- 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 ... following Case Management functions: training , auditing, systems support: Case Management Technology, InterQual, Concurrent...as indicated. + Oversees daily operations of the Case Manager (CM) staff under the direction of the Director.… more
- The Cigna Group (Pittsburgh, PA)
- …to Case Management performance measures to deliver on key results. + Completes training within the communicated time limit as required per role. + Demonstrates ... evidence of continuing education to maintain clinical expertise and certification as appropriate. **Minimum requirements** +...Within four (4) years of hire as a case manager will possess a URAC-recognized certification in case management.… more
- Globus Medical, Inc. (Audubon, PA)
- …of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and ... their lives as quickly as possible. **Position Summary** **:** The Product Manager is responsible for designing, developing, and managing activities for a specific… more
- St. Luke's University Health Network (Bethlehem, PA)
- …stay reviews, retro authorizations and other coverage related efforts. The Case Manager actively explores and utilizes available internal and external resources to ... choice, medical treatment, advanced directives, and other related issues. + Maintains clinical records of all patient contact, clinical reviews, and… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Manager , Practice Operations leads and manages the operations of assigned practices to ensure ... the medical practice. Manages all day-to-day activities, giving direction to both clinical and clerical staff. Responsible for the efficient operation of the front… more
- Evolent (Harrisburg, PA)
- …**Job Summary** We are seeking a highly motivated **AI/Data Science Product Manager ** to lead and manage AI initiatives across our organization. This individual ... and executing AI-driven opportunities while working cross-functionally with data science, clinical , operational, and technical teams. The ideal candidate will have a… more
- WellSpan Health (Lewisburg, PA)
- **General Summary** Manages and coordinates all administrative, managerial clinical and clerical functions required for the operation of a clinic with moderate ... relationship with the provider leadership, centralized services leadership and/or clinical leadership on staff, leader and provider recruitment, development and… more
- WellSpan Health (Chambersburg, PA)
- …Nursing Facilities). **General Summary** Manages and coordinates all administrative, managerial clinical and clerical functions required for the operation of a ... relationship with the provider leadership, centralized services leadership and/or clinical leadership on staff, leader and provider recruitment, development and… more
- WellSpan Health (York, PA)
- …relationship with the provider leadership, centralized services leadership and/or clinical leadership on staff, leader and provider recruitment, development and ... staff roles as needed in order to support efficient operations. If in a clinical capacity, the incumbent must possess the appropriate licensure to function in the… more
- CVS Health (Harrisburg, PA)
- …**Position Summary** CVS Health Aetna has an opportunity for a full-time Case Manager , Registered Nurse (RN). Case Managers serve as dedicated advocates for members ... weekends, or holidays required. **Key Responsibilities of the Case Manager RN** (Includes but is not limited to) +...+ Develop and implement individualized care plans based on clinical findings and member goals. + Coordinate services across… more