• 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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  • Case Management Manager - UPMC

    UPMC (Washington, PA)
    …tools to facilitate maximum financial reimbursement . + Monitors and mentors Case Management staff. + Develops and implements processes for timely and ... The Manager oversees the day-to-day operations of the Case management department under the direction...requirements, and managed care principles preferred.2. Use of expert clinical practice, leadership skills, and critical thinking skills to… more
    UPMC (07/11/25)
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  • RN Case Manger- PD

    Guthrie (Towanda, PA)
    …and financial outcomes. Identifies opportunities to decrease length of stay and optimize case reimbursement . 4. a) Identifies cost/ clinical outlier patients ... an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient...may be given to a registered nurse, with significant clinical experience, who holds a bachelor's degree in a… more
    Guthrie (07/08/25)
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  • Social Worker - Case Management

    LifePoint Health (Johnstown, PA)
    …Coordinates level of care appropriate to patient need in collaboration with the Case Management Team. Performs discharge planning based on high-risk assessment ... care hospital experience, internship(s) in social service related **Job:** ** Case Management /Social Services* **Organization:** ** **Title:** *Social Worker… more
    LifePoint Health (06/08/25)
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  • Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Mckeesport, PA)
    …completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state ... Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory...surg, vents)** + Adequate experience in an acute medical case management setting and confidence to manage… more
    Select Medical (06/12/25)
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  • RN, Case Manager (Part time), Forbes

    Highmark Health (Monroeville, PA)
    …Fingerprinting Criminal Background Clearance Certificate **Preferred** + Nationally recognized Case Management Certification + Transition planning and ... BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager) - American Case Management Association -… more
    Highmark Health (05/13/25)
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  • Case Manager ( RN / RT / SW / LPN )

    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
    Select Medical (07/12/25)
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  • RN Pre Certification Case Manager

    Penn Medicine (Philadelphia, PA)
    …medical staff and their designees to obtain complete, accurate and timely clinical and financial information required for payer reimbursement .Asses clinical ... departments included but not limited to admissions, patient financial services, clinical resource management and provider medical staff and designees.Assist… more
    Penn Medicine (06/05/25)
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  • Case Manager

    BriteLife Recovery (Hanover, PA)
    …healthcare providers, community resources, and family members. + Documenting all case management service notes, assessments, reassessments, referrals and ... CASE MANAGER Do you work for a company...also in the recovery community. + Continual Education: Tuition reimbursement opportunities. + And More: Discover even more benefits… more
    BriteLife Recovery (07/09/25)
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  • Case RN - Registered Nurse Manager - PI…

    Geisinger (Scranton, PA)
    …those responsibilities include, but are not limited to, daily review of the clinical management guidelines for each patient, direct patient interaction and ... health, ease of access and operational excellence. The Trauma Case Managers round with the trauma clinical ...patient. + Assists departments as needed in trauma data management . + Communicates with referring institutions and providers and… more
    Geisinger (07/05/25)
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  • Market Director Case Managemen

    LifePoint Health (Johnstown, PA)
    …Professional Development and Growth Opportunities . And much more Position Summary: Provide Case Management leadership and management for hospitals within a ... directing and planning.Formulate and implement operational strategies and initiatives in the case management program.Ensure staff competencies in all areas of… more
    LifePoint Health (07/11/25)
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  • RN - Registered Nurse Case Manager - Trauma

    Geisinger (Wilkes-Barre, PA)
    …those responsibilities include, but are not limited to, daily review of the clinical management guidelines for each patient, direct patient interaction and ... Case Manager will also round with the trauma clinical team. Job Duties Responsible for ensuring optimal quality,...in conjunction with other healthcare members. + Documents care management and progress report in each trauma service patient's… more
    Geisinger (04/24/25)
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  • Registered Nurse - RN Case Manager…

    Gentiva (Allentown, PA)
    …to give people the care they need with dignity, grace, and love. **Registered Nurse - RN Case Manager - Hospice - FT - Mon-Fri - Dayshift** **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
    Gentiva (07/14/25)
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  • RN - Registered Nurse Case Manager - Care…

    Geisinger (Wilkes-Barre, PA)
    …the patient or member and healthcare team. + Maintains required documentation for all case management activities. + Collects required data and utilizes this data ... lasting career with impact. Join us as an RN Case Manager in Care Coordination to strengthen that impact....further refine the delivery of care model to maximize clinical , quality, and fiscal outcomes. This role is full… more
    Geisinger (07/02/25)
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  • Field Case Manager-Sign On Bonus Eligible

    Sedgwick (Pittsburgh, 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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  • RN - Registered Nurse - Case Manager - Care…

    Geisinger (Wilkes-Barre, PA)
    …the patient or member and healthcare team. + Maintains required documentation for all case management activities. + Collects required data and utilizes this data ... care and enhance the professional impact of our RN Case Managers. Geisinger's Care Without Delay (CWD) is an...all the necessary strategies to support length of stay management and throughput. It aligns the right care, at… more
    Geisinger (07/11/25)
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  • Case Manager, Behavioral Health (Full-Time,…

    St. Luke's University Health Network (Allentown, PA)
    …with mental health illness. Previous experience in discharge planning and case management models preferred.Current Behavioral Health department program for ... patient rounds and shares professional knowledge, making appropriate recommendations regarding clinical and programmatic needs of patients as it relates to… more
    St. Luke's University Health Network (07/08/25)
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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 Home care case manager

    Trinity Health (Newtown, PA)
    …and care plan development in collaboration with the Population Health Case Manager. Provides functional support/supervision to Home Healthcare Aides and LPNs ... as needed. Provides therapeutic intervention, overall care management and achievement of top decile client outcomes and patient satisfaction. As a Home Health… more
    Trinity Health (07/08/25)
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