- UPMC (Hanover, PA)
- **UPMC is hiring a part time Professional Care Manager for our Utilization Review department in Hanover! This is a part time, day shift position with a ... rotating weekend and holiday schedule.** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall … more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Care Management Department in Allegheny ... County! The Mobile Professional Care Manager will work flexible hours, Monday...LPC. + Three years of experience in behavioral, clinical, utilization management, home care , discharge planning, and/or… more
- UPMC (Pittsburgh, PA)
- …Individuals hired into this role will be hired into the appropriate title as either a Mobile Professional Care Manager , Sr Mobile Care Manager , or ... members, peers, and external contacts. + For Sr Mobile Care Manager + Master's degree in social...experience. + 3 years of experience in behavioral, clinical, utilization management, home care , discharge planning, and/or… more
- UPMC (Pittsburgh, PA)
- …UPMC Children's Hospital has fulfilled this mission since its founding in 1890.** The Care Manager (CM) coordinates the clinical and financial plan for patients. ... utilization management, resource management, discharge planning and post-acute care referrals and authorizations. Works with multi-disciplinary team in resource… more
- Magellan Health Services (Newtown, PA)
- …and analysis. + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. ... and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data....quality of care . General Job Information Title Care Manager , BH - Remote PA Grade… more
- UPMC (Latrobe, PA)
- …salary will be determined based upon education and nursing experience for Sr. Professional Care Manager within the Insurance Services Division ... for? UPMC Health Plan is hiring a full-time Clinical Care Manager to work onsite, splitting time... provider that promotes healthy lifestyles, closes gaps in care , and reduces unnecessary ER utilization and… more
- Geisinger (Danville, PA)
- …of experience and build a rewarding, lasting career by joining us as a RN Case Manager - Care Coordinator for the Geisinger Medical Center Inpatient Care ... facet of life to drive total health, inside and out. Through professional growth, quality improvement, and interdisciplinary collaboration, we've built an innovative… more
- St. Luke's University Health Network (Allentown, PA)
- …ability to pay for health care . The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of ... and psychosocial processes. + Uses electronic systems to accurately document care manager functions. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for… more
- Geisinger (Wilkes-Barre, PA)
- …us your resume here, we'd love to hear from you! Job Duties The RN Care Manager assesses, plans, implements, coordinates, monitors and evaluates all options and ... day - our friends, neighbors, and family members. Through professional growth, quality improvement, and interdisciplinary collaboration, we've built... Care Services Operations team as a RN Care Manager at GWV Geisinger Wyoming Valley.… more
- UPMC (Pittsburgh, PA)
- Exciting opportunity at UPMC Corporate Quality! We are looking for a Telephonic Care Manager to join our team. This role involves working standard daylight ... be hybrid with onsite requirements as needed. The Telephonic Care Manager is responsible for care... provider that promotes healthy lifestyles, closes gaps in care , and reduces unnecessary ER utilization and… more
- ConvaTec (Pittsburgh, PA)
- …effective utilization of the products by all trained Health Care Professionals within assigned territory + Network andbuildrelationships across multiple care ... of chronic conditions, with leading positions in advanced wound care , ostomy care , continence care ,...us on our journey to #ForeverCaring as a Territory Manager and you'll do the same. **About the Role**… more
- UPMC (Pittsburgh, PA)
- …health needs that might be negatively impacting the member's health and well-being. The Care Manager Associate will work daylight hours in a hybrid work ... clinical, and financial outcomes along the defined continuum of care . The Care Manager Associate...Community Service Team to gain an understanding of clinical care / utilization management. The Associate collects or assists… more
- St. Luke's University Health Network (Lehighton, PA)
- …ability to pay for health care . The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of ... mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care… more
- Trinity Health (Philadelphia, PA)
- …skilled nursing care , prescribe treatments, and develop appropriate plans of care to participants according to professional nursing standards and primary ... skilled nursing care and prescribed treatments to participants according to professional nursing standards and primary care orders. Demonstrates nursing … more
- Highmark Health (Monroeville, PA)
- …and caregivers in order to align goals and plans. Incumbents will serve as professional role models, utilizing their expertise in care management to promote a ... interdisciplinary team partners including but not limited to: appropriateness of care , documentation requirements, utilization review principles and criteria,… more
- Highmark Health (Monroeville, PA)
- …promote a collaborative professional environment that supports excellence of care and achievement of optimal resource utilization . Also facilitates ... in accordance with recognized standards of practice for Care Management. Professional role model utilizing expertise...third party payers. + Maintains a working knowledge of care management, care coordination changes, utilization… more
- Guthrie (Sayre, PA)
- …utilization . Fosters change, and teamwork. Performs clinical duties of the patient care role related to professional specialty. Education, License & Cert: ... leaders in these efforts. Seeks creative methods to resolve conflicts. Promotes multi‐disciplinary care of the patient. Keep Clinical Manager / Director informed… more
- Cherry Bekaert (Harrisburg, PA)
- …and tools to support Cherry Bekaert's (https://www.cbh.com/) growth. As a Resource Manager you are collaborating with executive and staff-level professionals in this ... highly visible role. As a Resource Manager you will implement leadership strategies while executing the...accurate and timely report analysis related to projected/actual hours, utilization and headcount at both an organizational level and… more
- University of Pennsylvania (Philadelphia, PA)
- …and their families, generous retirement benefits, a wide variety of professional development opportunities, supportive work and family benefits, a wealth of ... resources, and much more. Posted Job Title Research Facilities Manager B (Immune Health Institute) Job Profile Title ...lab setup for new faculty recruits + Maintain space utilization documentation and assist with space reporting Staff Training… more
- UPMC (Williamsport, PA)
- …or other related healthcare professional license is required. + CCM (Certified Case Manager ) or ACM (Accredited Case Manager ) or other nursing or social work ... **UPMC is seeking a Casual Discharge Plan Manager .** This role primarily involves working the day...This role involves assessing relevant factors, engaging with the care team, and focusing on an optimal discharge plan… more