- Highmark Health (Pittsburgh, PA)
- …with operational areas regarding issues related to supported technology. Manage utilization review, translation of foreign claims, coordination of benefits (COB), ... Program (FEP) and Medicare Advantage. **ESSENTIAL RESPONSIBILITIES** + Coordinates the clinical care with the patient, family, physician(s), and other members of… more
- 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 ... as indicated. + Oversees daily operations of the Case Manager (CM) staff under the direction of the Director....Certifications, and Clearances:** + Current licensure as a Registered Nurse in practicing state required. + UPMC approved Care… more
- Select Medical (Hummelstown, PA)
- …Management **Qualifications** **Minimum Qualifications** + Current Licensure in a clinical discipline per state guidelines required. (Registered Nurse ... venture with Select Medical & Penn State Health** Hummelstown, PA **Case Manager / Discharge Planner** **(RN, LPN, MSW, Allied Health Professional)** **Per Diem -… more
- Highmark Health (Pittsburgh, PA)
- …care units through the coordination of staffing resources, patient flow and bed utilization . + This role prioritizes the placement of patients across the hospital ... based on clinical need and in accordance with capacity and staffing...RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). + Act 34 Criminal Background… more
- Penn Medicine (Philadelphia, PA)
- …the 12 hour shifts but are fearful you will miss patient contact? If so, our nurse case manager role at Penn Medicine is the perfect transition career for you, ... and will bring you joy and fulfillment. The HUP Nurse Case Manager position creates an exciting...skills and being a strong patient advocate. The case manager conducts utilization management activities, communication with… more
- WellSpan Health (York, PA)
- …updating current programs and policies. Assumes the responsibilities of the Clinical Manager as designated. **Duties and Responsibilities** **Essential ... time frame required.* Identifies un-met patient needs and reports findings to appropriate Clinical Manager .*Completes S1 and CRS as needed. Completes 4C with… more
- LifePoint Health (Roaring Spring, PA)
- …for decision making is based on his/her knowledge or skill level as determined by the Nurse Manager / Clinical Supervisor. The Staff Nurse will utilize the ... Conemaugh Nason Medical Center is seeking a part-time Registered Nurse for our Medical/Surgical Unit. The Staff Nurse has authority and accountability for… more
- St. Luke's University Health Network (Bethlehem, PA)
- …(RECEIVED BY AND/OR GIVEN BY): Works under the supervision of the Patient Care Manager and Clinical Coordinator. May supervise licensed practical nurses and home ... of a patient's ability to pay for health care. This Weekend registered Nurse works collaboratively with other members of the interdisciplinary team to assure… more
- UPMC (Pittsburgh, PA)
- …role requires three years of coding experience. In this role, you will review clinical documentation within the medical record to ensure that all patient resource ... utilization , principal diagnosis, secondary diagnoses, and PCS procedures have...chart audits and report this information to the Coding Manager on a monthly basis. + Provide coding staff… more
- WellSpan Health (York, PA)
- …members, referral sources and external payers regarding the effective and efficient utilization of program service and available resources as well as the benefit ... physical rehabilitation for patients referred or potential referrals. + Applies clinical evaluation skills and knowledge of rehabilitation services, programs and… more