- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …your professional journey. We invite you to apply today. SUMMARY OF JOB The Care Management Assistant will provide secretarial, clerical and other support to the ... Care Management Team to ensure that the... Care Management Team to ensure that the day to day...third party payers as well as post-acute providers. The Care Management Assistant will also be responsible… more
- 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
- UPMC (Pittsburgh, PA)
- … Behavioral Health is hiring a Licensed Professional Care Manager for the Acute Care Management Team in Allegheny County. This role will work in a hybrid ... Manager is expected to bring a level of clinical leadership to the care management department. These Care Managers are specifically chosen based upon a… 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
- Geisinger (Danville, PA)
- …are new admissions and who are identified using specified criteria. + Completes the Care Management 55 Flow Document and Survey within scope: reviews the ... and coordinates services. + Provides resource education, identifies gaps in care and social determinants, facilitates self- management , schedules appointments and… 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
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the ... calls to the appropriate ASN to address beneficiary concerns and needs. **The Care Management Support Assistant 3 responsibilities include:** + Assist ASN with… 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)
- …genetic information._ **Union:** Non Bargained **Position** Clinical Case Manager - Pediatric Care Management **Location** US:PA: Hershey | Nursing | Part Time ... (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** Responsible to coordinate interdisciplinary professional care of a select patient population as determined by… more