- Select Medical (Mckeesport, PA)
- …a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state guidelines)._ _And_ **_Previous experience in critical care setting ... right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management and financial management… more
- Humana (Harrisburg, PA)
- …time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. We contact ... an impact** **Required Qualifications** + Active Registered Nurse (RN) license with no disciplinary action. + **Hold an active...nursing or equivalent + Previous adult chronic conditions care management + Previous experience in care management … more
- Humana (Harrisburg, PA)
- …Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , ... of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient or post-acute care… more
- University of Pennsylvania (Philadelphia, PA)
- …+ Medication cycle counts through Excel spreadsheets or current pharmacy inventory management system + Resolution of simple customer service issues such as triaging ... Critical thinking skills application (ie intuition, logic, experience, common sense) + Self- management skills (time management , stress management , and… more
- Humana (Harrisburg, PA)
- …Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , ... approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and willing to...with prior experience participating in teams focusing on quality management , utilization management , case management ,… more
- Humana (Harrisburg, PA)
- …including Medicare Advantage and Managed Medicaid products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , ... Director will attend and participate in meetings involving care management , provider relations, quality of care, audit, grievance and...Medical or ABPN Specialty + A current and unrestricted license in at least one jurisdiction and willing to… more
- Geisinger (Danville, PA)
- …of the initial interview, prior to the services being rendered and/or after the insurance carrier has paid. Maintains a close working relationship with the staff of ... of service (POS). Job Duties + Interviews patients with inadequate and no insurance coverage to obtain suitable financial arrangements prior to the services being… more
- Gerber Collision & Glass (Bath, PA)
- …and Protected Veterans. Job Description: Please Note: A PA Auto Appraiser's License is a Requirement of this Position! The Estimator's primary responsibility and ... for customers including all communication, informing and updating customers and insurance companies throughout the repair process. The Estimator accurately assesses… more
- Penn Medicine (Lancaster, PA)
- …and the case management specialty. **Minimum Required Qualifications:** + Current RN license , issued by the PA Board of Nursing required + Bachelor's degree in ... Neurological Day Rehabilitation Program NDRP and outpatient rehabilitation case management that fosters effective, efficient and timely therapy services. Functions… more
- HUB International (Erie, PA)
- …is recorded accurately by month end **What you offer us:** + 2-5 years insurance experience + Pennsylvania Property/Casualty License or willingness to sit for ... for the unexpected. As one of the world's largest insurance brokers, our focus is dedicated to providing our...Perform other specific duties and projects as assigned by management + Provide support to the account management… more