- Geisinger (Wilkes-Barre, PA)
- …22 new emergency treatment rooms Creating dedicated emergency room (ER) space for behavioral health patients Expanding trauma capabilities 24 new intensive care ... and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 04/29/2025 Job ID: R-77849… more
- Geisinger (Wilkes-Barre, PA)
- …22 new emergency treatment rooms Creating dedicated emergency room (ER) space for behavioral health patients Expanding trauma capabilities 24 new intensive care ... Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 05/08/2025...in 2028. Benefits of working at Geisinger: Full benefits ( health , dental and vision) starting on day one Three… more
- Geisinger (Wilkes-Barre, PA)
- …22 new emergency treatment rooms Creating dedicated emergency room (ER) space for behavioral health patients Expanding trauma capabilities 24 new intensive care ... Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 05/09/2025...Job Duties Benefits of working at Geisinger: Full benefits ( health , dental and vision) starting on day one Three… more
- Geisinger (Wilkes-Barre, PA)
- …22 new emergency treatment rooms ~ Creating dedicated emergency room (ER) space for behavioral health patients ~ 24 new intensive care unit (ICU) beds ~Replacing ... Nursing Support Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Geisinger is proud...is expected to be completed in 2028. Full benefits ( health , dental and vision) starting on day one ~… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- CVS Health (Harrisburg, PA)
- …. No weekends or holidays. + 1+ years of utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in a ... day. **Position Summary-** + **Master's Degree and Independently licensed Behavioral Health Clinician Or Associate Degree and...years BH clinical Experience** + **1 or more years Utilization Management Experience** + **Work at Home… more
- Evolent (Harrisburg, PA)
- …the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, … more
- Highmark Health (Harrisburg, PA)
- …coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by ... prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. **Position Summary-** + **Must have Independent Behavioral Health License in State of Residence** + **Can reside Anywhere ... issues. + Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the… more
- CVS Health (Harrisburg, PA)
- …hours. No weekends and no holidays.** + **Master's Degree and Independently Licensed in Behavioral Health ** + **3 or more years clinical experience in ... Behavioral Health ** Utilizes advanced clinical judgment and...**Preferred Qualifications** + Crisis intervention skills preferred + Managed care/ utilization review experience preferred + Case management … more
- Penn Medicine (West Chester, PA)
- …shape our future each day. Are you living your life's work? JOB SUMMARY The Behavioral Health Social Worker is a master's level behavioral health ... who conducts clinical assessments and provides brief interventions, care management , navigation and proactive follow up for patients with...mental health and/or substance use disorders. The Behavioral Health Social Worker leverages their … more
- Humana (Harrisburg, PA)
- …clinical services . Experience in utilization management review and case management in a health plan setting . No current sanction from Federal or ... part of our caring community and help us put health first** The Behavioral Health ...a focus on collaborative business relationships, value-based care, population health , or disease or care management +… more
- St. Luke's University Health Network (Allentown, PA)
- …mental health illness. Previous experience in discharge planning and case management models preferred.Current Behavioral Health department program for ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...appropriate level of care. + May assist in the utilization management of psychiatric cases in the… more
- St. Luke's University Health Network (Sellersville, PA)
- …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. The responsibilities of the Residential Advisor include...living skills of cooking, menu planning, grocery shopping, money management , cleaning, laundry, personal hygiene, etc. + Coach and… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: Provides triage, referral, and counseling services for clients according to legal and ... to assess urgency of client need and recommend appropriate management . Provides on call coverage to caseload and for...strategy to ensure referral sources. + Participates in peer utilization and/or review and assists in coordination of related… more
- Geisinger (Danville, PA)
- …for clinical responsibilities. Job Duties Chief Nurse Practitioner or Physician Assistant Behavioral Health - Inpatient + Provides ongoing coordination and ... service line policies. + Participates in departmental strategic planning, utilization management , and implementation of the strategic...and it takes a diverse workforce to make better health easier for all. We are proud to be… more
- WellSpan Health (Chambersburg, PA)
- …**Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and...250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and… more
- WellSpan Health (Lebanon, PA)
- …principles. **Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and...250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and… more
- WellSpan Health (Lewisburg, PA)
- …principles. **Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and...250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and… more
- WellSpan Health (York, PA)
- …as required. + Develops and initiates educational programs regarding utilization management principles. **Qualifications** **Minimum Education:** + Bachelors ... type assignment or Care Continuation Team (CCT) model (Case Management Nurse and Social Worker teams are assigned to...250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and… more
