- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Pediatric Health Care Manager to support the Medical Management Medicaid team. This position will predominantly work from home ... Pennsylvania. Occasional local travel may be required in the future. The Health Manager ensures continuity and coordination of care for Health Plan members with… more
- Magellan Health Services (Newtown, PA)
- …PA. Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse ... develops discharge plans and oversee their implementation. + Performs quality clinical reviews while educating and making appropriate interventions to advance the… more
- Magellan Health Services (Somerset, PA)
- Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse ... develops discharge plans and oversee their implementation. + Performs quality clinical reviews while educating and making appropriate interventions to advance the… more
- UPMC (Carlisle, PA)
- **UPMC is hiring a Senior Dischare Plan Manager for our UPMC Carlisle campus! This is a full time, day shift position working a rotating weekend and holiday ... schedule.** **Purpose:** The Senior Discharge Plan Manager functions as the coordinator and is accountable for all post-discharge needs and acts as financial steward… more
- Select Medical (York, PA)
- … Manager ** **$5000 Sign On Bonus** _Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) ... doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management,...they do. Minimum requirements: + **Current licensure in a clinical discipline either as a Nurse or… more
- Select Medical (Mckeesport, PA)
- …Recovery Hospital** **Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social ... doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management,...they do. Minimum requirements: + **Current licensure in a clinical discipline either as a Nurse (RN… more
- Trinity Health (Darby, PA)
- **Employment Type:** Part time **Shift:** **Description:** **RN Care Manager - Utilization Management** **Location:** Mercy Fitzgerald **Department:** Care ... **Per Diem** **Position Purpose** Mercy Fitzgerald is seeking a dedicated **RN Care Manager - Utilization Management** to join our Care Coordination team. Under the… more
- Penn State Health (Camp Hill, PA)
- …a select patient population as determined by individualized plan of care, clinical pathways, managed care guidelines and contracts. Mobilizes resources and manages ... data analysis, identifying variances. Participates in developing programs to improve clinical quality and fiscal outcomes, maintains knowledge of and responds to… more
- Guthrie (Towanda, PA)
- Hospice RN Case Manager - Guthrie Hospice | Towanda, PA Where compassion meets career excellence! Do you have the heart of a healer and the passion to make a lasting ... in Making a Difference As a Hospice RN Case Manager , you'll enjoy the flexibility to create your own...As a member of the interdisciplinary team, the Hospice Nurse works under the general direction of the Director… more
- UPMC (Pittsburgh, PA)
- …work Monday-Friday during daylight hours. Preferred candidates will be a Registered Nurse with previous Clinical experience, as well as prior experience ... medical error reduction initiatives that are based on periodic review of clinical operations and processes (patient care standards, policies, procedures, clinical… more