- UPMC (Pittsburgh, PA)
- …calls. + Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health ... staff. + Maintains contact with and refers members to community based case management services as appropriate. Identifies provider issues and recommendations… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Care Manager (RN) provides support to members appropriate for care coordination and case management services in achieving their optimal level of health through ... **Responsibilities** + Assess members to determine care coordination and case management needs for all referred members....and communication skills + Valid driver's license with car insurance Your career starts now. We're looking for the… more
- J&J Family of Companies (Allentown, PA)
- …Overview** The Field Clinical Specialist is a visible position that will provide case support to physicians within certain territories. Case support will be ... a critical role in clinical studies including device training, case support and ensuring timely data collection for clinical...and presentation skills with all levels of customers and management . + Ability to work in a fast-paced environment… more
- Sedgwick (Harrisburg, PA)
- …employment positions as requested by referral sources or employers; to assist case management staff with client competence decisions for individual positions; ... client contact in claim notes as per Sedgwick CMS standards; and assists case management staff in making decisions regarding client's competence for specific… more
- CenterWell (Lancaster, PA)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...Competently performs patient care assignments and staff management activities. + Provides direct patient care on an… more
- Trinity Health (Darby, PA)
- …to ensure appropriate resource use and reimbursement. + Screen patients for Intensive Case Management programs, including disease management and discharge ... Active Registered Nurse license in the State of Pennsylvania required. + Case Management certification from an accredited organization preferred. +… more
- Highmark Health (Pittsburgh, PA)
- …cases for the Enterprise Capital Committee, and communicate results to senior management . Specifically, lead efforts around business case development, capital / ... of the financial management process. + Prepare and present financial (business case ) analysis of corporate initiatives to senior management for use in the… more
- Humana (Harrisburg, PA)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- AmeriHealth Caritas (Philadelphia, PA)
- …. **Role Overview** The Care Manager (RN) assists members appropriate for case management services in achieving their optimal level of health. ... in Pennsylvania required + Valid driver's license with car insurance **Experience:** + Minimum of 3 years clinical practice...as a case manager, preferably providing telephonic case management + Certification as a … more
- Robert Half Legal (Philadelphia, PA)
- …with co-counsel, experts, and litigation support teams + Maintain databases and case management systems to ensure accuracy and completeness Requirements -Minimum ... as part of a collaborative team -Proficiency with legal tech platforms and case management systems (eg, Litify, Filevine, Needles) -Paralegal certificate or… more