- 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
- AmeriHealth Caritas (Harrisburg, PA)
- … Health Care Manager PerformCare Pennsylvania** **Responsibilities:** The PerformCare-PA Behavioral Health Clinical Care Manager (BH-CCM) is a ... ** Behavioral Health Care Manager --PerformCare Pennsylvania** Location:...CCM is responsible for proving utilization management and both case and care management, as well as supporting and… more
- Highmark Health (Harrisburg, PA)
- …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Highmark Health (Harrisburg, PA)
- …Required + 5 years of Post licensure experience in any combination of behavioral health clinical , case management and/or condition management Preferred ... through behavior change. **ESSENTIAL RESPONSIBILITIES** + Function as a primary integrated case manager for members with mental health/substance use and… 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
- 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
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job is responsible for the overall clinical support of account and sales specific activities within the Clinical ... Services division. The incumbent works with leaders in clinical services and sales/account management as a liaison, developing...team to assure that there are clear expectations for Case Managers & Disease Managers as it relates to… more
- Sharecare, Inc. (Harrisburg, PA)
- …leadership for each year. + Direct questions from providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for ... college pre-requisites is required; BNS preferred. + Minimum of 3-5 years clinical experience; Telephonic Case Management experience and/or CCM certification… more
- Highmark Health (Camp Hill, PA)
- …**JOB SUMMARY** This role requires a highly motivated and experienced Product Manager to lead the development and execution of a digitally-enabled, omni-channel care ... project updates, risks, and solutions to diverse stakeholders including RNs, Case Managers, Social Workers, technology teams, vendors, Directors, and Senior… 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
- Guardian Life (Harrisburg, PA)
- …Certified Rehabilitation Counselor (CRC),Certified Disability Management Specialist (CDMS), Certified Case Manager (CCM). + Excellent verbal and communications ... agencies to control costs and identify similar benefits. + Collaborate with Disability Clinical & Vocational Services staff and case managers to move toward… more