• Compliance Case Manager

    Mitsubishi Chemical Group (Harrisburg, PA)
    ** Compliance Case Manager (2082)** + Title: Compliance Case Manager + Group Company: Mitsubishi Chemical America + Location:Remote Group Company: ... as they are today. Job Purpose Mitsubishi Chemical Group is seeking a ** Compliance Case Manager ** to join a team committed to excellence, continuous… more
    Mitsubishi Chemical Group (05/30/25)
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  • RN Case Manager

    ChenMed (Philadelphia, PA)
    …We're rapidly expanding and we need great people to join our team. The RN Case Manager (Community Care Nurse) is an on-site role within our Primary Care ... and post-acute facilities, as well as, their home environments. The Nurse Case Manager role also involves establishing relationships with patients' families… more
    ChenMed (03/08/25)
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  • Claims Case Manager II (NE)

    Guardian Life (Harrisburg, PA)
    **Position Summary** The Group Life Claims Case Manager II is responsible for paying beneficiaries of members life and AD&D claims. They will spend 6-8 weeks in ... eligibility claims while being mentored. The Group Life Claims Case Manager II then begins to build...experience or product knowledge strongly preferred + Regulatory and Compliance experience a plus + Understanding of medical terminology… more
    Guardian Life (05/28/25)
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  • Case Manager

    PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
    …perspective and experience makes ConnectiveRx better than the sum of its parts. The Case Manager 's primary duty is to assist customers with chronic illnesses in ... to their wellbeing needs, journey and treatment plan. The Case Manager collaborates and maintains consistent communications...concerns. Case Managers use discretion for timely case resolution and maintains compliance based on… more
    PSKW LLC dba ConnectiveRx LLC (04/22/25)
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  • Hospice RN Case Manager

    Trinity Health (Newtown, PA)
    …**Description:** **St. Mary's Home care & Hospice is seeking a full time Hospice RN Case Manager ** $10K Sign on bonus offered Signing Bonus is not applicable to ... access to our Virtual Care Center RNs. **Hospice RN Case Manager position summary** Our Hospice RN...the physician, and/or requested by the client/family, and in compliance with the state's Nurse Practice Act, any applicable… more
    Trinity Health (04/18/25)
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  • Case Manager (Full Time), St.Vincent

    Highmark Health (Erie, PA)
    …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... Case Management - American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for Case Manager Certification… more
    Highmark Health (05/31/25)
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  • RN, Case Manager (Part time), Forbes

    Highmark Health (Monroeville, PA)
    …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... and authorizations for post-acute services as needed and with compliance with all regulatory and contractual requirements. + Documents,...- American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for … more
    Highmark Health (05/13/25)
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  • Case Manager RN - Field (PA)

    CVS Health (Chester Springs, PA)
    …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... + Discharge planning or home health care with Medicare members + Certified Case Manager or Additional national professional certification (CRC, CDMS, CRRN, COHN,… more
    CVS Health (05/17/25)
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  • Targeted Case Manager - Penn Hall…

    Penn Medicine (Philadelphia, PA)
    …with possible co-occurring substance abuse issues and/or homelessness. The Targeted Case Manager assists participants with linking with services, monitoring ... attainable level in the community. Responsibilities: + Adheres to compliance standards in service provision as mandated by the...activities in collaboration with the psychiatric provider and clinical case manager at Hall Mercer or at… more
    Penn Medicine (05/29/25)
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  • Case Manager / PRN ( RN / RT / SW…

    Select Medical (Pittsburgh, PA)
    **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...resource management within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. +… more
    Select Medical (04/12/25)
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  • Case Manager ( RN / RT / SW / LPN…

    Select Medical (Natrona Heights, PA)
    **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** **$7500 Sign On Bonus** _Requires a current licensure in a clinical discipline either as a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...resource management within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. +… more
    Select Medical (04/09/25)
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  • Complex Case Manager RN - Oncology…

    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 a care plan, encouraging behavior… more
    Highmark Health (05/31/25)
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  • Foster Care Case Manager

    Sevita (Harrisburg, PA)
    …a difference every day in the lives of the people we serve. As Foster Care Case Manager you will provide support and resources to children and foster families, ... join our mission-driven team and experience a career well lived. ** Case Management Program Clinical Coordinator** **Harrisburg, York, Cumberland County Areas**… more
    Sevita (05/28/25)
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  • Manager Case Management - Day Shift…

    Penn State Health (Lancaster, PA)
    …sexual orientation, veteran status, and family medical or genetic information._ **Position** Manager Case Management - DAY SHIFT - Patient Experience ... Erin W. McCaw at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Manager of Case Management is a member of the… more
    Penn State Health (04/05/25)
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  • RN Acute Case Manager $55/hr

    Amergis (Pittsburgh, PA)
    Salary: $2326 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of ... resources, service delivery, and compliance with medical regime. Essential Duties and Responsibilities: +...ongoing reassessments of the patient's status + Documents patient case information within a database system + Performs chart… more
    Amergis (05/29/25)
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  • Foster Care Case Manager

    Sevita (Broomall, PA)
    …individuals and families, join our mission-driven team and experience a career well lived. ** Case Manager Foster Care** **$43K** Everybody needs a job but only ... serve. + Coordinate the development, review, and implementation of services, case management, behavior intervention plans, and treatments provided to individuals… more
    Sevita (05/25/25)
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  • Senior Case Manager

    Cardinal Health (Harrisburg, PA)
    …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... including patient education, regular check-ins, and addressing potential barriers to compliance . + Take ownership of intricate patient cases involving multiple… more
    Cardinal Health (04/29/25)
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  • RN Case Manager Inpatient, Allegheny…

    Highmark Health (Pittsburgh, PA)
    …**Job Description :** Date Posted: 20250207 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 80 hours every two ... hours per week, rotating weekends and holidays Union: Yes ** CASE MANAGEMENT:** The Case Management Department at Allegheny General Hospital assists patients and… more
    Highmark Health (05/17/25)
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  • Senior Coordinator, Individualized Care…

    Cardinal Health (Harrisburg, PA)
    …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Provide caseload coverage outside of assigned duties as needed. + Ensure compliance with company and manufacturer policies. **_Qualifications_** + 3-6 years of… more
    Cardinal Health (03/15/25)
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  • Social Work Case Manager - Full Time…

    Highmark Health (Pittsburgh, PA)
    …Description :** **$10,000 sign on bonus available** **GENERAL OVERVIEW:** The Social Work Case Manager in Care Management is a professional clinician that ... utilizes principles of care coordination to support patients and their families/caregivers. The incumbent collaborates with the interdisciplinary team of providers, clinicians, health plans, and external partners while advocating for patients and… more
    Highmark Health (03/04/25)
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