We interpreted Middletown, PA as Middletown, PA. Other options include: Middletown (Northampton County), PA

  • Clinical Reimbursement Case

    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
    Genesis Healthcare (07/01/25)
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  • Director of Case Management ( RN…

    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 (06/12/25)
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  • New York RN Case Manager

    Public Consulting Group (Harrisburg, PA)
    …care manager or a related job + Excellent knowledge of case management principles, healthcare management and reimbursement + Previous experience with ... Manager will also be responsible for utilizing a case management software system on a day-to-day...informed decisions by acting as their advocate regarding their clinical status and treatment options * Develops effective working… more
    Public Consulting Group (07/05/25)
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  • Therapist I - Day Shift - Behavioral Health…

    Penn State Health (Harrisburg, PA)
    …or genetic information._ **Position** Therapist I - DAY SHIFT - Behavioral Health Case Management **Location** US:PA:Harrisburg | Behavioral Health | Part Time ... Performs diagnostic and therapeutic tasks, under the supervision of the Physician and clinical team, to assist with establishing a diagnosis and a therapy plan.… more
    Penn State Health (06/17/25)
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  • Registered Nurse - RN Case Manager…

    Gentiva (Camp Hill, PA)
    …leader in hospice care, palliative care, home health care, and advanced illness management , with nearly 600 locations and thousands of dedicated clinicians across 38 ... **Home health care:** Heartland Home Health + **Advanced illness management :** Illumia Health With corporate headquarters in Atlanta, Georgia,...with dignity, grace, and love. **Registered Nurse - RN Case Manager - Hospice - FT - Mon-Fri -… more
    Gentiva (07/11/25)
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  • Shift Care Nurse Case Manager

    AmeriHealth Caritas (Harrisburg, PA)
    …an acute care, home care, or special needs clinic. + 3+ years of Case Management experience, preferably telephonic within a managed care organization, desired.; ... level of intervention based upon the member's needs and clinical progress + Schedules follow up calls as necessary,...+ Eligible to sit for Case Management certification after 12 months of… more
    AmeriHealth Caritas (07/01/25)
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  • Field Case Manager-Sign On Bonus Eligible

    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
    Sedgwick (06/29/25)
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  • Patient Nurse Case Manager- Central Region

    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
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • RN / Registered Nurse Case Manager…

    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
    BrightSpring Health Services (06/30/25)
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  • Clinical Pharmacist - Medicaid Prior…

    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
    CVS Health (07/09/25)
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  • Licensed Clinical Social Worker - Intensive…

    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
    Geisinger (06/21/25)
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  • Assistant Vice President

    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
    Sedgwick (06/29/25)
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  • Senior Solution Consultant

    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
    Norstella (05/06/25)
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  • Senior Institutional Mental Health Account…

    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
    Bristol Myers Squibb (06/26/25)
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  • Medical Director - New Jersey Market

    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
    CVS Health (07/10/25)
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  • Workers Compensation Program Coordinator-RN

    WellSpan Health (York, PA)
    …plans for injured/ill System employees. Provides internal workers' compensation case management , including attending appointments with injured/ill employees ... with treating providers to resolve issues when necessary. + Provides telephonic and field case management when necessary for complex cases or at the direction of… more
    WellSpan Health (06/25/25)
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  • HCC Risk Adjustment Coder - Full Time - Remote

    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 (07/09/25)
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  • Outpatient Coding Consultant PRN Same Day Surgery

    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 (07/04/25)
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  • Profee Coding Consultant (General…

    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 (06/10/25)
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  • Nurse Family Partnership Registered Nurse (RN),…

    Penn Medicine (East Petersburg, PA)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts...the NFP model of home visitation. + Carries a case load of up to 25 clients. **Administrative** +… more
    Penn Medicine (06/07/25)
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