- 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 ... clinical treatment administered by the provider. + Coordinates services with medical utilization / care management personnel of other health plans to ensure… more
- Evolent Health (Harrisburg, PA)
- …and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Client ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point… more
- Lancaster General Health (Lancaster, PA)
- …working relationships with patients, families, and providers. + Functions as a coordinator and manager of a defined health population across care setting and for ... to an insured vehicle. **PREFERRED QUALIFICATIONS:** + Knowledge of Utilization review or managed care + Licensure with Commission for Case Managers (CCM), or… more
- Highmark Health (Harrisburg, PA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health care… more
- WellSpan Health (York, PA)
- …and/or under utilization . + Facilitates and coordinates the progression of patient care to optimize throughput and the utilization of resources to support ... Registered Nurse - Case Manager - Days Location: WellSpan Health, York, PA...continuous quality and cost of care efforts. + Liaisons between utilization management… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Behavioral Health Care Manager --PerformCare Pennsylvania** Location: Harrisburg, PA Primary Job Function: Behavioral Health ID**: 34296 **Job Brief** ... PerformCare PA seeking an experienced Behavioral Health Care Manager for a Full-Time opportunity. This...care team. The CCM is responsible for proving utilization management and both case and care … more
- UPMC (Harrisburg, PA)
- **UPMC is hiring a Professional Care Manager ! This is a full time, day shift position with rotating weekends and holidays.** **_ This position is eligible for a ... generous Sign on Bonus! _** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization … more
- UPMC (Harrisburg, PA)
- **Professional Care Manager (RN) - Cardiac Team - Harrisburg Hospital** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan ... utilization management, resource management, discharge planning and post-acute care referrals and authorizations. Works with multi-disciplinary team in resource… more
- UPMC (Harrisburg, PA)
- …help to develop safe and appropriate discharge plans using available resources._ The Care Manager (CM) coordinates the clinical and financial plan for patients. ... utilization management, resource management, discharge planning and post-acute care referrals and authorizations. Works with multi-disciplinary team in resource… more
- UPMC (Harrisburg, PA)
- The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management, resource management, discharge ... authorizations. Works with multi-disciplinary team in resource management, discharge planning and care facilitation. Hours of Work: Monday - Friday, 8:00am to 4:30pm… more
- CenterWell (Lancaster, PA)
- …Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, ... the assignment of caregivers. + Responsible for and oversees the delivery of care to all patients served by the location. Receives case referrals. Reviews available… more
- Lancaster General Health (Lancaster, PA)
- …these responsibilities beyond the episode of care to encompass coordination of care across the continuum. The Case Manager applies the processes of ... working relationships with patients, families and providers. + Functions as a coordinator and manager of a defined health population across care setting and for… more
- Lancaster General Health (Lancaster, PA)
- …weekends and on-call as needed. **POSITION SUMMARY:** Manages and is accountable for the care delivered in a patient care department or area consistent with the ... mission and vision of the organization. Patient care includes care to patients in the following age groups: newborn (birth to 28 days), infant (29 days through… more
- Lancaster General Health (Lancaster, PA)
- …Nurse Manager will enhance the delivery of complex patient care , collaborating with clinical and administrative teams across the Departments. The Radiation ... around the clock. + Communicates and collaborates with physicians, registered nurses, Nurse Manager and other health care providers regarding patient care .… more
- Abbott (Harrisburg, PA)
- …**Working at Abbott** At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll ... atherectomy devices. We currently have an opportunity available for an **Account Manager , Peripheral in** **Pittsburgh, PA** **.** This role will be responsible for… more
- CVS Health (Harrisburg, PA)
- …and English **Preferred Qualifications** + Crisis intervention skills preferred Managed care / utilization review experience preferred + Case management and ... discharge planning experience preferred + Managed care / utilization review experience preferred **Education** Masters Degree in Social Work or Counseling required… more
- Lancaster General Health (Lancaster, PA)
- …around the clock. + Communicates and collaborates with physicians, registered nurses, Nurse Manager and other health care providers regarding patient care . ... personnel in assessing patient/family status to plan of nursing care . + Assists Nurse Manager in evaluating...and setting standards for facilities and equipment, and monitoring utilization of equipment and supplies. + Provides input and… more
- SMX (Harrisburg, PA)
- …within the company and will help to optimize engagement, understanding, and utilization of benefit programs. Additionally, the Benefits Manager ensures plans ... Benefits Manager (3461)at SMX(View all jobs) (https://www.smxtech.com/careers/) United States...inquiries. + Surveys industry trends, reviews experience data and utilization reports. Examines possible benefit changes and proposes recommendations… more
- Select Medical (Hummelstown, PA)
- …Summary** The Case Manager is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve ... Select Medical & Penn State Health Hummelstown, PA **Case Manager (RN, RT, PT, OT, LPN, MSW)** **PRN/Per Diem/As...quality and outcomes, coordination of care across the continuum; promotion of cost-effective … more
- Select Medical (Harrisburg, PA)
- …Summary** The Case Manager is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve ... with Select Medical & UPMC Pinnacle Harrisburg, PA **Case Manager ** **(RN, RT, PT, LPN, OT, ST, SW)** **Per...quality and outcomes, coordination of care across the continuum; promotion of cost-effective … more