- Healthfirst (PA)
- …(NYSDOH) regulations governing medical management in managed care + Relevant clinical work experience + Intermediate Outlook, Basic Word, Excel, PowerPoint, ... **Duties/Responsibilities:** + Provides case management services for assigned member...medical necessity of treatments and service utilizations based on clinical documentation, regulatory, and InterQual/MCG criteria + Assessment -… more
- Geisinger (Wilkes-Barre, PA)
- … strategies, and available resources + Maintains required documentation for all case management activities. + Collects required data and utilizes this ... universal life and pet and legal insurance Position Details Work is typically performed in a clinical ... Case Manager within 3 years - American Case Management Association (ACMA); Licensed Registered Nurse… more
- Geisinger (Wilkes-Barre, PA)
- …those responsibilities include, but are not limited to, daily review of the clinical management guidelines for each patient, direct patient interaction and ... Case Manager will also round with the trauma clinical team. Job Duties Responsible for ensuring optimal quality,...Provides immediate one-on-one education concerning patient care and system. Work is typically performed in a clinical … more
- WellSpan Health (York, PA)
- …- Friday, Day shift schedule **General Summary** Plans, organizes and implements social work for patients and families. Works in a team model to address patient ... solving and referral process including transfer and discharge plans. + Notifies patient/ clinical team of potential referrals, documents on the medical record in a… more
- Sedgwick (Harrisburg, PA)
- …college or university or equivalent work experience preferred. Certification in case management , rehabilitation nursing or a related specialty is highly ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery...a collaborative environment, who are driven to deliver great work . + Apply your medical/ clinical or rehabilitation… more
- Geisinger (Danville, PA)
- …the patient or member and healthcare team. + Maintains required documentation for all case management activities. + Collects required data and utilizes this data ... rotation . At least two (2) years of RN work experience is required. Registered Nurse - Case...Case Manager - Care Coordination + Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in… more
- Sevita (Harrisburg, PA)
- …families, join our mission-driven team and experience a career well lived. ** Case Management Program Clinical Coordinator** **Harrisburg, York, Cumberland ... Bloomsburg market. + Coordinate the development, review, and implementation of services, case management , behavior intervention plans, and treatments provided to… more
- Veterans Affairs, Veterans Health Administration (Coatesville, PA)
- …to appropriate discipline. Responsible for intensive monitoring, follow-up, and clinical management of high-risk patients. Collaborates with interdisciplinary ... creditable as related degrees. Preferred Experience: Experience with Community Based Case Management , fluency in assessment and diagnosis including evaluating… more
- WellSpan Health (Chambersburg, PA)
- …As Needed) Shift: Days (0800-1630p) **General Summary** Plans, organizes and implements social work for patients and families. Works in a team model to address ... solving and referral process including transfer and discharge plans. + Notifies patient/ clinical team of potential referrals, documents on the medical record in a… more
- Geisinger (Danville, PA)
- …using technology. Facilitates positive multi-channel communications among patients, physicians, clinical staff, outreach sites, and internal departments to serve ... in care and social determinants and provides resource education to close gaps. Work is typically performed in an office environment. Accountable for satisfying all… more