- CVS Health (Harrisburg, PA)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... skills preferred + Managed care/utilization review experience preferred + Case management and discharge planning experience preferred **Education** Masters Degree… more
- BAYADA Home Health Care (Dushore, PA)
- Clinical Manager - RN Educator BAYADA Home Health Care is seeking an experienced and compassionate **Clinical Manager (RN)** to join our Towanda, PA office in a ... Apply today to join BAYADA's Towanda team as our next Clinical Manager and Educator! \#BAYADA-RN-RX \#LIRX **As an accredited, regulated, certified, and licensed… more
- Trinity Health (Newtown, PA)
- …St. Mary Home Care has a full-time opening for a Primary Care Nurse for Home Care services for the Langhorne, Newtown, and greater Bucks County area. Signing Bonus is ... not applicable to internal employees, former employees who have resigned in the last year or applicants sourced from outside firms. $10K Sign On Bonus **Provide one-to-one, compassionate care and love your job** St. Mary Home Care, an agency of Trinity Health… more
- Cardinal Health (Harrisburg, PA)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Highmark Health (Erie, PA)
- …:** **$10,000 sign on bonus available** **GENERAL OVERVIEW:** This job collaborates with the interdisciplinary team of providers, clinicians, health plans, and ... external partners while advocating for patients and families/caregivers to coordinate care across the continuum. The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of… more
- Trinity Health (Philadelphia, PA)
- …Mercy Home Health - Philadelphia, Pennsylvania $10,000 bonus Position Overview As a Home Care Registered Nurse (RN) at Trinity Health at Home and Mercy Home Health, ... you'll deliver one-on-one, high-quality care to patients in the comfort of their homes. Using advanced technology and your clinical expertise, you'll assess, plan and manage individualized care that promotes healing and independence. This position is based out… more
- LifePoint Health (Johnstown, PA)
- *Registered Nurse (RN), Case Manager PRN/Hourly* Job Type:PRN/Hourly| M-Sun 8a-430p ** *Department/Unit Summary* Case Management plays an important role in ... the care of hospitalized patients. Our team of RN Case Managers, Social Workers, Utilization Review staff, and Discharge...an individualized plan of care for our patients. The Case Management staff coordinates with the interdisciplinary team and… more
- WellSpan Health (York, PA)
- …health care. Works in a team type assignment or Care Coordination Team (CCT) Model ( Case Manager and Social Worker teams are assigned to patients by physician ... pm **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to… more
- Coventry (Fort Washington, PA)
- …to provide an environment supportive of career progression. About the role: As a Case Manager , you will actively manage and facilitate the smooth and efficient ... departments, medical facilities and life insurance carriers to collect information, drive case progression and ensure efficient processing of each case . The… more
- ChenMed (Philadelphia, PA)
- …possession and maintenance of a current, valid driver's license + Certified Case Manager certification is preferred. Certification through the Commission for ... Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired We're ChenMed and we're transforming healthcare for seniors… more