- UPMC (Mechanicsburg, PA)
- UPMC is hiring a Discharge Planning Associate at our West Shore facility for the Clinical Care Coordination team! This is a full time, day shift position ... of the career ladder based on experience _ Purpose: In conjunction with the Discharge Planning team, the Associate coordinates the appropriate support… more
- CVS Health (Harrisburg, PA)
- …policy, procedure, and clinical judgment to render coverage determination/recommendation/ discharge planning along the continuum of care. + Utilizes ... with heart, each and every day. **Position Summary:** The **Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes clinical skills to… more
- CVS Health (Harrisburg, PA)
- …the appropriate medical necessity criteria/guideline, policy, procedure, and clinical judgment to rendercoverage determination/recommendation/ discharge ... planning along the continuum of care. + Utilizes clinical experience and skills in a collaborative process to evaluate and facilitate appropriate healthcare… more
- Humana (Harrisburg, PA)
- …in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such ... and work is assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies and determinations, clinical reference… more
- Humana (Harrisburg, PA)
- …participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more
- Humana (Harrisburg, PA)
- …participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- CVS Health (Harrisburg, PA)
- … expertise to assure appropriate benefit utilization, facilitates safe and efficient discharge planning and works closely with facilities and providers to ... Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the… more
- CVS Health (Harrisburg, PA)
- …care, hospice, palliative care, cardiac) + 2+ years of case management, discharge planning , and/or home health care coordination experience **Preferred ... an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members.… more
- CenterWell (Harrisburg, PA)
- …patient/family needs and status changes. Participate in care coordination activities and discharge planning as appropriate. + Maintain the highest standards of ... + Apply knowledge and skills in accordance with accepted standards of clinical practice to facilitate problem resolution and achieve individualized patient goals and… more
- CVS Health (Harrisburg, PA)
- …+ 3+ years of nursing experience + 2+ years of case management, discharge planning and/or home healthcare coordination experience **Preferred Qualifications** + ... with members and the coordination of their care. + Compiles all available clinical information and partners with the member to develop an individualized care plan… more
- Humana (Harrisburg, PA)
- …acute situations (APS, EMS) + Discuss transitions of care to assist with safe discharge to the home and coordinate care for DME, home health, provider appointments, ... degree in Nursing. + Seasoned RN with a **minimum of 3 years of clinical nursing experience.** + Demonstrated clinical knowledge and expertise as evidenced by… more
- Humana (Harrisburg, PA)
- …**Preferred Qualifications** + 2 or more years of experience with case management, discharge planning and patient education for adult acute care. + Experience ... maximize each beneficiary's capacity for self- care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care. The **Telephonic… more