- CVS Health (Harrisburg, PA)
- …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... hours, 8:00am to 5:00pm. No weekends and no holidays. Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- Geisinger (Muncy, PA)
- …+ Works closely with assigned primary care provider site and functions as a case manager for patients with behavioral health co-morbidities across the ... Job Summary Serves in an expanded clinical role to collaborate with patients, Primary Care...to collaborate with patients, Primary Care Providers, community agencies, behavioral health, and other health plan departments to provide… more
- Humana (Harrisburg, PA)
- …Licensed Masters Social Worker (LMSW-ACP), Clinical Psychologist** with; + Clinical experience in: pediatrics, behavioral health, and/or ASD; a healthcare ... and Family Therapist (LCMFT), Licensed Mental Health Counselor (LMHC)** with; + Clinical experience in: pediatrics, behavioral health, and/or ASD; a healthcare… 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)
- …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
- AmeriHealth Caritas (Harrisburg, PA)
- …care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about ... us at www.amerihealthcaritas.com. **Responsibilities:** The Community Care Manager assists members appropriate for care management and care coordination services in… 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
- Geisinger (Danville, PA)
- …goals and strategies to achieve their goals. + Communicates all concerns to clinical team and manager as necessary, seeking support and guidance proactively. ... Job Summary Join our new and innovative program to assist patients in behavioral health crisis and reduce or avoid an inpatient psychiatric admission. Schedule:… more
- Elevance Health (Harrisburg, PA)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... health and general well-being. + Collaborates with social worker and/or care manager to develop action plan. + Develops trusting relationship with employees by… more
- Highmark Health (Harrisburg, PA)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more