- CVS Health (Bensalem, PA)
- … members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate ... to work. Services and strategies, policies and programs are comprised of network management , clinical coverage, and policies. Community Care Case Manager's use a… more
- UPMC (Media, PA)
- …quality departments from a regional perspective. + Supports member satisfaction with the care management process. + Implements quality management programs ... Plan. + Acts as a physician reviewer for cases referred by care management staff. + Focus on clinical documentation improvement efforts thereby improving… more
- Highmark Health (Harrisburg, PA)
- …population health management . **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + Experiencein ... in primary care , or healthcare consulting in primary care or population health management . + 3 years of experience in data analysis, interpretation, and… more
- LifePoint Health (Johnstown, PA)
- …case management program.Ensure staff competencies in all areas of care management to include utilization review, transition/discharge planning, social work ... in an acute care hospital. . Working knowledge of Care Management department functions including Joint Commission and Conditions of Participation (COP)… more
- St. Luke's University Health Network (Sellersville, PA)
- …mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care ... we serve, regardless of a patient's ability to pay for health care . The Care Manager, in partnership with clients and families, works to facilitate mental… more
- CVS Health (Allison Park, PA)
- …experience documenting within an electronic health record like EPIC * Adheres to care management , privacy and confidentiality, and quality management ... is advantageous * Experience in a call center or telephonic care management setting preferred * Certified Pharmacy Technician (CPhT) or other medical/customer… more
- WellSpan Health (Lebanon, PA)
- …Provides clinical direction and management of activities related to the care management of assigned patient population, including clinical policy development ... care . **Duties and Responsibilities** **Essential Functions:** + Manages the care management program for assigned patient population including clinical… more
- ChenMed (Philadelphia, PA)
- …the follow up patient visits. Once a patient has completed their episode of care management the register nurse (RN) will review patient chart for discharge ... care physicians, and other members of the care team that provides hyperfocus case management ...the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital… more
- Penn Medicine (Lancaster, PA)
- …Nursing. + Bachelor's degree in Nursing BSN . + Knowledge of utilization review or managed care . + Care management experience in a managed care setting. ... training. + Helps in identification of best methods to transmit case management plan to all points of care provided in the health care system, and county… more
- Highmark Health (Monroeville, PA)
- …coordination of care in accordance with recognized standards of practice for Care Management . Professional role model utilizing expertise in care ... and third party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization changes,… more