- UPMC (Hanover, PA)
- **UPMC is hiring a Professional Care Manager to support the Utilization Review process! This is a full time, day shift position with a rotating weekend and ... This position is eligible for a generous Sign on Bonus! _** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs… more
- Guthrie (Sayre, PA)
- …and cost- effective manner. The Manager -of Case Management supports utilization management, discharge planning, denial prevention, and care coordination ... right time. + Manages and assumes responsibility for day-to-day operations of utilization management, care coordination, and discharge planning activities. +… more
- UPMC (West Mifflin, PA)
- …the members you are caring for? UPMC Health Plan is hiring a full-time Clinical Care Manager to work onsite in the McKeesport and Edgewood areas. This position ... Friday, with no evenings or weekends! As a Clinical Care Manager , you will be responsible for... provider that promotes healthy lifestyles, closes gaps in care , and reduces unnecessary ER utilization and… more
- St. Luke's University Health Network (Easton, PA)
- …ability to pay for health care . The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of ... and psychosocial processes. + Uses electronic systems to accurately document care manager functions. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for… more
- Geisinger (Bellefonte, PA)
- …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 ... in the delivery of healthcare for the identified population. + Develops systems of care that monitor progress and promote early intervention in acute care … more
- Geisinger (Danville, PA)
- …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 ... in the delivery of healthcare for the identified population. + Develops systems of care that monitor progress and promote early intervention in acute care … more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a Clinical Care Manager to function as a Health Plan Specialist. This role will work standard daylight hours, Monday through Friday, ... provider that promotes healthy lifestyles, closes gaps in care , and reduces unnecessary ER utilization and...gaps in care , and reduces unnecessary ER utilization and hospital readmissions. Coordinate and modify the … more
- WellSpan Health (York, PA)
- …and/or under utilization . + Facilitates and coordinates the progression of patient care to optimize throughput and the utilization of resources to support ... Registered Nurse - Case Manager - Days Location: WellSpan Health, York, PA...continuous quality and cost of care efforts. + Liaisons between utilization management… more
- Geisinger (Danville, PA)
- …process and clinical pharmacy services in their assigned area. Additionally, the manager will provide quality pharmaceutical care defined as being responsible ... Job Summary The manager position will vary in scope and complexity...will utilize integrated and routine communication with all health care professionals as well as patients concerning medication therapy… more
- St. Luke's University Health Network (Bethlehem, PA)
- …Care Manager , Per Diem coordinates the overall progression of care , resource utilization , and discharge planning for designated patient populations across ... mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care… more
- Spectrum Health Services (Philadelphia, PA)
- …hospital, specialty care practices, health plan staff, and others, the Nurse Care Manager identifies and proactively manages the needs of patients with high ... basis appropriate to the needs of the individual. The care manager develops and implements a person-centered...assesses patients for risk of adverse health outcomes, inappropriate utilization , and monitors the impact of care … more
- Wolters Kluwer (Philadelphia, PA)
- …and effective care . **ESSENTIAL DUTIES & RESPONSIBILITIES** The **Customer Success Manager - National Accounts** plays a lead role in managing and driving our ... (HIT) provider working on the front lines of clinical care . Our talented team of physician and pharmacist editors,...customer's product utilization across the CE product portfolio. He/she serves as… more
- WellSpan Health (Gettysburg, PA)
- …acute care experience. Required + Field of experience in Utilization management, case management or clinical nursing specialty. Preferred Licenses: + Licensed ... Case Manager - RN - Weekend Option Location: WellSpan...General Summary Performs a variety of duties and applies utilization and case management techniques to determine the most… more
- UPMC (Mechanicsburg, PA)
- **UPMC is hiring a Sr. Professional Care Manager for UPMC West Shore! This is a full time, day shift position and requires a rotating weekend and holiday ... schedule.** **Purpose:** The Senior Care Manager (CM) coordinates the clinical and...utilization management, resource management, discharge planning and post-acute care referrals and authorizations. Works with multi-disciplinary team in… more
- BAYADA Home Health Care (Exton, PA)
- …clinical documentation, including OASIS and care plan coding + Monitor episodic utilization + Act as internal case manager and client advocate + Participate ... exciting career paths. **The PT, OT, RN, or SLP Rehab Manager will:** + Direct and coordinate the care provided by a multi-disciplinary care team + Lead… more
- Lancaster General Health (Lancaster, PA)
- …be based out of hospital. **Job Description** **POSITION SUMMARY:** The Behavioral Health Care Manager is a master's level behavioral health professional who ... with comorbid medical, mental health and/or substance use disorders. The Behavioral Health Care Manager leverages their behavioral health expertise in providing … more
- St. Luke's University Health Network (Allentown, PA)
- … in the communities we serve, regardless of a patient's ability to pay for health care . The Outpatient Care Manager , Social Worker (OP CM SW) is responsible ... The OP CM SW also collaborates with the Outpatient Care Manager RN, Community Health Worker and...bio-psychosocial needs to ensure efficient and effective continuity of care , utilization of resources and to avoid… more
- Crossroads Hospice & Palliative Care (Philadelphia, PA)
- …case management principles to ensure continuity of care and appropriate resource utilization RN, Case Manager Registered Nurse Schedule & Benefits: + Monday ... As a Registered Nurse Case Manager , you will provide direct care to patients in their homes or care facilities. Your role goes beyond offering medical… more
- Crossroads Hospice & Palliative Care (Chester, PA)
- …management principles to ensure continuity of care and appropriate resource utilization Registered Nurse (RN) Hospice Case Manager Schedule & Benefits: + ... care in homes and facilities. Registered Nurse (RN) Hospice Case Manager Responsibilities: + Provide direct patient care , including assessing and monitoring… more
- Penn Medicine (Philadelphia, PA)
- …39th St **Hours:** Per Departmental Needs - Full Time Summary: + The Clinical Care Manager is responsible for promoting organizational values of patient and ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more