- CenterWell (Harrisburg, PA)
- …medication management , chronic disease management , deprescribing, behavioral health support + New programming as advance Care Integration strategic plan ... of our High Risk Patient Management (HRPM) program, Transitions of Care Management (TCM) program, and Episodic Consult (single-use case specific offerings)… more
- UPMC (Pittsburgh, PA)
- …the plan of care . + Document all activities in the Health Plan's care management tracking system following Health + Successfully engage member to develop an ... for? UPMC Health Plan is hiring a full-time Clinical Care Manager to support our partnership with...gaps in preventive care , addresses barriers to care , and supports the member's self- management of… more
- Highmark Health (Pittsburgh, PA)
- …Experience in field care as it relates to BLS, ALS and critical care medicine. + Extensive knowledge in: management and budget, specialized software and ... **GENERAL OVERVIEW:** This job is responsible for 24/7 leadership for AHN Prehospital Care Operations including: Life Flight, Critical Care Transport, AHN EMS… 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 ... conditions, often requiring a high level of coordination and support to manage their care . They focus...for complex care patient population. + Complex care manager works with Care Management… more
- ChenMed (Philadelphia, PA)
- … standard operating procedures. + Conducts hospital bedside discussion explaining our Care Management /Disease Management program with verbal introduction to ... + Seeks assistance from ChenMed's specialists when needed to support the care of our patients in...care plans + Knowledge of nursing and case management theory and practice + Knowledge of patient … more
- Guthrie (Sayre, PA)
- …for treatment regimen adherence and medication management to support self- management and independent living. + Identifies potential care gaps and makes ... 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… more
- Trinity Health (Darby, PA)
- **Employment Type:** Part time **Shift:** **Description:** **RN Care Manager - Utilization Management ** **Location:** Mercy Fitzgerald **Department:** Care ... **Position Purpose** Mercy Fitzgerald is seeking a dedicated **RN Care Manager - Utilization Management ** to join...Will Do** + Perform clinically based utilization reviews to support efficient patient care delivery. + Apply… 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)
- …assists members to close gaps in preventive care , addresses barriers to care , and supports the member's self- management of chronic illness based on clinical ... primary care provider and the interdisciplinary team that promotes symptom management , goals of care /advanced directives, healthy lifestyles, closes gaps in … more
- UPMC (Pittsburgh, PA)
- …and supply ordering, assist in training new employees, and weekly clinical/ management meetings. **Department Details:** The Oakland Primary Care Center ... 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