- Highmark Health (Monroeville, PA)
- …that supports excellence of care and achievement of optimal resource utilization. Also facilitates appropriate LOS, patient satisfaction and reimbursement ... and contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively formulates… more
- WellSpan Health (York, PA)
- …as required. **Duties and Responsibilities** + In the absence of the Nurse Manager (NM), the Assistant Nurse Manager (ANM) assumes roles and responsibilities ... concerning performance, behavior, etc.. + Collaborates with the Nurse Manager and the Charge Nurse on areas of need...by promoting professional staff communications. + Serves as a resource and role model/mentor to charge nurses and staff.… more
- Penn Medicine (Lancaster, PA)
- …across the continuum inpatient outpatient community to assure appropriate utilization of clinical and community resources . + Oversees and guides the development ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- The Salvation Army (Philadelphia, PA)
- …a job with a good purpose! Position Overview: The Anti-Trafficking Case Manager will provide client-centered, trauma-informed, clinical case management to ... Overview Position: Anti-Trafficking Case Manager Department: Philadelphia Social Service Ministries; New Day...financial goals. + Ensure timely coordination of referrals to resources and the meeting of immediate needs upon each… more
- Evolent (Harrisburg, PA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Manager , Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment ... Coding Support Manager to be a core member of the Risk...impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates.… more
- ChenMed (Philadelphia, PA)
- …and we need great people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, ... The Intensive Community Managers (ICCMs) will serve as a clinical lead for the Complex Care Team. They will...direct supervisor for some team members. The Intensive Community Manager works in partnership with the PCPs to draft… more
- Geisinger (Lewistown, PA)
- …build a rewarding, lasting career with impact. Job Duties The RN Complex Case Manager will work with individuals who have complex health needs or multiple chronic ... further refine the delivery of care model to maximize clinical , quality, and fiscal outcomes. + Responsible for Care...healthcare for complex care patient population. + Complex care manager works with Care Management Operations Team to stratify/… more
- Geisinger (Wilkes-Barre, PA)
- …leadership team and practice at the top of license in a collaborative environment! The manager position will vary in scope and complexity based on the area to which ... the manager is assigned. In general, the manager ...of the staff, oversee the medication use process and clinical pharmacy services in their assigned area. Additionally, the… more
- UPMC (Williamsport, PA)
- …Manager maintains full accountability for leading and managing the human resources , clinical , financial and administrative operations of an assigned ... + Staffing and Operations + Adjust staffing based on patient needs and clinical requirements. + Manage daily operations and provide clinical support as… more
- UPMC (Pittsburgh, PA)
- …appropriate.Identifies provider issues and recommendations for improvement.Demonstrates knowledge of clinical treatment, case management and community resources . ... Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Community Services Department in Blair County! The Mobile… more