- Magellan Health Services (Somerset, PA)
- …care. Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance ... Strong organization, time management and communication skills.* Knowledge of utilization management procedures, mental health and substance abuse community resources… 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… more
- Highmark Health (Monroeville, PA)
- …standards of practice for case management by collaborating with providers, clinical teams, health plans, and external partners while advocating for patients ... outcomes, engages patients/caregivers in their healthcare, and supports effective resource utilization . Serves as key team members in the management of readmissions,… more
- Magellan Health Services (Newtown, PA)
- …in PA. Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance ... provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member… more
- Highmark Health (Monroeville, PA)
- …relationships across the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages ... that supports excellence of care and achievement of optimal resource utilization . Also facilitates appropriate LOS, patient satisfaction and reimbursement for all… more
- UPMC (Pittsburgh, PA)
- …and oral communication skills. + Utilizes supervision with team coordinator and clinical manager regularly. + A current and unrestricted Pennsylvania Licensure ... shift positions that also rotate weekend and holiday coverage. A Precert Care Manager is responsible for documenting and reviewing clinical information and… more
- UPMC (Pittsburgh, PA)
- …+ Present complex members for review by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management ... Are you an experienced Pediatric nurse with case management experience? We have a...UPMC Health Plan is hiring a full-time Telephonic Care Manager to work with families, members, nursing agencies, and… 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...they do. Minimum requirements: + **Current licensure in a clinical discipline either as a Nurse (RN… 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...they do. Minimum requirements: + **Current licensure in a clinical discipline either as a Nurse or… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? The Advanced Practice Provider (APP) Manager will provide daily clinical and operational management for the advanced ... UPHS Advanced Practice Strategic Plan, driving initiatives that optimize APP utilization , professional development, and clinical integration to enhance patient… more