- Guthrie (Sayre, PA)
- …a significant depth of clinical experience: five (5) years of experience in an acute care setting with strong care management , utilization review, and payer ... and educational activities. a) Incorporates available current evidence-based data for clinical care management . b) Demonstrates knowledge of federal, state and… more
- Commonwealth of Pennsylvania (PA)
- Clinical Care Reviewer (County Care Management Manager) (Local Government) - Fayette County MH/ID Print ... (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4995788) Apply Clinical Care Reviewer (County Care Management Manager) (Local Government) -… more
- Geisinger (Wilkes-Barre, PA)
- …the right place. As part of this launch, we're offering Full-Time opportunities for care management assistant professionals to play a pivotal role in shaping ... admissions and who are identified using specified criteria. + Completes the Care Management 55 Flow Document and Survey within scope: reviews the Electronic… more
- UPMC (Pittsburgh, PA)
- …clear and concise documentation of all physician advisory activities in the UPMC Care Management information system. + Conduct or coordinate concurrent appeals ... effectively with hospital administration and clinical teams. + Experience in utilization management and care coordination. + In-depth understanding of regulatory… more
- Highmark Health (Natrona Heights, PA)
- …:** **GENERAL OVERVIEW:** Provides operational and strategic leadership for Hospital/facility Care Management Department. Collaborates with nursing and clinical ... care determination practices. (20%) + Studies and implements the care management model and structure to achieve sustainable length of stay, resource… more
- WTW (Philadelphia, PA)
- **Description** As a Senior Associate, you will support the Custom Care Management Unit (CCMU) team in the management of key operations activities. CCMU is a ... high touch, custom care management program designed and monitored by WTW clinical specialists and administered by CCMU's health plan partners to drive improved… more
- St. Luke's University Health Network (Easton, PA)
- … in the communities we serve, regardless of a patient's ability to pay for health care . The Care Management Resident assists the Care Manager Social ... which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses...to psychosocial implications of illness and in transitions of care . JOB DUTIES AND RESPONSIBILITIES: + Demonstrates competency in… more
- Penn State Health (Hershey, PA)
- …information._ **Union:** Non Bargained **Position** Social Worker - DAY SHIFT - Pediatric Care Management **Location** US:PA: Hershey | Human Services | Full ... of physicians, nurses and other professionals to maintain continuity of patient care for all patient populations from admission to discharge, utilizes appropriate… more
- UPMC (Pittsburgh, PA)
- …Psychiatric Hospital is seeking an Administrative Assistant to support our Care Management department. Under general supervision, the Administrative Assistant ... + Composes reports. + Reviews administrative procedures. **Clerical and Calendar Management ** + Performs clerical tasks: copying, filing, typing. + Maintains office… more
- Geisinger (Selinsgrove, PA)
- …license + Minimum 3 years' experience in family medicine, including chronic and acute care management + Access to a private workspace and reliable broadband + ... team as an Inboxologist-a hybrid role combining in-office primary care (60%) with virtual work-from-home in-basket management ...primary care (60%) with virtual work-from-home in-basket management (40%). Job Duties What You'll Do: + Provide… more