- UPMC (Washington, PA)
- The Manager oversees the day-to-day operations of the Case management department under the direction of the Director. The Manager is accountable for the following ... Case Management functions: training, auditing, systems support: ...requirements, and managed care principles preferred.2. Use of expert clinical practice, leadership skills, and critical thinking skills to… more
- Highmark Health (Monroeville, PA)
- …contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively ... 6 years of relevant experience in lieu of a degree + 3 years in a clinical nursing role + Current State of PA RN licensure OR Current multi-state licensure through… more
- Trinity Health (Newtown, PA)
- …**St. Mary's Home care & Hospice is seeking a full time Hospice RN Case Manager** **** St. Mary's Home Care and Hospice located in Bucks County, PA. ... patients avoid preventable ER visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7… more
- Penn Medicine (Philadelphia, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... each day. Are you living your life's work? Job Title:RN Pre Certification Case Manager Department: Business Operations - PMC Location: Penn Medicine University City-… more
- Select Medical (Mckeesport, PA)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource...they do. Minimum requirements: + **Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or… more
- Highmark Health (Pittsburgh, PA)
- …**Job Description :** Date Posted: 20250509 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
- Geisinger (Wilkes-Barre, PA)
- …accreditation. The Trauma Case Manager will also round with the trauma clinical team. Job Duties Responsible for ensuring optimal quality, clinical and ... a fully accredited Level 1 Trauma Program. The Trauma Case Manager plays an essential role in the operations...but are not limited to, daily review of the clinical management guidelines for each patient, direct patient interaction… more
- Select Medical (York, PA)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager** **$5000 Sign On Bonus** _Requires a current licensure in a clinical discipline either as a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource...they do. Minimum requirements: + **Current licensure in a clinical discipline either as a Nurse or a Respiratory… more
- Geisinger (Lewistown, PA)
- …to build a rewarding, lasting career with impact. Job Duties The RN Complex Case Manager will work with individuals who have complex health needs or multiple chronic ... practice metrics to further refine the delivery of care model to maximize clinical , quality, and fiscal outcomes. + Responsible for Care Without Delay Metrics and… more
- LifePoint Health (Johnstown, PA)
- …Development and Growth Opportunities . And much more Position Summary: Provide Case Management leadership and management for hospitals within a market of Lifepoint ... and planning.Formulate and implement operational strategies and initiatives in the case management program.Ensure staff competencies in all areas of care management… more