This role requires a highly motivated and experienced Product Manager to lead the development and execution of a digitally-enabled, omni-channel care ... project updates, risks, and solutions to diverse stakeholders including RNs, Case Managers, Social Workers, technology teams, vendors, Directors, and Senior… 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
- Guardian Life (Harrisburg, PA)
- …Certified Rehabilitation Counselor (CRC),Certified Disability Management Specialist (CDMS), Certified Case Manager (CCM). + Excellent verbal and communications ... agencies to control costs and identify similar benefits. + Collaborate with Disability Clinical & Vocational Services staff and case managers to move toward… 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
- WellSpan Health (Red Lion, PA)
- …Medical Group, Red Lion, PA Schedule: Full Time General Summary Provides clinical and administrative services involving primary medical care to patients in an ... 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
- 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