- 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
- 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
- WellSpan Health (Lebanon, PA)
- …Acute Care experience. Required + Field of experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + ... rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to… more
- Penn Medicine (Lancaster, PA)
- …providing recommendations, referrals and coordination of care. What you will do + Assists Behavioral Health case manager and team in developing and executing ... group, including performance improvement projects. + Participates in groups including behavioral health staff case reviews, conference, and in-service programs,… more
- WellSpan Health (York, PA)
- …of clinical staff; approves/disapproves scheduled time off. + Assists Manager and Clinical Operations Coordinator with interviewing, hiring, orienting, ... part of the management team, performing a variety of clinical and administrative duties related to clinical ...Diagnostic Test Tracking, Med Reconciliation and PCMN. + Assumes manager role when Practice Manager /Front Office Supervisor… more
- Highmark Health (Harrisburg, PA)
- …the enhanced Nurse Licensure Compact (eNLC). **Preferred** + ACM Certification (Accredited Case Manager ) **SKILLS** + Adult Learning: Theory and Practice + ... Description :** **JOB SUMMARY** This job delivers highly complex clinical and systems training courses, ongoing workshops in support...Work **EXPERIENCE** **Required** + 3 - 5 years in Case Management **Preferred** + 5 - 7 years in… more
- Intermountain Health (Harrisburg, PA)
- **Job Description:** The RN Ambulatory Care Manager I delivers comprehensive ambulatory care management services to identified patients. Leveraging clinical ... role involves conducting care management screenings, assessments, and evaluations. The manager develops and implements patient-centered care plans with shared goals… more
- CVS Health (Harrisburg, PA)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH)… 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
- Highmark Health (Harrisburg, PA)
- …dollar and strategic contracting functions (client and GPO), develops business case and presents to senior leadership throughout organization. + Monitor contract ... of major commodity contracts for a wide array of clinical and non- clinical products and/or services. Experience...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… 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
- Penn Medicine (East Petersburg, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... duties: + Works under the direction of the Care Manager ; determines plans for care management; coordinates care plans...plans and completes tasks as necessary to complete social behavioral care plan goals. Tasks may include, but are… more