- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? Job Title:RN Pre Certification Case Manager Department: Business Operations - PMC Location: Penn Medicine ... required clinical and demographically information to payer to obtain pre- certification and assure reimbursement.Identify potential quality and utilization concerns… more
- Guthrie (Troy, PA)
- …acute care setting with strong care management, utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management ... Acute Case Manager Position Summary: The Acute Case...upon outcome data and or problematic issues. 7. Validates authorization/ certification process for elective short procedures and urgent inpatient… more
- Highmark Health (Harrisburg, PA)
- …Fingerprinting Criminal Background Clearance Certificate **Preferred** + Nationally recognized Case Management Certification + Transition planning and ... BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager) - American Case Management Association -… more
- ChenMed (Philadelphia, PA)
- …experience in community case management experience highly desired + Certified Case Manager certification is preferred. Certification through the ... other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary...Commission for Case Manager Certification (CCMC) or the American Association of Managed Care… more
- Highmark Health (Monroeville, PA)
- …Fingerprinting Criminal Background Clearance Certificate **Preferred** + Nationally recognized Case Management Certification + Transition planning and ... BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager) - American Case Management Association -… more
- Penn Medicine (Lancaster, PA)
- …teams. Preferred Qualifications: + Five 5 years of case management experience. + Case Management certification ACM CCM within 3 years. + Current Licensure as ... Lancaster General Health is recruiting for a full-time inpatient Case Manager to join a team of dedicated ...Case Manager to join a team of dedicated Case Managers managing a variety complex cases. Case… more
- LifePoint Health (Johnstown, PA)
- …Management experience . Previous case management experience preferred . Case management certification , CP preferred *EEOC Statement* Conemaugh Memorial ... *Registered Nurse (RN), Case Manager PRN/Hourly* Job Type:PRN/Hourly| M-Sun 8a-430p **...an accredited nursing school. Additional requirements include: . BLS Certification . 3 years experience in acute care as… more
- Highmark Health (Harrisburg, PA)
- …and Medicare populations. + Bilingual English/Spanish language skills. + Case Management Certification **LICENSES AND CERTIFICATIONS** **Required** + ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- Highmark Health (Pittsburgh, PA)
- …multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). + Nationally recognized Case Management Certification within 5 years of start date. + ... **Job Description :** Date Posted: 20250509 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 80 hours every two… more
- St. Luke's University Health Network (Stroudsburg, PA)
- …for Warren Campus. Advanced degree preferred. BSN preferred, MSN and/or Case Management Certification preferred. TRAINING AND EXPERIENCE: Extensive clinical ... knowledge. 3-5 years of acute care experience. Previous care management experience is preferred. Experience in the use of InterQual/Milliman criteria preferred. Basic computer skills required. Ability to establish and maintain collaborative and effective… more