- 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
- St. Luke's University Health Network (Lehighton, PA)
- …for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... the continuum of care. Also works with the providers, registered nurse care managers, social workers, and...members of care management, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and… more
- St. Luke's University Health Network (Easton, PA)
- …for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... the continuum of care. Also works with the providers, registered nurse care managers, social workers, and...members of care management, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and… more
- UPMC (Pittsburgh, PA)
- …in all aspects of member care, to include complex and/or specialized care. + Registered Nurse ( RN ) with an active PA License required + BSN Preferred ... interaction with members and providers. Presents or contributes to complex case reviews by the interdisciplinary team,...(BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) + Act… more
- WellSpan Health (Lebanon, PA)
- …Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to… 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
- St. Luke's University Health Network (Easton, PA)
- …for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... populations across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams… more
- St. Luke's University Health Network (Bethlehem, PA)
- …ability to pay for health care. The Registered Nurse Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... populations across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams… more
- Humana (Harrisburg, PA)
- …optimal health. **Use your skills to make an impact** **Required Qualifications** + Unrestricted Registered Nurse ( RN ) license in state of residency, with ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic...Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… 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
- Trinity Health (Pittsburgh, PA)
- …Clearances + Pre-employment drug testing **Position Summary:** The Nurse Care Manager provides medication services, triage, and case management to patients ... 1 year of experience in behavioral health care OR RN and 2 years of behavioral health care experience...As an active member of the treatment team, the Nurse Care Manager ensures individualized, patient-centered care… more
- Guthrie (Troy, PA)
- Acute Case Manager Position Summary: The Acute ...degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience ... timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and...of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who… more
- WellSpan Health (Lewisburg, PA)
- …Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... coverage **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to… more
- ChenMed (Philadelphia, PA)
- …RN with bachelor's degree in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required + Compact ... working remote for the remaining hours. The Acute Care Manager , Complex Care ( RN ) is...maintenance of a current, valid driver's license + Certified Case Manager certification is preferred. Certification through… more
- UPMC (Pittsburgh, PA)
- …Cardiopulmonary Resuscitation (CPR) + Certified Case Manager (CCM) + Driver's License + Registered Nurse ( RN ) + Act 33 with renewal + Act 34 with ... UPMC Health Plan is hiring a full-time Clinical Care Manager to support our partnership with various physician practices....with members and providers. + Present or contribute to complex case reviews by the interdisciplinary team… more
- UPMC (Pittsburgh, PA)
- …Clearances: + Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act 34 *Current licensure either in ... Are you an experienced Pediatric nurse with care management experience? We have a...Health Plan is hiring a full-time Pediatric Telephonic Care Manager to support the Medical Management Medicaid team. This… more
- WellSpan Health (Mount Gretna, PA)
- …2 years Nursing experience and recent behavioral health experience required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... care and treatment progress. + Participates in daily communication with primary nurse , communicating any clinical concerns and assist in developing an action plan… more
- Sedgwick (Philadelphia, 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
- Sedgwick (Harrisburg, PA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- UPMC (Pittsburgh, PA)
- …required (or must be obtained within 2 years of hire to remain in role) + Registered Nurse ( RN ) Licensure, Certifications, and Clearances: + LSW, CSW, LCSW ... 6 years of experience in medical social work, home care, discharge planning, and case management required. + For Mobile Care Manager + Pennsylvania Licensure in… more