- 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 ... Plan staff. + Maintains contact with and refers members to community-based case management services as appropriate.Identifies provider issues and recommendations… more
- Sedgwick (Harrisburg, PA)
- …client satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple ... business lines; and to provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction through the… more
- Highmark Health (Harrisburg, PA)
- …of clinical, case /utilization management and/or disease/condition management experience, or provider operations and/or health insurance experience ... Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides… more
- Highmark Health (Harrisburg, PA)
- …provider/member flag tracker and certified mail; and will input and maintain current case information in applicable case management tracking systems. ... current case related information on all applicable case management tracking systems. + Set and...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- Penn Medicine (Bala Cynwyd, PA)
- …the physician with changes in the patient condition. Managed Care patients o Update case management department with patient status in a timely manner and prior ... therapy to patients in the home. Provides home health management when a primary nurse is not involved with...a primary nurse is not involved with the patient case . Review patient progress with other disciplines involved with… more
- Robert Half Legal (Philadelphia, PA)
- …legal research and draft essential documents, including pleadings and motions. * Oversee case management tasks, ensuring all deadlines and requirements are met ... efficiently. * Utilize case management software, such as FileVine, to...professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll… more
- CompuCom (Harrisburg, PA)
- …not limited to, following and offering suggestions to better improve procedures and policies, case management , case dispatch, entry level technical case ... tech instructions or suggestions + Follows defined processes on case management + Responsible for the operating...for this position, subject to applicable eligibility requirements: medical insurance , dental insurance , vision insurance ,… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Overview:** The Care Manager II assists members appropriate for care coordination and case management services in achieving their optimal level of health. The ... in the care coordination program. Assess members to determine care coordination and case management needs for all referred members. **Key Responsibilities:** +… more
- Robert Half Legal (Philadelphia, PA)
- …Philadelphia. In this role, you will provide expert legal counsel to clients, oversee case strategies, and ensure the accuracy and compliance of all case ... the firm and its clients. The Associate Attorney provides legal advice, develops case strategies, and oversees legal support staff to ensure accurate and effective … more
- Robert Half Legal (Philadelphia, PA)
- …Familiarity with Adobe Acrobat is a must * Applicants should have experience with Case Management Software * Strong Document Management skills are essential ... and draft pleadings, motions, and briefs. * Communicate regularly with clients, insurance companies, and opposing counsel to expedite case progression. *… more