- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …company, physicians, workplace, benefits administrators and individuals from other areas. The Case Manager facilitates the case management process along ... continuum; advocating and contributing to the patient's positive journey. Facilitate the case management process along the healthcare continuum. The incumbent… more
- AmeriHealth Caritas (Philadelphia, PA)
- …as assigned. + Document all activities, correspondence, and outcomes in the case management system with attention to detail and accuracy. **_Compliance ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- CVS Health (Harrisburg, PA)
- …companies, and healthcare personnel as appropriate. + Implements and coordinates all case management activities relating to catastrophic cases and chronically ... in their homes, worksites, or physician's office to provide ongoing case management services. + Assesses and analyzes injured, acute, or chronically ill… more
- CVS Health (Danville, PA)
- …companies, and healthcare personnel as appropriate. - Implements and coordinates all case management activities relating to catastrophic cases and chronically ... in their homes, worksites, or physician's office to provide ongoing case management services. - Assesses and analyzes injured, acute, or chronically ill… more
- Highmark Health (Jefferson Hills, PA)
- …health continuum. Incumbents will utilize nationally recognized standards of practice for case management by collaborating with providers, clinical teams, health ... Fingerprinting Criminal Background Clearance Certificate **Preferred** + Nationally recognized Case Management Certification + Transition planning and… more
- CVS Health (Harrisburg, PA)
- …Manager is responsible for telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... functionality. * Reviews prior claims to address potential impact on current case management and eligibility. * Assessments include the member's level of work… more
- ASM Research, An Accenture Federal Services Company (Harrisburg, PA)
- …+ Utilize your data analysis experience and skills for research, remediation, case management , and troubleshooting to support American consumers who get ... **Job Description** The Case Analyst II plays a significant role on...and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental… more
- WellSpan Health (Lebanon, PA)
- …weekend **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources ... discharge needs. Provides leadership in the integration of utilization and case management principles. **Essential Functions:** + Reviews assigned patients… more
- Highmark Health (Harrisburg, PA)
- …manage an active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case ... local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by… more
- WellSpan Health (York, PA)
- …Weekend_** **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of ... discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** **Essential Functions:** +… more