- WellSpan Health (York, PA)
- …providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. ... **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most...and the provision of appropriate, cost effective and quality health care. Works in a team model with social… more
- Magellan Health Services (Somerset, PA)
- …LCSW, LSW, LPC or RN.* Minimum 2 years experience post degree in healthcare, behavioral health , psychiatric and/or substance abuse health care setting.* ... LCSW, LSW, LPC or RN. Minimum 2 years experience post degree in healthcare, behavioral health , psychiatric and/or substance abuse health care setting. Strong… more
- Highmark Health (Erie, PA)
- …American Case Management Association + Case Management - American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for ... **Company :** Allegheny Health Network **Job Description :** **St. Vincent Hospital**...engages patients/caregivers in their healthcare, and supports effective resource utilization . Serves as key team members in the management… more
- Magellan Health Services (Newtown, PA)
- …LCSW, LSW, LPC or RN. Minimum 2 years experience post degree in healthcare, behavioral health , psychiatric and/or substance abuse health care setting. Strong ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse...an active work load in accordance with National Care Manager performance standards. + Works with community agencies as… 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! ... will work directly with members with physical and behavioral health needs and/or substance use disorder...vendor with whom we partner. The Mobile Professional Care Manager assists UPMC Health Plan members who… more
- UPMC (Dubois, PA)
- …remainder of the Care Manager 's work completed remotely/from home! Community Care Behavioral Health (CCBH) is committed to giving our neighbors the quality ... UPMC Community Care Behavioral Health is seeking a full-time Mobile Licensed Care Manager to support the Community Services team within the Commercial… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** Hybrid position - will be required to be on-site** **at Penn Avenue Place or a clinical site 3 days per ... the key clinical projects associated with clinical systems or other e- health strategies to ensure successful completion. Manages the development, implementation, and… more
- Highmark Health (Monroeville, PA)
- …American Case Management Association + Case Management - American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for ... **Company :** Allegheny Health Network **Job Description :** At AHN, employees...supports excellence of care and achievement of optimal resource utilization . Also facilitates appropriate LOS, patient satisfaction and reimbursement… more
- UPMC (Pittsburgh, PA)
- …Workers (LSW and/or LCSW) or Licensed Professional Counselors (LPC) with experience in behavioral health and/or substance use disorders are preferred. The Mobile ... and facilitate communication between the member's physicians, physical and behavioral health clinicians, and community-based services. **Responsibilities:** +… more
- Highmark Health (Harrisburg, PA)
- …clinicians) in a utilization management operations setting in a PBM or Health Plan. + Experience with regulatory entities such as CMS, NCQA, HEDIS, DOH etc. ... and other pharmacy strategy teams to execute on the formulary/ utilization (UM) and other strategic pharmacy products. This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more