- Community Behavioral Health. (Philadelphia, PA)
- The Clinical Care Manager is responsible for utilization management by conducting utilization review activities, population management, cross-system ... consultation, provider management and treatment quality monitoring. The Clinical Care Manager must utilize clinical knowledge of best practices and evidence based… more
- Geisinger (Danville, PA)
- …(status) to reflect congruence with clinical condition, physician intent, and utilization review outcomes with current rules and regulatory requirements. Job Duties ... + Creates plan for care across the continuum, integrating patient and family preferences and values. + Monitors patient care through assessments, evaluations and patient records. + Advocates for resources and removal of barriers. + Maintains ongoing dialog… more
- Crossroads Hospice & Palliative Care (King Of Prussia, PA)
- … case management principles to ensure continuity of care and appropriate resource utilization Registered Nurse Case Manager Benefits & Schedule: + Monday ... One of the most important aspects of being a Registered Nurse Case Manager is building trusting relationships with patients and their families. This trust… more
- Trinity Health (Darby, PA)
- …Collaborates with RN Manager to provide support to the Emergency Department Case Manager , Utilization RNs, and Utilization Management support ... direction and in collaboration with the RN Care Coordination Manager , provides support to the utilization management,...training and audits as required + Assists with appropriate case referral to the Utilization Management Committee… more
- Geisinger (Danville, PA)
- …optimal health, access to services, and appropriate utilization of resources. The RN Case Manager role allows nurses to use their critical thinking skills in ... services with the goal of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery of care model to… more
- Highmark Health (Monroeville, PA)
- …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... + Case Management - American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for Case Manager Certification… 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
- CVS Health (Harrisburg, PA)
- …Health Counselor) Preferred Qualifications + Crisis intervention skills preferred managed care/ utilization review experience preferred + Case management and ... and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- Overview Location : 7000 Park Lane, Pittsburgh, PA (Robinson Twp) The Case Manager 's primary duty is to assist customers with chronic illnesses in their assigned ... territory by accessing their well-being needs, journey, and treatment plan. The Case Manager collaborates and maintains consistent communications with internal… 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 ... Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and … 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
- Penn Medicine (Philadelphia, PA)
- …life's work? Penn Presbyterian Medical Center is looking for a Discharge Planning RN Case Manager Penn Medicine. At Penn Presbyterian, we provide excellent care ... when they leave. As a Discharge Planning RN - Case Manager , you play a key part...3-5 years of acute care experience preferred * Prior utilization management and/or discharge planning or relevant experience is… more
- Penn Medicine (Philadelphia, PA)
- …advancing their critical thinking skills and being a strong patient advocate.The case manager conducts utilization management activities, communication with ... the 12 hour shifts but are fearful you will miss patient contact?If so, our nurse case manager role at Penn Medicine is the perfect transition career for you,… more
- Geisinger (Mifflintown, PA)
- …to the performance of the job related to that position. Position Details As a RN Case Manager you will directly impact your patient's life by connecting them to ... services with the goal of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery of care model to… 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, as ... to facilitate the achievement of desired patient, quality, and financial outcomes. In general, case managers are assigned to a specific campus. However, all case … more
- Highmark Health (Pittsburgh, PA)
- …20240228 REPOSTED: 20240419 REPOSTED: 20240614 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 72 hours every ... shifts (Monday - Friday) No overnights Includes rotating holidays Union: Yes ** CASE MANAGEMENT:** The Case Management Department at Allegheny General Hospital… more
- Amergis (Monroeville, PA)
- The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... assessments and ongoingreassessments of the patient's status + Documents patient case information within a database system + Performs chart review/audits monthly… more
- Penn Medicine (Philadelphia, PA)
- …quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources, ... resources + Participates and drives accountability in daily interdisciplinary meetings + Utilization Management: + Adheres to guidelines to satisfy 3rd party payer… more
- St. Luke's University Health Network (Allentown, PA)
- …physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management. + Facilitates ... admission and/or referral to appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of the utilization … more
- Sunrun (Harrisburg, PA)
- …our commitment to diversity, inclusion and belonging. **Overview** The PartnerCase Manager is responsible for coordinating effective execution of field service work ... and dispatch customer appointments in conjunction with Tech routes, schedules and utilization + Initiate and create tasks to complete further work required for… more
