- Trinity Health (Pittsburgh, PA)
- …to be our "go to" for the daily unit operations of discharge planning and case management . + Ideally have extensive case management knowledge ... + Familiar with the resources in the community + Review all documentation before admittance. + Lead discharge planning meetings + Attend Treatment meetings Your main responsibility will be to the people we serve, ensuring that policies and procedures are… more
- Trinity Health (Pittsburgh, PA)
- …our Community Treatment Team, you will be responsible for providing comprehensive case management services to individuals with mental health and behavioral ... health needs within the community as well as a combination of office-based work. You will work closely with clients, their families, healthcare providers, and other community resources to ensure they receive appropriate and timely support and services. **WHAT… more
- St. Luke's University Health Network (Easton, 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
- St. Luke's University Health Network (Allentown, PA)
- … Work Queues for Medical Necessity and Late-Pick-Up/Notification that are entered by Case Management and Business Office. + Monitors retro denials to ensure ... no appeal, appeal level and final decision with revenue impact. + Assists Case Management as necessary to ensure that documentation is entered and transmitted to… more
- AmeriHealth Caritas (Philadelphia, PA)
- …consultation to staff as appropriate. + Assists IHCM Managers in assessing members' need for case management services + Attends case management meetings ... and monthly rounds as scheduled. + Collaborates with the integrated case management team, during scheduled meetings and informally as needed + Thoroughly… more
- UPMC (Pittsburgh, PA)
- …of the practice of held licensure. + Demonstrates knowledge of clinical treatment, case management and community resources. + Encourages coordination of care ... plans. + Maintains contact with and refers members to community-based case management services as appropriate. + Possesses excellent clinical skills with… more
- Guthrie (Sayre, PA)
- … of all operational aspects for Care Coordination including, but not limited to Case Management , Utilization Review (UR), Utilization Management (UM), and ... in and experience of payer contract language, as it relates to utilization management . Can navigate through the requirements imposed by all payers. Prior experience… more
- American Arbitration Association (Philadelphia, PA)
- …a Director of the International Centre for Dispute Resolution (ICDR) to deliver case management services, drive business development, promote ICDR services, and ... match, discounted pet insurance, and generous paid-time-off benefits. SUMMARY Delivers case management services and supports the development and promotion… more
- Penn Medicine (Philadelphia, PA)
- …DME, placements, hospice, community resources, and transportation. Quality data collection and risk management referrals. Case management allows you to work ... to develop and implement solutions to issues identified by the Case Management and Social Work DepartmentNew Technology / Computer Systems: Keeps current… more