- Highmark Health (Harrisburg, PA)
- …Description :** **JOB SUMMARY** This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- Humana (Harrisburg, PA)
- …for self-care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care. The case manager will collect and document data ... and help us put health first** The **Telephonic Nurse Case Manager ** will be a member of...will assess, plan, coordinate, implement, monitor, and evaluate the medical services required to meet the complex health needs… more
- Public Consulting Group (Harrisburg, PA)
- …a team. + Proven working experience in case management, including as a nurse, medical , mental health care manager or a related job + Excellent knowledge of ... seeking a qualified Registered Nurse to perform as a Case Manager . The Case ...* Develops effective working relations and cooperate with the medical team throughout the entire case management… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …/job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834382591) Share on News Feed LocationUS-PA-Pittsburgh ID2024-1883 Category Customer Service Position Type Full Time ... perspective and experience makes ConnectiveRx better than the sum of its parts. The Case Manager 's primary duty is to assist customers with chronic illnesses in… more
- Trinity Health (Newtown, PA)
- …**Description:** **St. Mary's Home care & Hospice is seeking a full time Hospice RN Case Manager ** **** St. Mary's Home Care and Hospice located in Bucks ... hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7 access to our Virtual...access to our Virtual Care Center RNs. **Hospice RN Case Manager position summary** Our Hospice RN… more
- Public Consulting Group (Harrisburg, PA)
- …a team. + Proven working experience in case management, including as a nurse, medical , mental health care manager or a related job + Excellent knowledge of ... status and treatment options + Develops effective working relations and cooperate with medical team throughout the entire case management process + Interacts… 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 ... with heart, each and every day. **This is a remote work from home role anywhere in the US...of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS… more
- CVS Health (Harrisburg, PA)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS… more
- Sedgwick (Pittsburgh, PA)
- …a 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...work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Role Overview** The Care Manager II assists members appropriate for care management and care coordination services in achieving their optimal level of health ... through self-management. ;The Care Manager II is responsible for engaging the member, member...members in the care management program.; **Work Arrangements** + Remote + Must reside in Pennsylvania + Must be… more
- CVS Health (Harrisburg, PA)
- …And we do it all with heart, each and every day. **Position Summary** Fully remote Standard business hours. 1 late day until 7pm your local time. No holidays. ... comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan… more
- Trinity Health (Newtown, PA)
- …assessment and care plan development in collaboration with the Population Health Case Manager . Provides functional support/supervision to Home Healthcare Aides ... visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7 access to our Virtual Care Center… more
- Cardinal Health (Harrisburg, PA)
- …in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may ... our normal business hours of Monday-Friday, 7:00am- 8:00pm CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Cognizant (Harrisburg, PA)
- **TriZetto Incubator Product Manager ( remote )** **This is a remote position open to any qualified applicant in the United States.** **Summary** The Product ... Manager is a Subject Matter Expert (SME) responsible for...design thinking. * Knowledge of financial modeling and business case development. * Experience with user experience (UX) design.… more
- Sharecare (Harrisburg, PA)
- …2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- SitusAMC (Harrisburg, PA)
- …database technologies and tools. + Other tasks as assigned by manager Qualifications/ Requirements: + Bachelor's degree in Computer Science, Information Technology, ... staff + Requires the ability to support both planned and unplanned events \#LI-AS1 #LI- Remote Note: This job description is not intended to be all inclusive or… more
- Datavant (Harrisburg, PA)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing ... Epic and 3M.. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and...+ Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills. + Experience… more
- Datavant (Harrisburg, PA)
- …is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding ... encouraged to apply **What You Will Do:** + Review medical records and assign precise codes to ensure accurate...+ Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills. + Experience… more
- CDM Smith (Reading, PA)
- …such as federal/government regulations. Gathers project progress information from project manager and project team members to update and monitor projects of ... specifications. Evaluates and raises project early warning signals to project manager . Evaluates and recommends resource realignments to maintain project execution.… more
- CDM Smith (Pittsburgh, PA)
- …construction. **We are open to this position having: in the office, hybrid, or remote work location options in the domestic United States.** As a member of the ... efforts. **Job Title:** Senior Proposal Specialist - Federal Market (fully remote options) **Group:** OPS - Marketing/Bus Develpmt **Employment Type:** Regular… more