- WellSpan Health (York, PA)
- …to ensure appropriate, cost effective treatment and identify areas where both utilization management personnel can collaborate. + Assists with the collection ... Utilization Care Manager Location: York Hospital,...treatment services. Required and + Previous quality assessment and utilization management experience. Required + Experience with… more
- Evolent Health (Harrisburg, PA)
- …contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Client Services. In ... the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as...proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via… more
- AmeriHealth Caritas (Harrisburg, PA)
- …applicable, as well as the larger primary care team. The CCM is responsible for proving utilization management and both case and care management , as well as ... ** Behavioral Health Care Manager --PerformCare Pennsylvania** Location:...most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- CVS Health (Harrisburg, PA)
- …and English **Preferred Qualifications** + Crisis intervention skills preferred Managed care/ utilization review experience preferred + Case management and ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
- St. Luke's University Health Network (Allentown, PA)
- …for admission and/or referral to appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of the utilization ... agencies, physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management . +… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? Summary: + Assists Nurse Manager by assuming 24-hour accountability for the operation of the designated patient care ... establish a caring, therapeutic relationship with patients and families through utilization of the principles of Relationship Based Care and effective communication.… more
- St. Luke's University Health Network (Sellersville, PA)
- …in independent living skills of cooking, menu planning, grocery shopping, money management , cleaning, laundry, personal hygiene, etc. + Coach and or supervise ... to transportation policy. + Provide recovery-oriented counseling as evidenced by utilization of active listening skills and other motivational enhancement techniques… more
- Magellan Health Services (Bethlehem, PA)
- …collaboration with other members of the clinical team, authorizes and reviews utilization of autism services, including Applied Behavioral Analysis (ABA). ... of the members progress are ongoing. Assures overall case management with the inclusion of behavioral health...+ Maintains an active workload in accordance with Care Manager Performance Standards. + Works with community agencies as… more
- UPMC (Blawnox, PA)
- …of health insurance experience required. + 1 year of experience in clinical, utilization management , home care, discharge planning, and/or case management ... by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of care… more
- Magellan Health Services (Johnstown, PA)
- …Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community ... For this position we are seeking PA Behavioral Health licensed professionals who reside in/around Cambria...other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided… more
- Highmark Health (Pittsburgh, PA)
- …effective resource utilization . Serves as key team members in the management of readmissions, length of stay, ED utilization , and patient/family ... or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - American Case … more
- UPMC (Pittsburgh, PA)
- …within the Community Service Team to gain an understanding of clinical care/ utilization management . The Associate collects or assists in the documentation ... of simple to moderately complex care management assignments. The Care Manager Associate supports the clinical staff with administrative tasks and functions. The… more
- Lancaster General Health (Lancaster, PA)
- …Pennsylvania Board of Nursing. + Bachelor's degree in Nursing (BSN). + Knowledge of utilization review or managed care. + Care management experience in a managed ... Medicine Lancaster General Health is recruiting for a full-time Inpatient Case Manager to join our team of dedicated unit-based Case Managers._** **POSITION… more
- Spectrum Health Services (Philadelphia, PA)
- … management basis appropriate to the needs of the individual. The care manager develops and implements a person-centered care management plan based on patient ... care team, assesses patients for risk of adverse health outcomes, inappropriate utilization , and monitors the impact of care management interventions. Essential… 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 and ... most talented and caring, authentic individuals to create a world-class mission-centered behavioral health organization, focused on doing it the right way If you… more
- St. Luke's University Health Network (Sellersville, PA)
- …ability to pay for health care. The responsibilities of the Residential Care Manager are to plan, organize and implement an independent living skills program based ... and self-sufficiency in an independent living situation. The Residential Care Manager provides on-duty coverage and on-call overnight coverage as needed. This… more
- University of Pennsylvania (Philadelphia, PA)
- …and resources, and much more. Posted Job Title Clinical Research Operations Manager , Abramson Cancer Center Clinical Research Unit Job Profile Title Clinical ... Research Program Manager C Job Description Summary The Abramson Cancer Center...CRU Research Teams' Physician Leadership, provide supervision and performance management for each ACC CRU Research Teams' PMs and… more
- Highmark Health (Pittsburgh, PA)
- …:** Date Posted: 20240228 Location: Allegheny General Hospital Department: Case Management , Emergency Department/CDU Status: Full Time Shift: 80 hours every two ... with overnight as needed, rotating weekends and holidays Union: Yes **CASE MANAGEMENT :** The Case Management Department at Allegheny General Hospital assists… more
- LifePoint Health (Johnstown, PA)
- …Case Manager * Job Type:Full-time| Days/Nights/Weekends ** *Department/Unit Summary* Case Management plays an important role in the care of hospitalized patients. ... Our team of RN Case Managers, Social Workers, Utilization Review staff, and Discharge Planners assure that payer...individualized plan of care for our patients. The Case Management staff coordinates with the interdisciplinary team and community… more
- Highmark Health (Zelienople, PA)
- …procurement operations to fulfill their needs. Works cross-functionally with category management , finance and businesses to ensure operational excellence across all ... procurement activities, including supplier/master data management , procurement technology, requisition approval cycle time, purchase order creation, and any KPI/SLA… more