- UPMC (Pittsburgh, PA)
- …and/or substance use disorder who have unstable, inadequate, or no residence. Intensive care management is provided in collaboration with the local housing ... Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health plan… more
- Guthrie (Sayre, PA)
- …and autonomy in nursing practice. Preferred experience with PCMH process, care management /utilization review, and payer knowledge. Fast paced ambulatory ... care experience preferred. Essential Functions: + Support Care Management functions in Primary Care Practices + a. Actively manages a panel of high‐risk… more
- AmeriHealth Caritas (Philadelphia, PA)
- …a single point of contact and be an advocate for members in the care management program. **Responsibilities** + Conduct telephone assessments to determine ... care management needs for all referred members + Complete comprehensive person-centered assessments covering physical and mental health history, social… more
- Guthrie (Sayre, PA)
- Up to a $15,000.00 Sign on Bonus! Summary The LPN-Transitional Care Management Nurse (TCMN) provides telephonic outreach to all patients that have been ... skills Education Completion of an accredited LPN program. Licenses The Transitional Care Management Nurse must be licensed in both New York and Pennsylvania. The… more
- Highmark Health (Aliquippa, PA)
- …care . + Oversees the identification of high risk patients and facilitates complex care management referrals. Works collaboratively with care team nurses ... :** GENERAL OVERVIEW: As a member of the health care team, assists with population health management through patient outreach and coordination of care ,… more
- Humana (Harrisburg, PA)
- …+ BSN or MSN degree in nursing or equivalent + Previous adult chronic conditions care management + Previous experience in care management including ... knowledge of complex care management and care management principles + Experience with motivational interviewing + Experience with MCG or CMS guidelines,… more
- Water Street Mission (Lancaster, PA)
- …team to achieve the primary goal of the administration and oversight of recuperative care . Provide direct nurse care management services for recuperative ... WSHS Leadership meetings + Other duties as assigned. + . Supervision and management of recuperative care staff. + q Be able and willing to share the Gospel and… more
- Highmark Health (Pittsburgh, PA)
- …for patients and their families. Professional role model utilizing expertise in care management to promote a collaborative professional environment that supports ... care between Highmark entities, including Endorsed LLC (Enhanced Community Care Management ), Healthcare@Home, and Journeys. + Participates in Highmark data… more
- St. Luke's University Health Network (Allentown, PA)
- …Social Worker (OP CM SW) is responsible for providing Social Work and care management services to out-patients and their families (occasional in-patients) as ... directed by the policies and procedures of the entity and Outpatient Care Management Department. The OP CM SW provides professionally established methods of… more
- County of Northampton (Bethlehem, PA)
- …on aging. SUPERVISION RECEIVED This position reports directly to the Aging Care Management Supervisor. SUPERVISION EXERCISED This position does not exercise ... by alleged perpetrators. Performs intake assessments with assigned consumers. Provides care management service to consumers on assigned caseload. Functions… more