- Humana (Harrisburg, PA)
- …business relationships, value based care , population health, or disease or care management . Medical Directors support Humana values, and Humana's ... work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient… more
- Geisinger (Danville, PA)
- …assesses the psychological needs of patients and families and provides information, support , counseling, care management , and referrals to appropriate ... management and patient throughput by delivering the right care at the right time and in the right...the participant's response to the interdisciplinary team plan of care . + Monitors group support adherence for… more
- UPMC (Pittsburgh, PA)
- … Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Care Management Department in Allegheny County! The Mobile ... care and services across the continuum of care with case management , physicians, pharmacy, behavioral...days of hire + Automotive Insurance + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Clinical Social… more
- UPMC (Media, PA)
- …Care Behavioral Health is hiring a full-time Licensed Professional Care Manager to support the Care Management team in Delaware County. This role will ... 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
- Geisinger (Danville, PA)
- …home care following discharge. Consults with patient's physician in planning and with Care Management regarding support at home as indicated. Job Duties ... + Provides direct patient care to patients with disorders of the integumentary system...of 2 years-Clinical (Required) Certification(s) and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse… 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...resolve data discrepancies + Execution of report enhancements + Support annual carrier and client survey processes + … more
- UPMC (Pittsburgh, PA)
- …reviewer for all cases referred by the Quality Improvement and Care Management Departments. + Daily activities support adherence to quality and utilization ... Provide leadership and direction in meeting Quality Improvement and Care Management goals directed at improvements in...28 Pa. Code 27.1 et seq. + Daily interventions support implementation of the Health Plan's Quality Improvement and… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …and leadership skills. Motivated, self-starter, enthusiastic personality. Three years of acute care experience in Care Management , Discharge Planning or ... issues that impact patient classification, discharge from the emergency room and ongoing medical management of patient care needs. The ER Care Manager will… more
- UPMC (Harrisburg, PA)
- This position will support two of our outpatient UPMC primary care clinics, working a regular full-time daylight schedule Monday through Friday. No weekends or ... medical assistants and office assistant staff in the daily management of the patient process. + Formulates goals and... and service. Utilizes research and evidence-based practice to support improvement in clinical care : identifies research… 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 ... Essential Functions: 1) The Acute Case Manager collaborates to support that the right care is provided...activities. a) Incorporates available current evidence-based data for clinical care management . b) Demonstrates knowledge of federal,… more