- UPMC (Pittsburgh, PA)
- UPMC Mercy is hiring a Casual Discharge Plan Manager to support our Clinical Care Coordination and Discharge Planning Department! This position works primarily ... period or 2 shifts per month. Are you an RN or social worker interested in care ...experience. Pay range/Qualifications shows are for Senior Discharge Plan Manager . Starting rate for Discharge Plan Manager … more
- AmeriHealth Caritas (Philadelphia, PA)
- …; **Education/ Experience:;** + Bachelor's degree or equivalent relevant experience + Unrestricted Registered Nurse ( RN ) or Physical Therapist (PT) + Valid ... state of residency + Local travel required + 3 years of experience in Managed Care Utilization Review + Minimum of 1-3 years of Director Supervisory experience +… more
- Penn Medicine (Philadelphia, PA)
- …of Relationship Based Care and effective communication. * Supports the Nurse Manager in establishing/updating processes and work practices for the ... of Obstetric Anesthesia and Perinatology Center of Excellence Award Summary: + Assists Nurse Manager by assuming 24-hour accountability for the operation of the… more
- Deloitte (Philadelphia, PA)
- …as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist, utilization review, informatics RN , ... payments are appropriate for the type and level of care provided. + Strategic Risk: Helping clients to embrace...nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required… more
- WellSpan Health (York, PA)
- …or therapy experience with an emphasis in home care . Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse ... meetings on a regularly scheduled basis with individual staff to ensure safe quality care , progress towards goals, and proper utilization of services. * Provides… more
- St. Luke's University Health Network (Bethlehem, PA)
- …self-management of care needs. The OP CM SW also collaborates with the Outpatient Care Manager RN , Community Health Worker and extender staff as needed ... regardless of a patient's ability to pay for health care . The Outpatient Care Manager ,...bio-psychosocial needs to ensure efficient and effective continuity of care , utilization of resources and to avoid… more
- Geisinger (Wilkes-Barre, PA)
- …(Required), Bachelor's Degree-Nursing (Preferred) Experience Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... care , promote safety, and maximize patient satisfaction. Exhibits compassionate care during patient- nurse interactions. Coordinates patient care and… more
- CVS Health (Harrisburg, PA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... role in maintaining quality standards and regulatory compliance across managed care operations. **Key Responsibilities:** + Lead and support monthly NCQA… more
- Hologic (Philadelphia, PA)
- …+ Candidates with backgrounds such as Radiology Technologists, Mammography Technologists, Registered Nurses ( RN ), or other clinical professionals are strongly ... Radiology Clinical Account Manager - Philadelphia, PA Philadelphia, PA, United States...exceed company revenue goals across the BSH continuum of care . + Develop, implement and drive selling strategies and… more
- Highmark Health (Harrisburg, PA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides… more