- CVS Health (Harrisburg, PA)
- …and optimal, cost-effective outcomes. Assessment of Members: Through the use of clinical tools and information/data review , conducts comprehensive assessments of ... English **Preferred Qualifications** + Crisis intervention skills preferred Managed care/utilization review experience preferred + Case management and discharge… more
- AmeriHealth Caritas (Philadelphia, PA)
- … Clinical Care Reviewer refers the member to a Special Needs/Pediatric Shift Care Case Manager and works collaboratively with that Case Manager to ... ** Clinical Care Reviewer , Pediatric Shift Care,...interventions and goals. Following the shift care workflow the case is presented to the Medical Director for medical… more
- Geisinger (Danville, PA)
- Job Summary A clinical concurrent reviewer applies clinical and coding knowledge to concurrently evaluate the clinical indicators, diagnoses, and ... reviewer (CDI SLR) is an advanced concurrent reviewer who uses his/her extensive Clinical Documentation...coding opportunity is identified, coordinate with coder and/or Coding Manager to review and address opportunity, as… more
- Prime Healthcare (East Norriton, PA)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At ... hires and maintain current. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/173618/ case - manager %2c-registered-nurse/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySuburban Community Hospital LocationUS-PA-East… more
- Prime Healthcare (Philadelphia, PA)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least ... to intermediate computer skills. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/168948/ case - manager -rn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management Inc… more
- Highmark Health (Erie, PA)
- …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... Incumbents will utilize nationally recognized standards of practice for case management by collaborating with providers, clinical ...- American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for … more
- CVS Health (Harrisburg, PA)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** **This Case Manager RN position is 100% remote and the employee can ... EST** **No travel is expected with this position.** The Case Manager RN utilizes a collaborative process...review , and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the plan and… more
- Lancaster General Health (Lancaster, PA)
- …candidates only. **_Penn Medicine Lancaster General Health is recruiting for a full-time Inpatient Case Manager to join our team of dedicated unit-based Case ... function and health in an appropriate environment that would support their needs. The Case Manager functions within the full scope of practice to include the… more
- BriteLife Recovery (Hanover, PA)
- CASE MANAGER Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team environment, where collaborating ... Recovery a rewarding place to work. What you will be doing? The Case Manager is responsible for providing confidential addiction guidance, education and… more
- Kepro (Johnstown, PA)
- …a vital partner for health solutions in the public sector. Acentra is looking for a Case Manager , Social Work to join our growing team. Job Summary: The Case ... of clinical experience with a minimum of 1-3 years of case management review experience required. Preferred Qualifications/Experience: + Master of social… more
- CVS Health (Harrisburg, PA)
- …computer skills including navigating multiple systems and keyboarding + Certified Case Manager + Demonstrates proficiency with standard corporate software ... opportunities to enhance a member's overall wellness. + Uses clinical tools and information/data review to conduct...in the state of residence + Minimum 3+ years clinical practical experience + Minimum2+ years Case … more
- Prime Healthcare (East Norriton, PA)
- …Responsibilities $10k Bonus with 2 year commitment available! The working Manager of Case Management is responsible for the development ... leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and utilization… more
- Prime Healthcare (Bristol, PA)
- …Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The working Manager of Case Management ... leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and utilization… more
- Geisinger (Harrisburg, PA)
- …+ Works closely with assigned primary care provider site and functions as a case manager for patients with behavioral health co-morbidities across the care team ... Job Summary Serves in an expanded clinical role to collaborate with patients, Primary Care...requires knowledge of medical terminology, diagnostic criteria, and chart review . + Designs an individualized plan of care with… more
- UPMC (Harrisburg, PA)
- …delays in discharge. Documents all Avoidable Days in CANOPY system. + Performs clinical review on admission and/or continued stay using InterQual criteria to ... position is eligible for a generous Sign on Bonus! _** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …questions, then consider joining our Devereux Advanced Behavioral Health team! **Being a Blended Case Manager I has its Advantages!** You will be offered: + ... out in 3 installments over 90 days.)** As a Case Manager you will: + Coordinate care...food insecurity, and other resources. + Coordinate monitor and review the provision of services to ensure individuals are… more
- UPMC (Carlisle, PA)
- …delays in discharge. Documents all Avoidable Days in CANOPY system. + Performs clinical review on admission and/or continued stay using InterQual criteria to ... The Care Manager (CM) coordinates the clinical and...+ BSN or related Bachelor's degree preferred. + Previous case management experience preferred. + Knowledge of healthcare financial… more
- Sevita (Broomall, PA)
- …of clinical staff and supportive supervisors, while you grow your career. ** Case Manager Foster Care** Everybody needs a job but only extraordinary people ... day in the lives of the people we serve. + Coordinate the development, review , and implementation of services, case management, behavior intervention plans, and… more
- Guthrie (Towanda, PA)
- Guthrie Hospice in Towanda is searching for a disciplined & compassionate Registered Nurse Case Manager . Our amazing team of Case Managers are critical ... every 6 weeks). Perks of Being a Home Health Case Manager w/Guthrie: + Up to a...hospice nursing staff, and attend interdisciplinary team meetings to review problems or unique issues from caseloads, share professional… more
- Penn Medicine (Philadelphia, PA)
- …Canopy concurrently + Accounts for all patient days accurately in Canopy + Enters review indicating "pending" status of case if outcome not determined and ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more