- Highmark Health (Harrisburg, PA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- WellSpan Health (Lebanon, PA)
- …Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to… more
- CVS Health (Harrisburg, PA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Humana (Harrisburg, PA)
- …optimal health. **Use your skills to make an impact** **Required Qualifications** + Unrestricted Registered Nurse ( RN ) license in state of residency, with ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic...Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… more
- Sharecare (Harrisburg, PA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- WellSpan Health (Mount Gretna, PA)
- …2 years Nursing experience and recent behavioral health experience required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... care and treatment progress. + Participates in daily communication with primary nurse , communicating any clinical concerns and assist in developing an action plan… more
- Sedgwick (Harrisburg, PA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing in PA and are looking ... for Field Case Managers who have at least 1.5 years of...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Harrisburg, PA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance 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 advocacy,… more
- WellSpan Health (York, PA)
- …clinical functions of more than one practice with the oversight of a Registered Nurse . **Duties and Responsibilities** **Essential Functions:** + Maintains a ... Diagnostic Test Tracking, Med Reconciliation and PCMN. + Assumes manager role when Practice Manager /Front Office Supervisor...Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or +… more
- Highmark Health (Harrisburg, PA)
- …+ 5 - 7 years in Social Work **LICENSES OR CERTIFICATIONS** **Required** + Registered Nurse or + Licensed Clinical Social Worker (LCSW) - Non-Specific ... **Job Description :** **JOB SUMMARY** This job delivers highly complex clinical and systems training courses, ongoing workshops in...**Preferred** + ACM Certification (Accredited Case Manager ) **SKILLS** + Adult Learning: Theory… more