- AmeriHealth Caritas (PA)
- …and timely feedback to members' needs and requests. + 2 to 3 years of Case management experience.; **Licensure:** + Valid and current driver's license + Reliable ... **Role Overview:** As a Service Coordinator , you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as… more
- Prime Healthcare (Bristol, PA)
- …records while working closely with CMO (Chief Medical Officer). Actively participates in the Case management and UR meetings. Serves as on-going educator to all ... of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment.… more
- Penn Medicine (Philadelphia, PA)
- …department leadership to develop and implement solutions to issues identified by the Case Management and Social Work DepartmentNew Technology / Computer Systems: ... community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor… more
- St. Luke's University Health Network (Allentown, PA)
- …program participants. + Supervises and mentors program participants. + Provides wrap-around case management services to participants to address the social ... determinants of health, and document detailed case notes. + Prepares and submits reports to the...across multiple softwares and platforms. + Assists with the management of grant funds, including compiling and preparing documents… more
- Geisinger (Danville, PA)
- …care members on the role and purpose of Care Coordination, its processes, disease, and case management programs and outcomes. + Serves as a resource to patients, ... promote preventative patient care, offer screening services, and coordinate disease management services while also providing primary clinical support to the… more
- Cardinal Health (Harrisburg, PA)
- …guidance and training to junior case managers on best practices in case management , patient interaction, and navigating internal and external systems. + ... Actively participate in initiatives to improve care delivery, streamline processes, and enhance patient experience within the patient support program. + Actively communicate and support leadership with feedback, when necessary + Manage recurring meetings with… more
- UPMC (Philadelphia, PA)
- …on human culture. + Preferred: Minimum year of LTSS, Service Coordination, or Case Management experience. Additional Requirements: + Must have a valid driver's ... an active caseload based on state-mandated ratios according to residential setting, case intensity, and acuity. Collect program data to track participant progress on… more
- Geisinger (State College, PA)
- …controls systems. Responsibilities includes the implementation, development, expansion, resource management and oversight of projects which redesign or create new ... with strategic objectives to help managers move from reactive to pro-active management Consistently achieves project outcomes at target goals with hardwired redesign… more
- Highmark Health (Pittsburgh, PA)
- …planning and community resource knowledge + 1 year in a Home Care or hospice role + Case Management experience + 1 year in Critical Care + Time management ... and their families. Professional role model utilizing expertise in care management to promote a collaborative professional environment that supports excellence of… more
- WellSpan Health (Lancaster, PA)
- …Weekdays, daytime hours **General Summary** Coordinates admissions, insurance authorizations, clinical case management , and discharge planning for children and ... of residence. Driving record must meet requirements established by WellSpan Risk Management . **Courses and Training:** + Must provide clearance per the Child… more