• Facility Coding Inpatient DRG Quality

    Banner Health (PA)
    …the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management staff to: align diagnosis ... **Department Name:** Coding-Acute Care Compl & Educ ** Work Shift:** Day **Job Category:** Revenue Cycle **Estimated...SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for… more
    Banner Health (09/06/25)
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  • Medical Director - Northeast Region

    Humana (Harrisburg, PA)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
    Humana (07/25/25)
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  • Care Manager, Registered Nurse- Remote

    Sharecare (Harrisburg, PA)
    …+ Training in motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly ... ensure successful completion of member goals, while providing Complex Case Management and/or care management ...+ Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical more
    Sharecare (08/28/25)
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  • Behavior Consultant (Independent Contractor)

    Devereux Advanced Behavioral Health (Newfoundland, PA)
    …who share your passion for helping individuals in need. We offer: - Clinical resources throughout the country - Flexible schedules - Knowledgeable & experienced team ... NEPA. **Essential Duties and Responsibilities:** + Provides expertise in behavioral management protocols. + Collaborates with other treatment team members to design… more
    Devereux Advanced Behavioral Health (08/22/25)
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  • Registered Nurse, Home Health

    CenterWell (Stroudsburg, PA)
    …As a **Home Health Registered Nurse** , you will: + Provide admission, case management , and follow-up skilled nursing visits for home health patients. ... + Administer on-going care and case management for each patient, provide necessary...each patient, provide necessary follow-up as directed by the Clinical Manager. + Confer with physician in developing the… more
    CenterWell (09/13/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Harrisburg, PA)
    …Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, ... in interventional cardiology to help ensure the delivery of high-value, evidence-based case reviews. Enjoy improved work -life balance while contributing to… more
    Evolent (07/30/25)
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  • Crisis Clinician Associate, I & II - resolve…

    UPMC (Pittsburgh, PA)
    …doing psychiatric assessments. + Experience in mental health crisis intervention, case management , or in-home therapy preferred. + Excellent, recovery-oriented ... doing psychiatric assessments. + Experience in mental health crisis intervention, case management , or in-home therapy preferred. + Excellent, recovery-oriented… more
    UPMC (09/10/25)
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  • Registered Nurse Home Health

    CenterWell (Lancaster, PA)
    …love. As a **Home Health Registered Nurse** , you will: + Provide admission, case management , and follow-up skilled nursing visits for home health patients. + ... Administer on-going care and case management for each patient, provide necessary...each patient, provide necessary follow-up as directed by the Clinical Manager. + Confer with physician in developing the… more
    CenterWell (07/15/25)
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  • Behavioral Health Therapist II

    UPMC (Pittsburgh, PA)
    …group census, and other administrative tasks. + Documents all assessments, treatment sessions, contacts, case management and other work done on behalf of ... UPMC's Pain Management is looking for a Behavioral Health Specialist...The purpose of this job is to provide independent clinical treatment services to the targeted populations. This is… more
    UPMC (08/14/25)
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  • Senior Solution Consultant

    Norstella (Harrisburg, PA)
    …Citeline is one of the world's leading providers of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and ... and development to regulatory approval, and from product launch to lifecycle management , we provide the intelligence and insight to help our customers seize… more
    Norstella (08/08/25)
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