- CVS Health (Chester Springs, PA)
- …and keyboarding + Bachelor's degree + Discharge planning or home health care with Medicare members + Certified Case Manager or Additional national ... network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment,… more
- Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
- Registered Nurse (RN) Case Manager - Monday thru Friday, On Site Come work at our 4-star staffing facility! **The position is on site at the facility, and remote ... not be considered.** Benefits of the Registered Nurse (RN) Case Manager : + Daily Pay Option! Your...care setting. + Proficient in ability to interpret Managed Care/ Medicare Advantage Contracts and provide education to the teams… more
- UPMC (Washington, PA)
- …to develop performance improvement activities as indicated. + Oversees daily operations of the Case Manager (CM) staff under the direction of the Director. + ... **Purpose:** The Manager oversees the day-to-day operations of the Case management department under the direction of the Director. The Manager is accountable… more
- WellSpan Health (Lebanon, PA)
- …period **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to ... discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** + Reviews assigned patients… more
- WellSpan Health (Ephrata, PA)
- …matrix reporting to hospital leadership, supervises and oversees the work activities of Case Management at specified entity. Works in a team leadership model to ... Hospital, System and community needs. Provides direction to staff regarding case management, discharge planning, social services and utilization management. Provides… more
- Healthfirst (PA)
- …case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which...Centers for Medicare & Medicaid Services (CMS) or New York State… more
- Cardinal Health (Harrisburg, PA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while… more
- Highmark Health (Pittsburgh, PA)
- …**Job Description :** Date Posted: 20250207 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 80 hours every two ... Daylight M-F, 40 hours per week, rotating weekends and holidays Union: Yes ** CASE MANAGEMENT:** The Case Management Department at Allegheny General Hospital… more
- CVS Health (Harrisburg, PA)
- …and expand to change lives in new markets across the country. Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care ... management, discharge planning and/or home health care coordination experience + Certified Case Manager + Excellent analytical and problem-solving skills +… more
- St. Luke's University Health Network (Bethlehem, PA)
- …continued stay reviews, retro authorizations and other coverage related efforts. The Case Manager actively explores and utilizes available internal and external ... and interventions according to hospital policy and other regulatory guidelines (ie Medicare , CARF, JCAHO, etc.). Documentation is completed in a progressional and… more
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