• Telephonic Care Manager (RN) - Pediatrics

    UPMC (Pittsburgh, PA)
    Are you an experienced Pediatric nurse with case management experience? We have a unique opportunity that may be a perfect fit for you! UPMC Health Plan is ... interdisciplinary team summarizing clinical and social history, healthcare resource utilization, case management interventions. Update the plan of care following… more
    UPMC (08/23/25)
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  • Investigations Consultant

    Highmark Health (Pittsburgh, PA)
    …providers. + Maintain current case related information on all applicable case management tracking systems. + Provide investigative support and mentoring to ... law enforcement entities and work with those agencies through closure of the case . Conduct audits for proactive and investigative purposes to comply with internal… more
    Highmark Health (08/22/25)
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  • County Caseworker 1 (Local Government) - Wayne…

    Commonwealth of Pennsylvania (PA)
    …a County Social Services Aide 3 or in a similar position performing paraprofessional case management functions. + Applicants will be considered to have met the ... below. 08 How many years of full-time experience do you possess performing paraprofessional case management functions? + 3 or more years + 2 but less than 3… more
    Commonwealth of Pennsylvania (08/22/25)
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  • ROOTS Outreach Site Manager

    City of Pittsburgh (Pittsburgh, PA)
    …and unstably housed people to be healthy and safe while homeless through case management , referrals to services, addressment of daily living needs, criminal ... encounters, client information, and outcome tracking in relevant software using proper case management protocols. + Tracks incident reports, emergency calls, and… more
    City of Pittsburgh (08/02/25)
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  • ROOTS Community Health Worker

    City of Pittsburgh (Pittsburgh, PA)
    …and unstably housed people to be healthy and safe while homeless through case management , referrals to services, addressment of daily living needs, criminal ... client information, and outcome tracking in relevant software using proper case management protocols. + Provides support to one ROOTS site but supports… more
    City of Pittsburgh (07/14/25)
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  • Registered Nurse Hospice

    UPMC (Altoona, PA)
    …determined by education, experience, and certifications. **Responsibilities:** + Coordinates case management activities within an interdisciplinary health care ... care, to include complex and/or specialized care. **Responsibilities:** + Coordinates case management activities within an interdisciplinary health care team… more
    UPMC (06/17/25)
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  • Medical Director, Clinical Services

    Highmark Health (Harrisburg, PA)
    …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
    Highmark Health (07/29/25)
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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 ... issues among coding, nursing administration, Patient Business Services, medical staff, case management , and other ancillary departments directly affected by… more
    UPMC (08/21/25)
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  • Operations Manager, VBCM- Remote

    Sharecare (Harrisburg, PA)
    …CareFirst in a variety of areas such as integration activities, audits, and case management in collaboration with the Director. + Provide clinical/coaching ... state preferred + Bachelor's degree preferred + 5+ years' experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred… more
    Sharecare (07/30/25)
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  • Counsel, Claim

    Travelers Insurance Company (Philadelphia, PA)
    …all best practices in file handling. + Fully and effectively utilizes available technology, case management system and automation. + Travel as required to meet ... you. As a Counsel with Travelers you'll be responsible for high quality, proactive case handling and will have the opportunity to use your legal expertise and… more
    Travelers Insurance Company (08/08/25)
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