- Coventry (Fort Washington, PA)
- …provide an environment supportive of career progression. About the role: As a Case Manager, you will actively manage and facilitate the smooth and efficient ... departments, medical facilities and life insurance carriers to collect information, drive case progression and ensure efficient processing of each case . The… more
- Highmark Health (Pittsburgh, PA)
- …delegation follow up. Manages the oversight, development and maintenance of case management policies and procedures related to ensure accreditation and compliance ... the corporation to resolve issues and ensure activities coincide with Case Management processes. Provides consultation to the department. Monitors regulatory… more
- Duquesne Light Company (Pittsburgh, PA)
- …The ideal candidate will be a proactive contributor to litigation strategy, case management, and enforcement actions, while serving as a liaison between internal ... Hybrid (see below), downtown Pittsburgh, Pennsylvania **Job Duties and Responsibilities:** + ** Case Evaluation & Intake** + Review incoming claims files to assess… more
- UPMC (Pittsburgh, PA)
- …established timeframes in accordance with departmental standards.Participates in case conferences, interagency and provider treatment planning and departmental ... calls. + Coordinates care and services across the continuum of care with case management, physicians, pharmacy, behavioral health, and other providers or health plan… more
- Datavant (Harrisburg, PA)
- …understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG. + ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more
- WellSpan Health (Lebanon, PA)
- …policies and procedures. + Follows policies and procedures regarding Intensive Case Management patients. + Follows policies and procedures regarding Family Focus ... patients. + Fosters cooperation between crisis counselors and MH/MR case managers (this would include follow-up calls to ...case managers (this would include follow-up calls to case managers regarding contact with their patients). + Remains… more
- Datavant (Harrisburg, PA)
- …and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution. + Demonstrate versatility and exceptional work across a wide ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more
- PPL Corporation (Allentown, PA)
- …+ Responsibilities listed below relate to the IT line of business, and rate case support can include one or multiple jurisdictions. + Develop line of business goals, ... + Responsible for the planning and budgeting function, including business case development and preparation of capital governance documentation supporting capital… more
- WellSpan Health (York, PA)
- …policies and procedures. + Follows policies and procedures regarding Intensive Case Management patients. + Follows policies and procedures regarding Family Focus ... patients. + Fosters cooperation between crisis counselors and MH/MR case managers (this would include follow-up calls to ...case managers (this would include follow-up calls to case managers regarding contact with their patients). + Remains… more
- Commonwealth of Pennsylvania (PA)
- …supervisory duties which include: Overseeing caseload and productivity of staff; reviewing case monitoring reports and ensuring timely and accurate updating of data; ... to instruct and assist them with investigative problems and case management. Levels of Performance Select the "Level of...to instruct and assist them with investigative problems or case management. + B. I have experience reviewing complaints… more