- 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)
- …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...needs.; + ; ; ; ; ; ;Coordinates physical, behavioral health and social services; + ; ; ;… 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 (Lebanon, PA)
- …the child and adolescent after-school program. Ensures program structure and clinical development by providing patients in the program with recreational, ... milieu management. Assumes administrative responsibilities in the absence of the Program Manager for After-School as directed by the Program Director. Duties and… 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
- 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