- Community Health Systems (Wilkes Barre, PA)
- …observations in the medical record. + Educates patients and families on health maintenance, medication management , and post-discharge care. + Ensures adherence ... with patients, families, and healthcare teams. + Organizational and time management skills to handle multiple priorities. + Knowledge of safety protocols,… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive ... the highest quality health care for Autism Spectrum Disorder (ASD) related services...ASN to address beneficiary concerns and needs. **The Care Management Support Assistant 3 responsibilities include:** + Assist ASN… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... degree + Previous experience in prior authorization, claims, and/or utilization management in healthcare, health insurance, evaluating medical necessity and… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require… more
- The Hershey Company (Hershey, PA)
- Location: Hershey, PA The Sr. Occupational Health Nurse (Incident/Clinical Management and Early Intervention) position is responsible for managing the Global ... advancing employee health and well-being. * Providing effective disability case management to improve the quality of life for employees, improve productivity and… more
- CVS Health (Harrisburg, PA)
- …11:30am EST.** American Health Holding, Inc. (AHH), a division of Aetna/CVS Health , is a URAC-accredited medical management organization founded in 1993. We ... At CVS Health , we're building a world of health...provide flexible, cost-effective care management solutions that promote high-quality healthcare for members. We… more
- NiSource (Uniontown, PA)
- …element of the OHN role will be accessibility and visibility, both to employees and management . As a Occupational Health Nurse you will travel to work sites, ... + 5+ years of clinical experience + 2+ years in occupational health , employee wellness, case management , long term care management or similar fields +… more
- UPMC (Pittsburgh, PA)
- …for Comprehensive Medication Review as appropriate. + Refer members to appropriate case management , health management , or lifestyle programs based on ... looking for an opportunity to use your nursing background in outpatient, home health , or case management ? Do you have an interest in health insurance, but… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are… more
- CVS Health (Harrisburg, PA)
- …evaluate opportunities for partner value optimization and strategic partnerships opportunities/ management . + Supports behavioral health strategic initiatives by ... management and establishes strong partnerships with national behavioral health network team, behavioral health clinical partners,...to 4 years of experience in mental or behavior health + 3 to 5 years stakeholder management… more
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