- Highmark Health (Harrisburg, PA)
- …the appropriate clinical interventions and referrals, the incumbent will 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 management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Harrisburg, PA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …Affairs, VHA, Lebanon, PA VA Medical Center. Responsibilities The Registered Nurse Primary Care - Care Manager will perform duties and responsibilities ... Summary The Registered Nurse Primary Care - Care...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Sharecare (Harrisburg, PA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Veterans Affairs, Veterans Health Administration (Perry Point, MD)
- Summary The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse ( RN ) is responsible for providing competent primary care to patients and ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- WellSpan Health (Lebanon, PA)
- …Management, Case Management, or Clinical Nursing Specialty preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... holiday **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to… more
- BAYADA Home Health Care (Timonium, MD)
- …and home care trends through continuing education **Qualifications for a Clinical RN Manager :** + Registered Nurse ( RN ) with a valid Maryland ... BAYADA Home Health Care is seeking a ** RN ** ** Nurse Manager (...Manager :** + Lead and supervise a team of registered nurses (RNs), licensed practical nurses (LPNs), and other… more
- Humana (Harrisburg, PA)
- …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
- Sedgwick (Harrisburg, PA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing in PA and are looking ... for Field Case Managers who have at least 1.5 years of...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …regionally within various states and the Commonwealth of the United States. The position is a Registered Nurse ( RN ) who assists to control costs for a region ... Summary The Revenue Utilization Review (RUR) Assistant Nurse Manager (ANM) is accountable to...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …of revenue reimbursement processes and under moderate supervision and instruction by the registered nurse manager . Responsibilities of the RUR Registered ... nurse is under the supervision of the Nurse Manager and ANM. The RUR ...of clinical information. Responsibilities The Revenue Utilization Review (RUR) Registered Nurse is under the supervision of… more
- Humana (Harrisburg, PA)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... part of our caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation… more
- Veterans Affairs, Veterans Health Administration (Mechanicsburg, PA)
- …be used. Reinforces information previously supplied by the physician or nurse . Informs nurse case manager of obstacles to learning that will require ... knowledge of practical nursing procedures. However, completion of more complex practices or procedures may be subject to closer...work should need only a general review by a registered nurse ( RN ) or physician… more
- WellSpan Health (York, PA)
- …clinical functions of more than one practice with the oversight of a Registered Nurse . **Duties and Responsibilities** **Essential Functions:** + Maintains a ... Diagnostic Test Tracking, Med Reconciliation and PCMN. + Assumes manager role when Practice Manager /Front Office Supervisor...Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or +… more
- Highmark Health (Harrisburg, PA)
- …+ 5 - 7 years in Social Work **LICENSES OR CERTIFICATIONS** **Required** + Registered Nurse or + Licensed Clinical Social Worker (LCSW) - Non-Specific ... **Job Description :** **JOB SUMMARY** This job delivers highly complex clinical and systems training courses, ongoing workshops in...**Preferred** + ACM Certification (Accredited Case Manager ) **SKILLS** + Adult Learning: Theory… more