- Highmark Health (Harrisburg, PA)
- …:** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a specified panel of ... and regulatory agency requirements and applicable standards of practice for case management . + Other duties as assigned or requested. **REQUIRED EDUCATION** +… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management ** This job owns and conducts oversight over a specified ... operations and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training and experience in… more
- Guthrie (Sayre, PA)
- …clinical, and operational outcomes in timely, coordinated, and cost- effective manner. The Manager -of Case Management supports utilization management , ... scope of practice within the department. . . The Manager - Case Management collaborates cooperatively with...as appropriate. + Provides leadership for clinical staff regarding complex patient care concerns and/or care of patients who… more
- Penn State Health (Camp Hill, PA)
- …assistance._ **Position** Case Manager - DAY SHIFT - Behavioral Health Case Management 20 Erford Rd **Location** US:PA:Camp Hill | Professional | Full ... 1.00 **Shift:** Day **Hours:** 8:00a - 4:30p **SUMMARY OF POSITION:** Provide targeted case management services to child and adult mental health consumers with… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …workplace, benefits administrators, and individuals from other areas. The Case Manager facilitates the case management process along the healthcare ... 180 days. (bonus paid for 11:30-8pm shift only) The Case Manager 's primary duty is to assist...and contributing to the patient's positive journey. Facilitate the case management process along the healthcare continuum.… more
- UPMC (Harrisburg, PA)
- …of nursing experience required. BSN or related Bachelors degree preferred. Previous case management experience preferred. Knowledge of healthcare financial and ... **UPMC is hiring a Professional Care Manager ! This is a full time, day shift...clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and post-acute… more
- UPMC (Carlisle, PA)
- …experience required. + BSN or related Bachelor's degree preferred. + Previous case management experience preferred. + Knowledge of healthcare financial and ... The Care Manager (CM) coordinates the clinical and financial plan...clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and post-acute… more
- CVS Health (Harrisburg, PA)
- …themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences + Utilizes case management processes in… more
- Highmark Health (Harrisburg, PA)
- …and communication with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors ... :** **JOB SUMMARY** This job assures that members with complex medical and/or psychosocial needs have access to high...departmental and/or organizational work and quality initiative teams. + Case collaborate with peers, Case Management… more
- Sevita (Bethlehem, PA)
- …us all every day. Join us today, and experience a career well lived. **Intensive Case Manager (ICM)** **Salary - $45,000 (plus over time pay) and incentive ... impact in the lives of others? As an Intensive Case Manager , you will provide essential services...team -** **_Apply Today!_** **_Key words: Social Work, Psychology, Case Management , Education_** **_\#LI-DF1_** **Join Our Team**… 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
- 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 ... regulations and acts to improve compliance. + Maintains required documentation for all case management activities. + Collects required data and utilizes this… more
- St. Luke's University Health Network (Bethlehem, PA)
- …regardless of a patient's ability to pay for health care. The SW Care Manager is responsible for coordinating the complex discharge planning needs of patients, ... of desired patient, quality, and financial outcomes. In general, case managers are assigned to a specific campus. However,...Works as a team with other members of care management , including but not limited to: RN care managers,… more
- Geisinger (Danville, PA)
- Job Summary A Special Needs Unit (SNU) LPN Case Manager is a healthcare professional who is responsible for providing support and patient-centered care ... management services to members with Special Needs. The goal...all aspects of care with a specialized focus on complex pediatric and pregnant members. Job Duties + Performs… more
- Guardian Life (Bethlehem, PA)
- …seeking a dynamic and knowledgeable individual to join our team as an **Annuity Operations Case Manager ** . As an integral part of our organization, you will ... central point of contact for our consumers. + Partner with product management , compliance, and various departments across the organization to orchestrate successful… more
- CVS Health (Harrisburg, PA)
- …Crisis intervention skills preferred Managed care/utilization review experience preferred + Case management and discharge planning experience preferred + Managed ... comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan… more
- Guardian Life (Bethlehem, PA)
- …Group Disability claims experience to join our dynamic Appeals Team. The **Appeals Case Manager II** (ACM 2) is responsible for adjudicating assigned appeals ... Life claims experience. + 3+ years of experience handling appeals or complex claims (preferred). + Demonstrated verbal and written communication skills. +… more
- Cardinal Health (Harrisburg, PA)
- …+ Track any payer/plan issues and report any changes, updates, or trends to management + Search insurance options and explain various programs to the patient while ... knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works… more
- Cardinal Health (Harrisburg, PA)
- …* Track any payer/plan issues and report any changes, updates, or trends to management * Search insurance options and explain various programs to the patient while ... knowledge in technical or specialty area * Applies advanced skills to resolve complex problems independently * May modify process to resolve situations * Works… more
- Deloitte (Pittsburgh, PA)
- …, you will lead and deliver small engagements, or components of large, complex engagements leadership for Enterprise Asset Management (EAM) implementation and ... Health Care & Life Sciences, Digital Banking & Payments, Investment & Wealth Management , Insurance, Telecom, Media and Energy & Resources. Our OTT team brings… more