• Sr. Professional Care Manager

    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...stay (LOS) and facilitate discharge. Addresses complex clinical and social situations efficiently in order to avoid unnecessary delays… more
    UPMC (12/07/24)
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  • Professional Care Manager

    UPMC (Harrisburg, PA)
    **UPMC is hiring a Care Manager for our Care Management department at UPMC Community Osteopathic hospital in Harrisburg! This a full time, day shift position ... for a generous Sign on Bonus! _** **Purpose:** The Care Manager (CM) coordinates the clinical and...stay (LOS) and facilitate discharge. Addresses complex clinical and social situations efficiently in order to avoid unnecessary delays… more
    UPMC (12/07/24)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Harrisburg, PA)
    … more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders (CPC). The ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
    CVS Health (12/25/24)
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  • Care Manager Behavioral Health…

    Highmark Health (Harrisburg, PA)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance ... of the following) + Licensed Social Worker (LSW) + Licensed Clinical Social Worker (LCSW) + Licensed Professional Counselor (LPC) + Licensed Marriage and… more
    Highmark Health (12/12/24)
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  • Care Manager - Remote

    Sharecare (Harrisburg, PA)
    **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
    Sharecare (12/04/24)
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  • Care Manager

    Centene Corporation (Harrisburg, PA)
    …8AM - 5PM.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members ... to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health… more
    Centene Corporation (01/10/25)
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  • Senior Manager , Professional

    Bausch + Lomb (York, PA)
    …to continue leading the advancement of eye health in the future. The Senior Manager , Professional Strategy will help create and deploy strategic plans to ... with Key Opinion Leaders (KOLs), key accounts, educational institutions, and professional associations, in support of the Bausch & Lomb Pharmaceutical business.… more
    Bausch + Lomb (12/05/24)
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  • Part-time Care Manager (RN) - Float…

    UPMC (Harrisburg, PA)
    …help to develop safe and appropriate discharge plans using available resources._ The Care Manager (CM) coordinates the clinical and financial plan for patients. ... overall utilization management, resource management, discharge planning and post-acute care referrals and authorizations. Works with multi-disciplinary team in… more
    UPMC (12/12/24)
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  • Care Manager (RN) Casual - Case…

    UPMC (Carlisle, PA)
    The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management, resource management, discharge planning ... and post-acute care referrals and authorizations. Works with multi-disciplinary team in...stay (LOS) and facilitate discharge. Addresses complex clinical and social situations efficiently in order to avoid unnecessary delays… more
    UPMC (12/07/24)
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  • Nurse Manager - Surgery & Rehab Hospital…

    WellSpan Health (York, PA)
    …education in appropriate communication to protect patient confidentiality. Advocates social / professional equity among staff; promotes culturally congruent ... Nurse Manager - Surgery & Rehab Hospital - Acute...Touch By the time a patient arrives in the care of a rehabilitation nurse, their life has already… more
    WellSpan Health (12/19/24)
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  • Clinical Case Manager Behavioral Health…

    CVS Health (Harrisburg, PA)
    …is required:(LCSW Licensed Clinical Social Worker, LISW Licensed Independent Social Worker, LCPC Licensed Clinical Professional Counselor, LP Licensed ... + Managed care /utilization review experience preferred **Education** Masters Degree in Social Work or Counseling required **Pay Range** The typical pay range for… more
    CVS Health (01/04/25)
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  • Medical Case Manager - Remote (Harrisburg,…

    Highmark Health (Harrisburg, PA)
    …and/or psychosocial needs have access to high quality, cost-effective health care . Assists in the holistic assessment, planning, arranging, coordinating, monitoring, ... member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with… more
    Highmark Health (12/24/24)
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  • FML Claims Case Manager II

    Guardian Life (Harrisburg, PA)
    …we feel our employees should also receive the same amount of attention and care . In addition to the typical benefits package that you would receive from another ... the best at what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively managing Leave of Absence programs and individual… more
    Guardian Life (12/06/24)
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  • Assist. Nurse Manager / Clinician - M5…

    UPMC (Harrisburg, PA)
    **_Please note this is a Day/Evening position._** **_Main 5_** _is a 29-bed acute care medical unit that is dedicated to providing high quality compassionate care ... will find an environment that fosters teamwork and support, professional growth, shared decision making and a focus on...the achievement of a culture of excellence and patient care . The Clinician is a highly developed role model… more
    UPMC (12/07/24)
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  • Manager , Education Services - New England

    Public Consulting Group (Harrisburg, PA)
    …impact education. As a member of the Education Practice senior leadership group, the Manager will develop and execute the vision and growth strategy for the assigned ... and in collaboration with other members of the senior leadership team. The Manager partners with strategic clients and internal teams to understand complex issues… more
    Public Consulting Group (10/19/24)
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  • Referral Relationship Manager , Part Time

    Ethos Veterinary Health (Cockeysville, MD)
    …24 hours-a-day to ensure that all of our patients receive the highest quality care . GENERAL OVERVIEW: The Referral Relationship Manager (RRM) serves as a liaison ... Cockeysville, MD is hiring a part- time Referral Relationship Manager to join our outstanding team! + This position...Chesapeake Veterinary Surgical Specialists (CVSS) is associated with emergency care facilities that have 24-hour doctor care more
    Ethos Veterinary Health (12/19/24)
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  • Manager , Fraud and Waste * Special…

    Humana (Harrisburg, PA)
    …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...federal CMS and state fraud meetings with other managed care organizations, as well as state and federal employees.… more
    Humana (12/19/24)
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  • Manager of Case Management RN - Day

    WellSpan Health (Lebanon, PA)
    …room case management support, readmission, and utilization management. Working in dyad with Manager of Case Management Social Work. General Summary With matrix ... Manager of Case Management RN - Day Location:...Provides direction to staff regarding case management, discharge planning, social services and utilization management. Provides input into the… more
    WellSpan Health (12/18/24)
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  • RN Hospice Case Manager

    Amergis (Hunt Valley, MD)
    The Registered Nurse - Hospice Case Manager is responsible for providing care , comfort and support to terminally ill patients. The Registered Nurse - Hospice ... Responsibilities: + Will be operating in both a Case Manager Capacity and Hands-on Hospice care (Plan...in discharge planning when necessary working with relevant patient care , social services, and other departments +… more
    Amergis (11/27/24)
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  • Field Case Manager RN - (Montgomery, Bucks,…

    CVS Health (Harrisburg, PA)
    …and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity ... of network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment,… more
    CVS Health (12/22/24)
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