- WellSpan Health (York, PA)
- …daytime hours 8 am to 4:30 pm Hybrid Remote Work **Program Description:** WellSpan's Care Management team helps patients reach their best possible health in the ... right setting in a cost-effective manner. The Care Management team reviews benefits and resources, plus develops and puts into action a care management … more
- Humana (Harrisburg, PA)
- …work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient ... relationships, value based care , population health, or disease or care management . Medical Directors support Humana values, and Humana's Bold Goal mission,… more
- ChenMed (Philadelphia, PA)
- … standard operating procedures. + Conducts hospital bedside discussion explaining our Care Management /Disease Management program with verbal introduction to ... care plans + Knowledge of nursing and case management theory and practice + Knowledge of patient care charts and patient histories + Knowledge of clinical and… more
- Commonwealth of Pennsylvania (PA)
- …initial contact with individuals, their families and professionals through ongoing care management responsibilities. This includes specialized duties such as ... nursing home administration, nursing, public health, health sciences, community health, health care management , or law enforcement? If you are claiming… more
- AmeriHealth Caritas (Philadelphia, PA)
- …as social determinants of health and supportive needs. + Identifies problems/barriers for care coordination and appropriate care management interventions. + ... Care Manager (RN) provides support tomembers appropriate for care coordination and case management services in achieving their optimal level of health through… more
- UPMC (Pittsburgh, PA)
- …system departments as appropriate. + Document all activities in the Health Plan's care management tracking system following Health Plan standards and identify ... close gaps in preventive care , addresses barriers to care , and supports the member's self- management of chronic illness based on clinical standards of … more
- Geisinger (Lewistown, PA)
- …and required within 3 years of hire. At least one year of RN Care Management is strongly preferred. + Assesses, plans, implements, coordinates, monitors and ... of healthcare for complex care patient population. + Complex care manager works with Care Management Operations Team to stratify/ triage patients to the… more
- UPMC (Pittsburgh, PA)
- …post-acute services coverage and availability. + Attends Department meetings and Corporate Care Management Training sessions in order to maintain current ... requirements. + Takes leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor, Attending Physicians and clinical… more
- UPMC (Pittsburgh, PA)
- …Care Manager is expected to bring a level of clinical leadership to the care management department. These Care Managers are specifically chosen based upon ... . In addition, the Care Manager may serve as the care management lead for other members of his/her team. **Responsibilities:** + Makes authorization… more
- Sharecare (Harrisburg, PA)
- …package** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing ... high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the… more