- Merck & Co. (North Wales, PA)
- …interacting with multiple channels to access drug, medical and practice management information as needed, real-time. To enhance our Company Oncology's Go-To-Market ... across our promotional mix. In this role, the Customer Engagement Manager will define non-personal promotion HCP customer channel and engagement strategies… more
- Elevance Health (Seven Fields, PA)
- …inter and intradepartmental teams projects and initiatives. + Previous experience in case management / utilization management with a broad range of experience ... **Hours:** Monday-Friday 8:00 am -5:00 pm Eastern Standard Time The Behavioral Health Care Manager II is responsible for managing psychiatric and substance abuse… more
- UPMC (Mckeesport, PA)
- **UPMC McKeesport is looking for a Senior Discharge Plan Manager to support their Behavioral Health department!** The title and starting pay rate of this ... on years of experience and qualifications. **Purpose:** The Senior Discharge Plan Manager functions as the coordinator and is accountable for all post-discharge… more
- Elevance Health (Seven Fields, PA)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the appropriate and...Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical… 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 (Greenville, PA)
- …year 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
- UPMC (Latrobe, 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
- Highmark Health (Monroeville, 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
- Universal Health Services (King Of Prussia, PA)
- …categories serving a total of 392 facilities, including: Acute Care, BH ( Behavioral Health), IPMs (Independent Physician Management ), Alt (Alternate) Sites and ... ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points,… 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 ... Incumbents will utilize nationally recognized standards of practice for case management by collaborating with providers, clinical teams, health plans, and external… 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 ... **_Penn Medicine Lancaster General Health is recruiting for a full-time inpatient Case Manager to join a team of dedicated Case Managers managing a variety complex… more
- CenterWell (Harrisburg, PA)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... ER visits, readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management programs with primary… 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
- Highmark Health (Pittsburgh, PA)
- …Description :** Date Posted: 20240424 Location: Allegheny General Hospital Department: Case Management , Inpatient Status: Full Time Shift: 80 hours every two weeks ... M-F, 40 hours per week, rotating weekends and holidays Union: Yes **CASE MANAGEMENT :** The Case Management Department at Allegheny General Hospital assists… more
- Centene Corporation (Harrisburg, PA)
- …healthcare environment Required 3+ years of experience in managed care, plus utilization management , care coordination, disease management , Medicare, ... on a regular basis.** **Position Purpose:** Functions as a program development manager in collaboration with Quality, Health Services and Operations business owners… more
- Ford Motor Company (Harrisburg, PA)
- …is best-in-class. **In this position ** The Accessories eCommerce Merchandising Manager is responsible for deeply understanding customer needs and optimizing the ... business value daily by pulling, analyzing, and translating web analytics and behavioral data into actionable insights to enhance sales, conversion, and customer… more
- UPMC (Pittsburgh, PA)
- UPMC's Western Psychiatric Hospital is in search of Discharge Plan Manager /Social Worker to join our Inpatient Social Work team! The Discharge Plan Manager (DPM) ... provided to help facilitate career growth! The Discharge Plan Manager functions as the coordinator and is accountable for...a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews… more
- Ford Motor Company (Harrisburg, PA)
- …is best-in-class. **In this position ** The Non-Vehicle eCommerce Operations Senior Manager is responsible for deeply understanding B2C and B2B Parts and Accessories ... efficiency and customer satisfaction by pulling, analyzing, and translating analytics and behavioral data into actionable insights with forecasted values for each to… more
- Nestle (Mechanicsburg, PA)
- …with governmental regulation (local, state, and federal) + Responsible for the Management of the Following Programs: Behavioral Based Safety, Chemical Approval, ... accident, zero defect, zero waste mentality. As a Safety Manager , you will lead the implementation of policies and...Industrial Hygiene, Workers Compensation, Incident Case Management , Bloodborne Pathogen, Hearing Conservation, PPE Management ,… more
