- Somatus (Philadelphia, PA)
- …into homes + Telephonic case management experience + Experience working within a managed care environment **Hourly Range** $85,000 to $97,000 per year ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...BSN or higher level of education + Certified Case Manager (CCM) + Diabetic Educator experience + Field-based experience… more
- Southland Industries (Philadelphia, PA)
- …are passionate about safety, Southland has an opportunity for you as a Project Manager ! In this role, you will work on exciting, commercial MEP projects, while ... relations by providing project status updates to client and leadership. + Managed budget reports, cost and revenue projections, change orders, etc. for project.… more
- Southland Industries (Danville, PA)
- …Details** + Provide support to a single large project or multiple projects being managed by a Senior Project Managers and Project Engineers + We do self-performing ... income protection insurance + Pre-tax flexible spending plans (health and dependent care ) + **Paid parental leave** + Paid holidays, vacation, and personal time… more
- Organon & Co. (Plymouth Meeting, PA)
- …utilization while meeting the needs of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… more
- Boston Consulting Group (Philadelphia, PA)
- …BCG; others have gone into work in one of our many Practice Areas; some have managed teams or rotated through a number of other functions. Your career at BCG will be ... (and growing!) You will report to the Administrative Services Manager . The team is very collaborative and enjoys continuous...$10 (USD) copays for trips to the doctor, urgent care visits and prescriptions for generic drugs Dental coverage,… more
- Organon & Co. (Plymouth Meeting, PA)
- …Workplace devices, including oversight of Intune and Microsoft Endpoint Configuration Manager (MECM) infrastructure, managing the Organon build images, security and ... or a related field; advanced degree preferred. + Experience in Managed Services oversight of Core Infrastructure, relevant Microsoft technologies, and various… more
- CVS Health (Blue Bell, PA)
- …with heart, each and every day. **Position Summary** Join our team as an IT Managed Services Operations Manager , where you'll serve as the Managed Services ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Deloitte (Philadelphia, PA)
- ServiceNow Senior Manager - Consulting Managed Services Enterprise Operations as a Service provides multi-year managed service contracts to support ... is where ambition meets opportunity. As a Deloitte Senior Manager , you will have the opportunity to lead and...experience in either: Consumer, Financial Services, Life Sciences Health Care , Technology Media and Telecom, Energy Resources and… more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Community Services Department in Blair County! ... The Mobile Professional Care Manager will work flexible hours, Monday...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- UPMC (Pittsburgh, PA)
- …for the better. UPMC Health Plan is hiring a full-time Mobile Professional Care Manager position to support the Population Health Case Management department. ... Occasional travel may be required throughout surrounding counties. The Care Manager will support UPMC Health Plan...software applications required. + Three years experience in a managed care environment preferred Experience with geriatric… more
- UPMC (Dubois, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Mobile Licensed Care Manager to support the Community Services team within the Commercial ... will support multiple lines of business. The Mobile Licensed Care Manager will work flexible hours in...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Mobile Professional Care Manager to join the Community Team. This role will work standard daylight hours Monday - Friday. ... is provided at the IRS rate. The Mobile Professional Care Manager assists UPMC Health Plan members...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- Guthrie (Sayre, PA)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of ... clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs...alternate levels of care . The Acute Case Manager also performs Utilization Management throughout the continuum of… more
- AmeriHealth Caritas (Norristown, PA)
- **Role Overview** The Community Care Manager assists members appropriate for care management and care coordination services in achieving their optimal ... level of health through self-management. The Community Care Manager is responsible for engaging the...years of Case Management experience, preferably telephonic within a managed care organization, desired + Eligible to… more
- AmeriHealth Caritas (Reading, PA)
- **Role Overview** Under the Direction of the Supervisor, the Transition Care Manager is responsible for completing preventative multidisciplinary discharge ... Room using AmeriHealth Caritas policies and procedures. The Transition Care Manager will assess and process discharge...years nursing experience in a related clinical setting * Managed care experience preferred * Emergency Room… more
- UPMC (Media, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Licensed Professional Care Manager to support the Care Management team in Delaware County. ... position will primarily be working with pre- and post-natal care . A Care Manager is...of three years of relevant clinical experience. Experience in managed care strongly preferred. + General knowledge… more
- UPMC (Pittsburgh, PA)
- …hired into this role will be hired into the appropriate title as either a Mobile Professional Care Manager , Sr Mobile Care Manager , or Clinical Care ... and behavioral health conditions. + Ensures that cases are managed and documentation is within established timeframes in accordance...members, peers, and external contacts. + For Sr Mobile Care Manager + Master's degree in social… more
- ChenMed (Philadelphia, PA)
- …for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired We're ChenMed and we're transforming healthcare ... hospital daily from 9am-3pm, working remote for the remaining hours. The Acute Care Manager , Complex Care (RN) is responsible for achieving positive patient… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... services. Discover more about us at www.amerihealthcaritas.com . **Role Overview** The Care Manager (RN) assists members appropriate for case management services… more
- Commonwealth of Pennsylvania (PA)
- …involve providing consumers with information regarding benefits, treatment options, the managed care system, and community resources. Professionals in this ... Clinical Care Reviewer (County Care Management Manager ) (Local Government) - Fayette County MH/ID Print… more
