- Highmark Health (Harrisburg, PA)
- …:** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a specified panel of ... and regulatory agency requirements and applicable standards of practice for case management . + Other duties as assigned or requested. **REQUIRED EDUCATION** +… more
- Highmark Health (Harrisburg, PA)
- …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 ... local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by… more
- 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
- Guardian Life (Harrisburg, PA)
- The **Group Life/Supplemental Health Claims Case Manager II** is responsible for making timely and accurate decisions on assigned claims through proactive ... case management according to plan provisions, state...service to all internal and external customers. The Claims Case Manager II administers claims within a… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …workplace, benefits administrators and individuals from other areas. The Case Manager facilitates the case management process along the healthcare ... Overview The Case Manager 's primary duty is to...and contributing to the patient's positive journey. Facilitate the case management process along the healthcare continuum.… more
- 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 ... guidance and training to junior case managers on best practices in case management , patient interaction, and navigating internal and external systems. +… more
- Veterans Affairs, Veterans Health Administration (Erie, PA)
- …M2VA Case Management Program's Licensed Professional Mental Health Counselor Case Manager provides comprehensive care management service to Post 9/11 ... conditions and the skills to implement treatment modalities. Uses the clinical case management process (psychosocial assessment, diagnosis, and treatment) in… more
- Devereux Advanced Behavioral Health (Downingtown, PA)
- **Description** ** Join Our Team as a School and Community Clinical Case Manager ! ** Are you passionate about making a difference in the lives of students and ... We're looking for a dedicated School and Community Clinical Case Manager to join our team and...standards. Your role will involve individual therapy, family counseling, case management , prevention, and consultation services, all… more
- Public Consulting Group (Harrisburg, PA)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Sedgwick (Philadelphia, PA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this time.** ... **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in...or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning… more
- Guardian Life (Harrisburg, PA)
- …with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals ... minimum of 3 years of experience handling appeals or complex claims (preferred). + Bachelor's Degree (preferred) or equivalent...learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to… more
- 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 ... and customers, striving for one-call resolution. + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Must… more
- Travelers Insurance Company (Harrisburg, PA)
- …damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. + Position ... evaluate, reserve, negotiate and resolve the company's most severe and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury… more
- Rocket Software (Harrisburg, PA)
- …Success leader that can help build out and lead our Sr. CSM group. As the Manager , Customer Success Management , you will lead a team of our Senior Customer ... out and lead our Sr. CSM group. As the Manager , Customer Success Management , you will lead...determination on your request for reasonable accommodation on a case -by- case basis. _It is unlawful in Massachusetts… more
- Lumen (Harrisburg, PA)
- …connect the world and shape the future. **The Role** As Sr. Marketing Manager for the Marketing, Offers, Resources and Experience Team (MORE Team), you will ... to be creative, and develop relationships with cross-functional partners in sales management , national and local marketing, product development and more. This job… more
- Banner Health (PA)
- …Looking for a motivated, experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or CCS and/or RHIT or RHIA Certifications,** to join ... specific patient types and specialties in combination with the Case Mix Index and case financial information...both the Banner Coding Education team and your hiring manager , with continued support throughout your career here! _*This… more
- UPMC (Latrobe, PA)
- …looking for an opportunity to use your nursing background in outpatient, home health, or case management Do you have an interest in health insurance, but thrive ... Medication Review as appropriate. + Refer members to appropriate case management , health management , or...with members and providers. + Present or contribute to complex case reviews by the interdisciplinary team… more
- Deloitte (Camp Hill, PA)
- …ends on May 13, 2025. Work you'll do As a Talent Strategy & Program Management Manager within TIS, you will support strategy development, design, and execution ... The Team Significant shifts in both the environment and our firm strategy, talent management , and our current Deloitte workforce are evolving at a critical pace. The… more
- Deloitte (Philadelphia, PA)
- …questions, you should consider a career in Deloitte's International Private Equity and Investment Management practice. What You'll Do As a Manager , you will work ... with first-hand knowledge of the private equity and investment management industries? Do phrases like "cross border investment advisory"...to US and foreign clients while identifying and analyzing complex issues? If you answered "Yes" to any of… more
- Deloitte (Philadelphia, PA)
- Are you a strategic and creative Multistate Tax professional who loves solving complex state and local tax issues? Are you intrigued by the tax considerations ... specific to investment management , private equity, real estate and/or hedge fund clients?...for you! We are looking for an innovative, analytical Manager who is ready to handle new challenges and… more