- Genesis Healthcare (York, PA)
- …impact in the communities we serve. Responsibilities The Manager, Case Management is responsible for the clinical , administrative, and financial oversight of ... Director, assists with the development, implementation, and maintenance of a case management model which meets the clinical and financial goals of Genesis… more
- Select Medical (Camp Hill, PA)
- …and doing well by doing what is right. As the Director of Case Management **,** you will use your clinical knowledge and contribute to the overall functions ... **Overview** **Critical Illness Recovery Hospital** **Director of Case Management ** **_Clinical license as a...coordinating with payor sources in order to ensure proper reimbursement for hospital provided services and to promote cost… more
- Select Medical (York, PA)
- …completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state ... Case Manager** _Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a...job **Job ID** _335607_ **Experience (Years)** _0_ **Category** _Case Management - Case Manager_ **Street Address** _1701… more
- Gentiva (Camp Hill, PA)
- …give people the care they need with dignity, grace, and love. **Registered Nurse - RN Case Manager - Hospice - FT - Mon-Fri - Dayshift - York Territory** **As a ... Hospice RN/ RN Case Manager, you will:** + Reportdirectly to the Administrator,...Manager Senior and will maintain primary control and professional management of each patient. + Act as primary liaison… 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...are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …a related field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, ... **Job Description** The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role...patient disease-state and education, injection training support, and access management to provide comprehensive support throughout the patient journey.… more
- BrightSpring Health Services (York, PA)
- …stability and regular advancement opportunities with a growing company As a RN Case Manager You will: + Assess/ monitor physical, emotional, and psychological needs ... medications, treatments, and interventions + Provide pain and symptom management + Educate and support the patient's family and...(up to $5,000 for childcare) + Tuition discounts & reimbursement + 401(k) with company match + Generous PTO… more
- CVS Health (Harrisburg, PA)
- …heart, each and every day. **Position Summary** This position is for a Clinical Pharmacist working in the Prior Authorization team. Candidate must hold active ... all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and… more
- Geisinger (Harrisburg, PA)
- …needs and problems and determining a treatment plan. + Provides psychotherapies and case management to assigned patients as well as input regarding the ... The IOP treatment team is comprised of a psychiatrist, master's level therapist, case manager, and support team members. Job Duties Key IOP responsibilities: + Lead… more
- Sedgwick (Harrisburg, PA)
- …equivalent combination of education and experience required to include five (5) years medical case management , two (2) years clinical experience, two (2) ... client satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple… more
- Norstella (Harrisburg, PA)
- …Citeline is one of the world's leading providers of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and ... and development to regulatory approval, and from product launch to lifecycle management , we provide the intelligence and insight to help our customers seize… more
- Bristol Myers Squibb (Harrisburg, PA)
- … reimbursement processes + Demonstrated strong capability in account management skill sets, superior selling competencies, and proven sales performance track ... + Creates demand for BMS medicines by articulating in a balanced manner the clinical and scientific rationale for use of products in appropriate patients. + Engages… more
- CVS Health (Harrisburg, PA)
- …provide clinical , coding, and reimbursement expertise as well as directing case management when necessary. In this role you will provide clinical ... clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum...expertise and business direction in support of medical management programs through participation in clinical team… more
- Cardinal Health (Harrisburg, PA)
- …life-changing therapies to patients who need them-faster.** The Patient Navigators perform case management supporting patient access to therapy in accordance ... timely manner. **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical ...preferred + LVN is preferred + 2-4 years of Case Management experience is preferred + Demonstrate… more
- Datavant (Harrisburg, PA)
- …system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating ... clinical documentation into precise codes that reflect the complexity...with established ICD-10 CM, DRGs coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. + Coders must… more
- Datavant (Harrisburg, PA)
- …+ Communicate with co-workers, management , and hospital staff regarding clinical and reimbursement issues. + Function in a professional, efficient, ... positive manner. + Adhere to the American Health Information Management Association's code of ethics. + Be customer-service focused...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Datavant (Harrisburg, PA)
- …Communicate professionally with co-workers, management , and hospital staff regarding clinical and reimbursement issues. + Demonstrate strong written and ... for continual improvement. + Adhere to the American Health Information Management Association's code of ethics, upholding professional standards and integrity.… more
- Datavant (Harrisburg, PA)
- …communication with colleagues, management , and hospital staff, while addressing clinical and reimbursement issues + Occasionally travel for professional ... by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in this together!) Pay ranges...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- CVS Health (Harrisburg, PA)
- …provide clinical , coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a business ... system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a… more
- Norstella (Harrisburg, PA)
- …experienced subject matter expert with life science commercial, market access, clinical , HEOR, and epidemiology, experience to join Norstella's pre-sales RWD ... teams generating real world insights and evidence within commercial, market access, clinical , and HEOR departments. At Norstella, bringing solutions to our clients… more