• Medical Director - Mid West Region

    Humana (Harrisburg, PA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (08/08/25)
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  • Medical Director - NorthEast Region

    Humana (Harrisburg, PA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (07/25/25)
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  • Licensed Professional Care Manager - Allegheny…

    UPMC (Pittsburgh, PA)
    …of three years of relevant clinical experience. + Prior experience in case management and discharge planning is a bonus. + Prior experience working ... of held licensure. + Demonstrates knowledge of clinical treatment, case management and community resources. + Encourages...+ Consults with appropriate physician advisors as needed for case collaboration and care planning . + Attends… more
    UPMC (07/17/25)
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  • Day Hospital Coordinator - Lancaster Child…

    WellSpan Health (Lancaster, PA)
    …hours **General Summary** Coordinates admissions, insurance authorizations, clinical case management , and discharge planning for children and adolescents ... planning . + Completes progress notes, treatment plans, and discharge instructions/summaries, as needed. + Documents client's functioning, response to treatment,… more
    WellSpan Health (08/19/25)
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  • Acute Care Manager (RN)

    ChenMed (Philadelphia, PA)
    …+ A minimum of one (1) year of utilization review and/or case management , home health, hospital discharge planning experience required + A minimum ... updates and working with hospital team on an expeditious discharge , planning to next level of care....individual patient care plans + Knowledge of nursing and case management theory and practice + Knowledge… more
    ChenMed (07/25/25)
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  • PRN Clin Resource Coordinator WEEKDAYS

    Penn Medicine (Philadelphia, PA)
    management activities, communication with insurers, team, and physician advisor. Discharge planning activities such as : home care, DME, placements, ... hospice, community resources, and transportation. Quality data collection and risk management referrals. Case management allows you to work autonomously… more
    Penn Medicine (08/07/25)
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  • Licensed Pro Care Manager (Allegheny County)…

    UPMC (Pittsburgh, PA)
    …of the practice of held licensure. + Demonstrates knowledge of clinical treatment, case management and community resources. + Encourages coordination of care ... + Maintains contact with and refers members to community-based case management services as appropriate. + Possesses...+ Consults with appropriate physician advisors as needed for case collaboration and care planning . + Attends… more
    UPMC (08/19/25)
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  • Professional Care Manager

    UPMC (Pittsburgh, PA)
    …and financial plan for patients. Performs overall utilization management , resource management , discharge planning and post-acute care referrals and ... authorizations. Works with multi-disciplinary team in resource management , discharge planning and care...+ BSN or related Bachelors degree preferred. + Previous case management experience preferred. + Previous In-Patient… more
    UPMC (08/15/25)
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  • Inpatient Social Worker (MSW) Care Manager, Full…

    St. Luke's University Health Network (Bethlehem, PA)
    …for health care. The SW Care Manager is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive ... + Act as resource to the staff for regulatory issues regarding discharge - planning and psychosocial processes. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for… more
    St. Luke's University Health Network (08/29/25)
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  • Social Worker MSW

    Community Health Systems (Scranton, PA)
    …supervisor status of current workload daily. + Attends meetings regularly: attend daily discharge planning meetings with Case Manager. Attend monthly ... appropriate. + Identifies appropriate treatment plans and follows-up with discharge planning team. + Acts as expert...ER, Psych transfers, HIV/Aids and hospice patients. + Assist Case Management to move patients to more… more
    Community Health Systems (06/25/25)
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