- AmeriHealth Caritas (Harrisburg, PA)
- …www.performcare.org and https://pa.performcare.org/ **Role Overview** The PerformCare - PA Behavioral Health Clinical Care Manager (BH-CCM) is a core ... Founded in 1995,; **PerformCare(R)** ;is a national behavioral health managed care organization that helps health plans and customers provide… more
- Penn State Health (Camp Hill, PA)
- …information._ **Position** RN Care Manager (Per Diem) - DAY SHIFT - Behavioral Health Inpatient Acute Care **Location** US:PA: Camp Hill | Nursing | ... **Penn State Health ** - **Holy Spirit Medical Center** **Location:** US:PA:...care to patients in the community. **Penn State Health offers an exceptional benefits package including medical, dental… more
- CVS Health (Harrisburg, PA)
- …channels * Ability to speak to medical and behavioral health professionals to influence appropriate member care . * Utilizes influencing/motivational ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… more
- Penn State Health (Camp Hill, PA)
- …steps for assistance._ **Position** Medical Office Associate - Silver Spring Psychiatry Behavioral Health General **Location** US:PA:Camp Hill | Clerical and ... **Penn State Health ** - **Holy Spirit Medical Center** **Location:** US:PA: Camp Hill **Work Type:** Full Time **FTE:** 1.00 **Shift:** Day **Hours:** 8:30a-5:00p… more
- Highmark Health (Harrisburg, PA)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- AmeriHealth Caritas (Harrisburg, PA)
- … management and care coordination services in achieving their optimal level of health through self-management. ;The Care Manager II is responsible for ... **Role Overview** The Care Manager II assists members appropriate... health and supportive needs + Coordinates physical, behavioral health and social services + Provides… more
- Highmark Health (Harrisburg, PA)
- …complex medical and/or psychosocial needs have access to high quality, cost-effective health care . Assists in the holistic assessment, planning, arranging, ... Inc. **Job Description :** **JOB SUMMARY** The Pediatric Shift Care Case Manager plays a crucial role...understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health… more
- WellSpan Health (Gettysburg, PA)
- …encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central ... resort and more. Adams County residents can find local employment in health care , tourism, agriculture and manufacturing. (Patient population: 102,000) WellSpan… more
- Highmark Health (Harrisburg, PA)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Harrisburg, PA)
- …**Required** + * Must be a US Citizen + 5 years of experience in Health Care Field + 3 years of experience in applicable government business compliance ... the growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance &...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Camp Hill, PA)
- …in a project manager role **Preferred** + Leadership experience + Health Care Insurance industry business and operational knowledge + Experience managing ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** CANDIDATE MUST...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Harrisburg, PA)
- …or provider) and familiarity with key domains like CMS interoperability, Quality management, care & utilization management, and digital health + 3 years' ... support enGen's growing business, we're hiring a Sales Alliance Manager that will be responsible for supporting technology and...from lead to closure) + 3 years' experience in Health Plan Technology + 3 years' experience with solid… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Highmark is transforming the financial experience for clients and members - from building cost ... claims experience, to helping members afford and pay for care . This job will provide support for the development...proposition, vision, and execution plans. Working with the Product Manager , this position will analyze customer pain points to… more
- Highmark Health (Harrisburg, PA)
- …the pharmacists who will drive member engagement with the goal of lowering care costs associated with the Organization's drug utilization across both the pharmacy as ... direction to a team of clinical pharmacists as members of a multi-stakeholder care team responsible for ensuring appropriate drug utilization across the pharmacy and… more
- Highmark Health (Harrisburg, PA)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- Humana (Harrisburg, PA)
- …of need for healthcare benefits, benefits selection, receiving healthcare benefits, getting behavioral health cues and renewing membership and each interaction ... part of our caring community and help us put health first** The Lead Product Manager conceives...millions of people we serve to achieve their best health - delivering the care and service… more
- Prime Therapeutics (Harrisburg, PA)
- …analysis tasks, activities, techniques, and requirements process **Preferred Qualifications** + PBM/ health care experience + Business unit/domain knowledge of ... work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded… more
- CenterWell (Harrisburg, PA)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... with lower acuity resources in their home. + Primary Care - Home Health care ...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- WellSpan Health (Gettysburg, PA)
- …encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central ... of patients. Functions as a member of the health care team at an intermediate nursing...services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions.… more
- CVS Health (Harrisburg, PA)
- …medical conditions, and/or behavioral health + Experience conducting health -related assessments and facilitating the care planning processes + Bilingual ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager… more