- Humana (Harrisburg, PA)
- …to make an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral Health clinician license such as a ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health) who will utilize their clinical skills to… more
- WellSpan Health (Mount Gretna, PA)
- Care Nurse Coordinator RN - Child Adolescent... behavioral health experience required Licenses: + Licensed Registered Nurse Upon Hire Required or + ... assigned patients using Motivational Interviewing strategies in the active management of their health by encouraging participation in their... Registered Nurse Multi State License Upon Hire Required and +… more
- CVS Health (Harrisburg, PA)
- …LPC, LMFT, LCSW, LMHC, LCMHC, LICSW, LISW, Clinical Psychologist.) , or active RN with extensive behavioral health background (BSN preferred) -Must be computer ... Qualifications - Crisis intervention skills - Managed care or utilization review experience - Case management and...Master's Degree in Social Work or Counseling required OR RN with 3 years of behavioral health… more
- CVS Health (Harrisburg, PA)
- …of experience in a managed care clinical operation environment ( utilization management , case management , and/or behavioral health case management ... convenient and affordable. Posting Title Training and Quality Clinician RN Job Grade 207 Position Summary : This position...the training and compliance monitoring of the DSNP Care Management team. They are responsible for conducting audits of… more
- Highmark Health (Harrisburg, PA)
- …and third party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization changes, ... and utilization review experience **LICENSES or CERTIFICATIONS** **Required** + RN license In appropriate state based on location + CPR Certification **SKILLS**… more
- Sharecare, Inc. (Harrisburg, PA)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more
- Health Advocates Network (Harrisburg, PA)
- …/ hour Minimum Qualifications Possession of a current license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing; or Possession ... Nursing. Resources possessing non-renewable temporary practice permits must obtain licensure as a Registered Nurse within the one-year period as defined by the… more
- Highmark Health (Harrisburg, PA)
- …adapt engagement strategies to meet market needs **LICENSES/CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + None **Language (Other than ... result in the greatest ROI for the Organization. Further, in a matrix management environment, will be responsible for collaborative work with the other members of… more
- Highmark Health (Camp Hill, PA)
- …of external client facing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Registered Nurse ( RN ) + Physician Assistant License - PA + ... the clinical subject matter expert for clinical, quality, care, utilization , high cost claim and population health management...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Humana (Harrisburg, PA)
- …projects. **Use your skills to make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin or have a compact license. ... community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the… more