• Clinical Reimbursement Case

    Genesis Healthcare (York, PA)
    …impact in the communities we serve. Responsibilities The Manager, Case Management is responsible for the clinical , administrative, and financial oversight of ... we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and...development, implementation, and maintenance of a case management model which meets the clinical and… more
    Genesis Healthcare (07/01/25)
    - Related Jobs
  • Clinical Case Manager Behavioral…

    CVS Health (Harrisburg, PA)
    …Quality of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, ... of care to meet the member's goals * Utilizes case management and quality management ...work . One of the following: + LCSW Licensed Clinical Social Worker + LSW Licensed Social Worker LISW… more
    CVS Health (07/05/25)
    - Related Jobs
  • Clinical Case Manager Behavioral…

    CVS Health (Harrisburg, PA)
    …intervention skills preferred + Managed care/utilization review experience preferred + Case management and discharge planning experience preferred **Education** ... standard business hours. No weekends and no holidays. Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
    CVS Health (07/23/25)
    - Related Jobs
  • Case Management Manager - UPMC

    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 ...requirements, and managed care principles preferred.2. Use of expert clinical practice, leadership skills, and critical thinking skills to… more
    UPMC (07/11/25)
    - Related Jobs
  • Case Management Nurse-RN Weekend…

    WellSpan Health (York, PA)
    …+ 2 years Recent acute care experience. Required + Utilization management , case management , or clinical nursing specialty. Preferred **Licenses:** + ... **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to… more
    WellSpan Health (07/22/25)
    - Related Jobs
  • Registered Nurse - Case Management

    Prime Healthcare (Bristol, PA)
    …5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care ... designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (07/18/25)
    - Related Jobs
  • Complex Case Manager RN - Oncology (Remote)

    Highmark Health (Harrisburg, PA)
    …Degree in Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management ...of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to… more
    Highmark Health (07/25/25)
    - Related Jobs
  • Social Worker - Case Management

    LifePoint Health (Johnstown, PA)
    …Coordinates level of care appropriate to patient need in collaboration with the Case Management Team. Performs discharge planning based on high-risk assessment ... care hospital experience, internship(s) in social service related **Job:** ** Case Management /Social Services* **Organization:** ** **Title:** *Social Worker… more
    LifePoint Health (06/08/25)
    - Related Jobs
  • Telephonic Nurse Case Manager

    ICW Group (Philadelphia, PA)
    …to ensure quality and appropriate service delivery of the case management process. + Performs initial and ongoing clinical assessment via telephone ... considered. Minimum 2 years of professional experience providing direct clinical care required. Case Management ...strongly preferred. **KNOWLEDGE AND SKILLS** Working knowledge in direct clinical care required. Ability to work with… more
    ICW Group (06/18/25)
    - Related Jobs
  • RN Case Manager

    ChenMed (Philadelphia, PA)
    …any additional education patient may need and to oversee appropriate patient discharge from case management . + Performs clinical , fall prevention, and social ... other members of the care team that provides hyperfocus case management and field nursing interventions to...license is available + A minimum of 2 years' clinical work experience required + A minimum… more
    ChenMed (06/06/25)
    - Related Jobs