- 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
- 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
- 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
- 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
- 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
- Cardinal Health (Harrisburg, PA)
- …impact insurance processing and minimize rejections * Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate * Place ... Answer minimal inbound calls from doctors and/or patients checking on status of case * Maintain quality while providing an empathetic and supportive experience to… 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 (Mechanicsburg, 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
- Cardinal Health (Harrisburg, PA)
- …to Cardinal Health** Transformation enables the organization to drive complex and transformational programs through disciplined project/program management ... in related field, or equivalent work experience, preferred + Extensive project management experience leading cross-functional teams with complex projects and… more
- Cardinal Health (Harrisburg, PA)
- … management processes and tools. Create technical documentation for troubleshooting complex support issues. Drive increased efficiencies in case resolution ... adoption and change management + Demonstrated ability to develop and communicate complex concepts & strategy in a clear and concise manner to a variety of… more
- J&J Family of Companies (Harrisburg, PA)
- Innovative Medicine (IM) Transcend - MAKE-CMMS Global Business Template Manager - 2406190568W **Description** Johnson & Johnson is seeking an outstanding individual ... **Innovative Medicine (IM) Transcend - MAKE-CMMS Global Business Template Manager ** . **Remote work options may be considered on.... **Remote work options may be considered on a case -by- case basis and if approved by the… more
- Lumen (Harrisburg, PA)
- …and shaping the future. **The Role** We are seeking a Lead Solutions Marketing Manager to drive the creation and delivery of unique market positioning and sales ... have a passion for storytelling, an ability to simplify complex concepts, and can easily collaborate with multiple resources...will drive engaging content. The Lead AI Solutions Marketing Manager is expected to be a content marketing expert… more
- WellSpan Health (Mount Gretna, PA)
- Manager Behavioral Health Operations - Access Center & ED's - Days Location: WellSpan Philhaven, Mount Gretna, PA Schedule: Full time (80 hours biweekly) Weekdays, ... with program operations, budgeting, outcomes and other data collection, the management and oversight of support needs and client care documentation/medical records.… more
- Rocket Software (Harrisburg, PA)
- …position requires a seasoned leader with a strong understanding of program management principles, capable of navigating complex environments, managing risks, and ... truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Program Manager is a pivotal role responsible for managing the successful delivery of… more