- Datavant (Harrisburg, PA)
- …to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. You will work ... Minimum 5 years managing coders in an outpatient or inpatient setting. + Current CCS, CRC, or CPC required....reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Trinity Health (Philadelphia, PA)
- …**Licensure/Certification:** + Active **PA RN License** required. + **Preferred Certifications:** + Certified Case Manager (CCM) + Accredited Case Manager ... **Employment Type:** Full time **Shift:** **Description:** **RN Care Manager ** **Location:** Nazareth Hospital **Department:** Coordinated Care **Schedule:**… more
- UPMC (Pittsburgh, PA)
- …Hospital has fulfilled this mission since its founding in 1890.** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall ... and/or continued stay using InterQual criteria to determine appropriate level of care ( Inpatient , OBS, etc.) + Obtains all necessary authorizations for level of care… more
- UPMC (Pittsburgh, PA)
- …formfieldid="descriptionInt" Are you an RN or social worker interested in care management, case management, or care coordination? UPMC is proud to announce the new ... are prepared for a successful discharge and achieve continued improvement following inpatient care. + Advocate on behalf of patient/family/caregivers for access to… more
- WellSpan Health (York, PA)
- …and Responsibilities** **Essential Functions:** + Collaborates with physicians, therapists, case managers and others in the early identification of potential ... candidates for inpatient rehabilitation. Establishes rapport and trust with all. Communicates...thinking required. + Must be self directed, good task manager , and have skills in electronic device navigation. +… more
- UPMC (Pittsburgh, PA)
- Are you an RN or social worker interested in care management, case management, or care coordination? UPMC Presbyterian Shadyside is looking for a Discharge Plan ... Discharge Planning department! The role of a Discharge Plan Manager will allow you to become a vital member...of a patient's clinical care needs from either an inpatient hospitalization to outpatient; from a post-discharge facility to… more
- Geisinger (Danville, PA)
- …The IOP treatment team is comprised of a psychiatrist, master's level therapist, case manager , and support team members. Job Duties Key IOP responsibilities: ... affecting their daily functioning. This program is intended to prevent psychiatric inpatient hospitalization, re-admission, and allow patients to return to a better… more
- St. Luke's University Health Network (Bethlehem, PA)
- …comprehensive medical review and screening of all referrals made to the inpatient Acute Rehabilitation Center within the network. They work collaboratively with ... and admission criteria and in conjunction with the medical director, Admissions Manager , and ARC Director or designee + Provides recommendations to patients and… more
- Prime Therapeutics (Harrisburg, PA)
- …to patients seeking care at non-preferred treatment sites (eg, Hospital inpatient or outpatient facilities, non-par cancer treatment centers, etc.). + Discusses ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...Quality oversight for this program is provided by the Manager , Patient Programs. **Education & Experience** + Associates -… more
- Highmark Health (Harrisburg, PA)
- …(10%) + Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities ... and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for education/training of… more