- UPMC (Pittsburgh, PA)
- …setting and case management nursing required. + Minimum 1 year of health insurance experience required. + Case management certification or ... care and services across the continuum of care with case management , physicians, pharmacy, behavioral health...Valid driver's license required + Proof of current automobile insurance + Valid CPR certification required + Current Act… more
- Guthrie (Troy, PA)
- …care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management ... case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b)… more
- Highmark Health (Erie, PA)
- …+ Act 73 FBI Fingerprinting Criminal Background Clearance Certificate + Certification in Case Management within 3 years of hire Preferred + None ... all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the… more
- Highmark Health (Pittsburgh, PA)
- …Incumbents will utilize nationally recognized standards of practice for case management by collaborating with providers, clinical teams, health plans, and ... Management Association + Case Management - American Board of Occupational Health ...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- Penn State Health (Enola, PA)
- …that prohibit or outlaw discrimination._ _IND123_ **Position** Social Worker Inpatient - Case Management **Location** US:PA:Enola | Human Services | Full Time ... **Penn State Health ** - **Hampden Medical Center** **Location:** US:PA:Enola **Work...+ **_Be Secured_** with Retirement, Extended Illness Bank, Life Insurance , and Identity Theft Protection. + **_Be Rewarded_** with… more
- St. Luke's University Health Network (Allentown, PA)
- …with mental health illness. Previous experience in discharge planning and case management models preferred.Current Behavioral Health department program ... departments, and the Manager regarding variances, aspects of patient care management . + Facilitates insurance authorization, pre-certification, and concurrent… more
- Highmark Health (Harrisburg, PA)
- …of any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance ... health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member...of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to… more
- Highmark Health (Harrisburg, PA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease Management (CMDM). The incumbent then conducts thorough research… more
- Highmark Health (Monroeville, PA)
- … Association - American Case Management Association + Case Management - American Board of Occupational Health Nurses (ABOHN) andCertified Case ... Fingerprinting Criminal Background Clearance Certificate **Preferred** + Nationally recognized Case Management Certification + Transition planning and… more
- Highmark Health (Harrisburg, PA)
- …and communication with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors ... departmental and/or organizational work and quality initiative teams. + Case collaborates with peers, Case Management...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
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