- St. Luke's University Health Network (Easton, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Complex Case Manager works across facilities to manage discharge planning ... for socially or medically complex patients who have barriers that complicate their discharge....preferred. TRAINING AND EXPERIENCE: Minimum of 3 years FT case management experience in an acute care setting. Strong… more
- 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 a care plan, encouraging behavior… more
- Guthrie (Sayre, PA)
- …To $25,000 Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, ... timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and...care needs. g) Provides leadership for clinical staff regarding complex patient care concerns and/or care of patients who… more
- Battelle Memorial Institute (Harrisburg, PA)
- …Research and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our government ... and their families, ensuring comprehensive support for those who serve. As a Nurse Case Manager , you will contribute to impactful research and analytics that… more
- WellSpan Health (Chambersburg, PA)
- **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to ... needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** **Essential Functions:** + Reviews… more
- WellSpan Health (Lewisburg, PA)
- …coverage **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to ... discharge needs. Provides leadership in the integration of utilization and case management principles. **Essential Functions:** + Reviews assigned patients for… more
- WellSpan Health (Lebanon, PA)
- …weekend **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to ... discharge needs. Provides leadership in the integration of utilization and case management principles. **Essential Functions:** + Reviews assigned patients for… more
- CVS Health (Huntingdon Valley, PA)
- …or Surrounding Areas. Monday-Friday Standard Business Hours. **Roles and Responsibilities** Nurse Case Manager is responsible for telephonically and/or face to ... face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… 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 ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Sedgwick (Philadelphia, PA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **_This Field Case Manager ... be considered._** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sevita (Bethlehem, PA)
- …all every day. Join us today, and experience a career well lived. **Intensive Case Manager (ICM)** **Salary - $45,000 (plus overtime pay) and incentive program** ... impact in the lives of others? As an Intensive Case Manager , you will provide essential services...match. + Paid time off and holiday pay. + Complex work adding value to the organization's mission alongside… more
- CVS Health (Harrisburg, PA)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.… more
- Geisinger (Scranton, PA)
- …+ Works closely with assigned primary care provider site and functions as a case manager for patients with behavioral health co-morbidities across the care team ... and support. + Conducts in-home member assessments for high risk and complex patient cases. + Develops collaborative relationships with community based agencies to… more
- UPMC (Pittsburgh, PA)
- University of Pittsburgh Physicians is hiring a Full-Time Social Work Case Manager to help support the UPMC Internal Medicine Recovery Engagement Program ... care. Collaborating with behavioral health and medical providers to identify complex cases. Responsibilities: + Evaluate and initiate appropriate referrals for… more
- CVS Health (Harrisburg, PA)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.… more
- Highmark Health (Erie, PA)
- …assessment (formal plan). Collaborates with team members on complex patients. Assures compliance with regulatory/policy/workflows through documentation review, ... collaborative discussions resulting in the efficient transition of medically or socially complex patients (20%) + Engages with resources, develops action plans and… more
- ChenMed (Philadelphia, PA)
- …possession and maintenance of a current, valid driver's license + Certified Case Manager certification is preferred. Certification through the Commission for ... working remote for the remaining hours. The Acute Care Manager , Complex Care (RN) is responsible for... Case Manager Certification (CCMC) or the American... Case Manager Certification (CCMC) or the American Association of Managed… more
- UPMC (Pittsburgh, PA)
- …obtained from interaction with members and providers. + Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and ... Insurance + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Certified Case Manager (CCM) + Driver's License + Registered Nurse (RN) + Act 33… more
- UPMC (State College, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Licensed Professional Care Manager for Centre County! This role will work Monday - Friday daylight hours. ... will support the pre- and post-natal population. A Care Manager is responsible for assisting members identified at risk...of priority or special needs populations who present with complex needs for coordination of their behavioral health services… more
- PPL Corporation (Allentown, PA)
- …build and maintain strong, diverse communities today. Overview The purpose of the Category Manager is to manage the supply chain for a wide variety of corporate ... in either Louisville, KY or Allentown, PA._** \#indppl Responsibilities **_The Category Manager position may be hired at the Intermediate, Senior or Lead level.… more