- CVS Health (Harrisburg, PA)
- …and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider ... the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for ... as defined by the ACD. Job Description The **Telephonic Care Manager (Autism Care Navigator)**...Social Worker (LMSW-ACP), Clinical Psychologist** with; + Clinical experience in: pediatrics, behavioral health, and/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 ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
- CenterWell (Harrisburg, PA)
- …and procedures to support program implementation. + Establish collaborative relationships with clinical teams and care integration leadership to align on program ... develop and implement metrics to measure the effectiveness of care transitions. + Understanding of clinical operations...health care organization. + Knowledge of health care regulations and policies related to behavioral … more
- Centene Corporation (Harrisburg, PA)
- …FRIDAY, 8AM - 5PM.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs + May perform...outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care … more
- AmeriHealth Caritas (Harrisburg, PA)
- …services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Community Care Manager assists members appropriate for care ... services in achieving their optimal level of health through self-management. The Community Care Manager is responsible for engaging the member, member care… more
- Highmark Health (Harrisburg, PA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specific state licensure(s) may be required depending on where clinical care is being provided. **Preferred** +...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Harrisburg, PA)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- Highmark Health (Harrisburg, PA)
- …management assessment for the Highmark utilization management department including non- clinical , medical, pharmacy and behavioral health for commercial, ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** The Manager , Utilization Management (UM) Quality Performance leads a team of quality auditors… more
- Highmark Health (Harrisburg, PA)
- …facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration ... and/or psychosocial needs have access to high quality, cost-effective health care . Assists in the holistic assessment, planning, arranging, coordinating, monitoring,… more
- Takeda Pharmaceuticals (Harrisburg, PA)
- …to take charge of your future at Takeda. Join us as a Regional Business Manager in our Wisconsin region. Here, everyone matters, and you will be a vital contributor ... to our inspiring, bold mission. As a Regional Business Manager working on the Gastroenterology Rare Disease Sales Team, you will be empowered to drive product demand… more
- Penn State Health (Harrisburg, PA)
- …& Quality Improvement Experience **PREFERRED QUALIFICATION(S):** + Minimum two (2) years Behavioral Health Care Quality Improvement Experience **WHY PENN STATE ... and the ability to provide individualized, innovative, and specialized care to patients in the community. **For more information:**… more
- CenterWell (Harrisburg, PA)
- …including clinical teams, technology and data analytics leaders, and care integration team (CIT) leadership to support program and project implementation and ... with the ability to develop and implement metrics to measure the effectiveness of care transitions. + Understanding of clinical operations and ability to guide… more
- Brookdale Senior Living (Harrisburg, PA)
- …that meet specific needs of each and all residents within the dementia care community. Provides person centered programs while engaging residents in meaningful and ... purposeful dementia care programs within the Brookdale community enhancing their quality...evaluations. May act in supervisory capacity in absence of Manager or Executive Director. + Collaborates with community leadership… more
- Wellpath (Camp Hill, PA)
- …month over month and a very large percent of those individuals receive direct clinical care , which includes lives saved by Narcan. We offer ongoing training ... clinical resources for training, education, and point of care support. **How you make a difference** As a...and treatment to the inmate population, which includes addressing behavioral health disorders. You will coordinate patient care… more
- Penn State Health (Hershey, PA)
- …of 5 Heart Failure Cardiologists, 6 Advanced Practice Providers, 1 heart failure program manager (RN) and 2 clinical nurse specialists. + High quality academic ... Milton S. Hershey Medical Center HVI is a leader in providing advanced, coordinated care for cardiovascular disease in the region and is home to the region's only… more
- Penn State Health (Hershey, PA)
- …5 Heart Failure Cardiologists, 6 Advanced Practice Providers, 1 heart failure program manager (RN) and 2 clinical nurse specialists.** + **High quality academic ... Milton S. Hershey Medical Center HVI is a leader in providing advanced, coordinated care for cardiovascular disease in the region and is home to the region's only… more
- YAI (Harrisburg, PA)
- …in any field + Knowledge of intellectual and developmental disabilities (I/DD), clinical syndromes and/or IDD with cooccurring behavioral /mental health needs + ... and trauma-informed approach and provides coverage, regularly performing all direct care responsibilities as indicated in DSP/RBT job description, as needed. +… more
- CenterWell (Harrisburg, PA)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... of various healthcare payer models, including episodic, fee-for-service, and value-based care + Successful track record in influencing, facilitating, and consulting… more
- Highmark Health (Harrisburg, PA)
- …+ Participates in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The… more