- Trinity Health (Philadelphia, PA)
- …required. + Active PA RN License required. + Three (3) years of utilization management or case management experience, including emphasis on discharge ... planning. + Case Management certification from an accredited organization preferred **We offer a competitive salary and comprehensive benefits including:** +… more
- Geisinger (Kingston, PA)
- …regulations and acts to improve compliance. + Maintains required documentation for all case management activities. + Collects required data and utilizes this ... + Works closely with assigned primary care provider site and functions as a case manager for patients with behavioral health co-morbidities across the care team to… more
- St. Luke's University Health Network (Easton, PA)
- …ACM certification strongly preferred. TRAINING AND EXPERIENCE: Minimum of 3 years FT case management experience in an acute care setting. Strong knowledge of ... patient's ability to pay for health care. The Complex Case Manager works across facilities to manage discharge planning...out educational opportunities specific to the role of care management . + Other related duties as assigned. PHYSICAL AND… more
- CVS Health (Harrisburg, PA)
- …Crisis intervention skills preferred Managed care/utilization review experience preferred + Case management and discharge planning experience preferred + Managed ... comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan… more
- Crossroads Hospice & Palliative Care (Philadelphia, PA)
- Registered Nurses, in our Case Management team, provide more than just medical assistance; they also listen attentively to patients' needs and honor their ... wishes. One of the most important aspects of being a Registered Nurse Case Manager is building trusting relationships with patients and their families. This trust… more
- St. Luke's University Health Network (Allentown, PA)
- …with mental health illness. Previous experience in discharge planning and case management models preferred.Current Behavioral Health department program for ... and the Manager regarding variances, aspects of patient care management . + Facilitates insurance authorization, pre-certification, and concurrent reviews for… more
- Commonwealth of Pennsylvania (PA)
- …trainings, seminars, conferences, and staff meetings designed to develop performance and case management skills and familiarize staff with current methods and ... seminars, conferences, and staff meetings designed to develop performance and case management skills and familiarize staff with current methods and techniques in… more
- Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
- …providing inpatient and outpatient services. These services include intake, assessment, case management , advocacy, treatment, coordination of care and discharge ... group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management interventions used in the treatment of veterans with… more
- Humana (Harrisburg, PA)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
- 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