- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- UPMC (Carlisle, PA)
- …required with 4-6 weeks of hire. + UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act 34 *Current licensure either in the ... The Care Manager (CM) coordinates the clinical and financial plan...**Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state… more
- CVS Health (Harrisburg, PA)
- …preferred that RN license is part of the compact. + Certified Case Manager is preferred + Demonstrates proficiency with standard corporate software ... enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we… more
- Evolent Health (Harrisburg, PA)
- …care across multiple settings and with multiple providers - Required + Current Registered Nurse license - Maryland or Compact License - **Required** + ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...this population. **What You Will Be Doing:** + This RN Care Manager The RN … more
- UPMC (Harrisburg, PA)
- …required with 4-6 weeks of hire. + UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with renewal ... The Care Manager (CM) coordinates the clinical and financial plan...**Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state… more
- UPMC (Harrisburg, PA)
- …required with 4-6 weeks of hire. + UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with renewal ... criteria preferred. **Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state where the facility… more
- Highmark Health (Harrisburg, PA)
- …AND CERTIFICATIONS** **Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **Preferred** + None **Skills** + ... **Job Description :** **JOB SUMMARY** This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health… more
- UPMC (Harrisburg, PA)
- …required with 4-6 weeks of hire. UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) *Current licensure either in the state where ... **UPMC is hiring a Professional Care Manager ! This is a full time, day shift...preferred. **Licensure, Certifications, and Clearances:** Current licensure as a Registered Professional Nurse either in the state… more
- Sedgwick (Harrisburg, PA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Evolent Health (Harrisburg, PA)
- …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
- Elevance Health (Harrisburg, PA)
- **Clinical Review Nurse Sr.** National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare ... - 4:30 EST. Hours are flexible.** The **Clinical Review Nurse Sr** . is responsible for coordinating and overseeing...responsible for coordinating and overseeing the work of the case managers, review, or utilization nurses. **H** **ow** **you… more