• HCare Compliance Invest 2

    Public Consulting Group (Harrisburg, PA)
    …investigative activities, including discovery of all elements of the incident in the case tracking management system. + Prepare case mailings, ie record request ... strong ability to use templates and spreadsheets to document case review findings. + Demonstrate ability to foster teamwork...or a licensed professional counselor (LPC, LPCC), Dental Hygiene License (RDH)- Current unrestricted license in North… more
    Public Consulting Group (09/06/25)
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  • Telephonic Care Manager

    UPMC (Pittsburgh, PA)
    …team summarizing clinical and social history, healthcare resource utilization, case management interventions. Update the plan of care following review ... 2 years of experience in a clinical setting and case management nursing required. + BSN preferred. Ability to...the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and… more
    UPMC (09/04/25)
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  • Aging Care Manager 3 - Protective Services

    County of Northampton (Bethlehem, PA)
    …a caseload of vulnerable clients who are in need of protection or mental health case management services, which are part of the overall program in a county area ... care, or at termination of Protective Services status. Terminates case when consumer no longer meets legal definition of...and maintain a valid and current motor vehicle operator's license . Must have an acceptable driving record. Personal vehicle… more
    County of Northampton (08/26/25)
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  • DRG Specialist II

    UPMC (Pittsburgh, PA)
    …for coding personnel, the medical staff, physician extenders (PAs, CRNPs), nursing case management and ancillary departments. + Track and report quality statistics ... Assists with training of new DRG Specialists and codersCompletes CDI related case work/initial and subsequent reviews as necessary + Coordinate DRG reimbursement… more
    UPMC (08/21/25)
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  • Counselor

    BriteLife Recovery (Hanover, PA)
    …functioning in each of the dimensions as indicated. + Collaborate with Case Management on discharge/transfer plans to ensure smooth transition to the appropriate ... levels of care. + As requested by Case Management, contact referral sources to provide ...ADC, AADC or equivalent) strongly preferred. + Professional clinical license (LMSW, LCSW, LPC, LMFT, or equivalent) strongly preferred.… more
    BriteLife Recovery (08/12/25)
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  • Behavioral Health Medical Director - Medicare

    Humana (Harrisburg, PA)
    …in an approved ABMS Medical or ABPN Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional license , ... participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services… more
    Humana (08/09/25)
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  • Registered Nurse Visiting Nurse Advocate of…

    St. Luke's University Health Network (Allentown, PA)
    …care. The Registered Nurse Visiting Nurse Advocate works as a designated nurse case manager with county children, youth and family caseworkers to implement the VNAC ... Admits family to VNAC Program and functions as the case manager for the family to assist them in...Must have and maintain valid PA or NJ Driver's License ; Must have and maintain a good driving record… more
    St. Luke's University Health Network (08/02/25)
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  • Medical Director - Northeast Region

    Humana (Harrisburg, PA)
    …Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional license ... experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute… more
    Humana (07/25/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Harrisburg, PA)
    …start time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. We ... skills to make an impact** **Required Qualifications** + Active Registered Nurse (RN) license with no disciplinary action. + **Hold an active Compact nursing … more
    Humana (09/06/25)
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  • Kinetic Customer Service Technician

    Uniti (Beaver Falls, PA)
    …Operations. **Do You Have?** + Basic technology and math skills + Valid driver's license and safe driving record + Ability to distinguish colors in use of ... Requirements:** + Education: High School Diploma or equivalent + Certification/ License : Must maintain a valid driver's license ...disqualify a candidate but will be evaluated on a case -by- case basis considering a number of factors,… more
    Uniti (09/05/25)
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