- Penn State Health (Camp Hill, PA)
- …respective data analysis, identifying variances. Participates in developing programs to improve clinical quality and fiscal outcomes, maintains knowledge of and ... a select patient population as determined by individualized plan of care, clinical pathways, managed care guidelines and contracts. Mobilizes resources and manages… more
- UPMC (Pittsburgh, PA)
- …and rights. + Manage cost of care with the benefits of patient safety, clinical quality , risk and patient satisfaction to provide recommendations and decisions ... **Purpose:** The Senior Discharge Plan Manager functions as the coordinator and is accountable...nursing or social work certification preferred. + Licensed Clinical Social Worker (LCSW) OR Licensed Social Worker (LSW)… more
- St. Luke's University Health Network (Allentown, PA)
- … nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management. + Facilitates insurance ... internal and external resources to reduce length of stay and improve quality of care. It includes assessing, planning, implementing, coordinating, and evaluating… more
- Prime Healthcare (Bristol, PA)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At least ... is designed to facilitate and insure the achievement of quality , clinical and cost effective outcomes and...years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse … more
- Penn Medicine (Lancaster, PA)
- …process for clinical staff by communicating staff performanceissues to the clinical manager . + Participate in department and team meetings to provide ... identify performance improvement needs. Develop appropriate educationand monitoring to ensure clinical excellence and quality patient care objectives are… more
- WellSpan Health (York, PA)
- …Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire ... care and the provision of appropriate, cost effective and quality health care. Works in a team model with...utilization of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient,… more
- UPMC (Pittsburgh, PA)
- …and rights. + Manage cost of care with the benefits of patient safety, clinical quality , risk and patient satisfaction to provide recommendations and decisions ... **UPMC Mercy is hiring a Casual Discharge Plan Manager to support our Clinical Care...Certifications, and Clearances: + CCM or ACM or other nursing or social work certification is required + RN… more
- Sedgwick (Harrisburg, PA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in...use of medical and disability duration guidelines, adhering to quality . + Identifies opportunities to expedite care for cost… more
- Sharecare (Harrisburg, PA)
- …guidance and supervision, as well as supporting colleague development. The VBCM Operations Manager ensures that the quality , clinical and operational ... Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing the objectives...ensure that contractual requirements as well as the financial, clinical , and quality objectives of the VBCM… more
- Highmark Health (Pittsburgh, PA)
- …-OR- 6 years of relevant experience in lieu of a degree. + 3 years in a clinical nursing role + Current State of PA RN licensure OR Current multi-state licensure ... Program (FEP) and Medicare Advantage. **ESSENTIAL RESPONSIBILITIES** + Coordinates the clinical care with the patient, family, physician(s), and other members of… more