• Clinical Case Manager

    CVS Health (Harrisburg, PA)
    …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
    CVS Health (10/23/25)
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  • Behavioral Health Care Manager

    Penn Medicine (Lancaster, PA)
    …The Behavioral Health Care Manager is a master's level behavioral health professional who conducts clinical assessments and provides brief interventions, ... comorbid medical, mental health and/or substance use disorders. The Behavioral Health Care Manager leverages their ...and outpatient mental health and addiction treatment. + Provides clinical oversight and guidance to other behavioral more
    Penn Medicine (09/13/25)
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  • Bilingual Case Manager

    Devereux Advanced Behavioral Health (West Grove, PA)
    …in the lives of students and families? We're looking for a bilingual School and Community Clinical Case Manager to join our team and help us provide ... the first career accelerator program exclusively designed to give behavioral healthcare workers - the career guidance, one-on-one coaching,...recognition of their long-term commitment to Devereux. As a Clinical Case Manager , you'll be… more
    Devereux Advanced Behavioral Health (11/05/25)
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  • Truancy Case Manager

    Devereux Advanced Behavioral Health (Downingtown, PA)
    …in the lives of students and families? We're looking for a dedicated School and Community Clinical Case Manager to join our team and help us provide ... **Description** ** Join Our Team as a Truancy Case Manager ! ** Are you passionate about...comprehensive, family-focused clinical services in various… more
    Devereux Advanced Behavioral Health (10/22/25)
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  • Case Manager -RN - Good Samaritan…

    WellSpan Health (Mount Gretna, PA)
    …acute care experience required + Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty preferred **Licenses:** + Licensed ... weekend **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to… more
    WellSpan Health (09/30/25)
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  • Case Management Specialist

    CVS Health (Harrisburg, PA)
    …Meet regulatory requirements within specified timelines. + **Consults** with the Care Manager RN within the Care Team for clinical knowledge, medication ... decision making + **Collaborates and leverages** the Care Manager RN clinical expertise to ensure members'...and ability to effectively utilize these tools within the Case Management Specialist (CMS) role + Access to a… more
    CVS Health (11/01/25)
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  • Supervisor Ambulatory Clinical Operations…

    WellSpan Health (York, PA)
    …of clinical staff; approves/disapproves scheduled time off. + Assists Manager and Clinical Operations Coordinator with interviewing, hiring, orienting, ... part of the management team, performing a variety of clinical and administrative duties related to clinical ...Diagnostic Test Tracking, Med Reconciliation and PCMN. + Assumes manager role when Practice Manager /Front Office Supervisor… more
    WellSpan Health (10/15/25)
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  • Senior Clinical Training Specialist…

    Highmark Health (Harrisburg, PA)
    Clinical Social Worker (LCSW) - Non-Specific **Preferred** + ACM Certification (Accredited Case Manager ) **SKILLS** + Adult Learning: Theory and Practice + ... Description :** **JOB SUMMARY** This job delivers highly complex clinical and systems training courses, ongoing workshops in support...Work **EXPERIENCE** **Required** + 3 - 5 years in Case Management **Preferred** + 5 - 7 years in… more
    Highmark Health (09/13/25)
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  • Admissions Manager - Children's Inpatient…

    Devereux Advanced Behavioral Health (Malvern, PA)
    …as well as neighboring states. Our treatment team, which includes psychiatrists, clinical case managers, nurses, teachers, licensed psychologists and clinical ... career to the next level. **Being an Admissions & Utilization Review (UR) Manager Devereux Children's Behavior Health Center has its Advantages!** As an **Admissions… more
    Devereux Advanced Behavioral Health (10/24/25)
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  • Care Manager

    AmeriHealth Caritas (Newark, DE)
    …in achieving their optimal level of health through self-management. The Care Manager (RN/SW) engages behavioral health members, member caregivers, and providers ... level of intervention based upon the member's needs and clinical progress * Schedules follow-up calls as necessary and...leaders. AmeriHealth Caritas Delaware seeks a passionate and dedicated Behavioral Health Care Manager to join our… more
    AmeriHealth Caritas (10/18/25)
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  • Transition Care Manager

    AmeriHealth Caritas (Reading, PA)
    …Overview** Under the Direction of the Supervisor, the Transition Care Manager is responsible for completing preventative multidisciplinary discharge planning for ... Room using AmeriHealth Caritas policies and procedures. The Transition Care Manager will assess and process discharge planning needs across all disciplines,… more
    AmeriHealth Caritas (09/25/25)
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  • Category Manager

    Highmark Health (Harrisburg, PA)
    …dollar and strategic contracting functions (client and GPO), develops business case and presents to senior leadership throughout organization. + Monitor contract ... of major commodity contracts for a wide array of clinical and non- clinical products and/or services. Experience...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (09/10/25)
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  • Disease Management Nurse - Remote

    Sharecare (Harrisburg, PA)
    …helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more
    Sharecare (10/22/25)
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  • Coding Auditor Educator, Inpatient

    Highmark Health (Harrisburg, PA)
    …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
    Highmark Health (10/23/25)
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