- Cardinal Health (Harrisburg, PA)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, auditing… more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Community Services Department in Blair County! ... The Mobile Professional Care Manager will work flexible hours, Monday...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- UPMC (Pittsburgh, PA)
- …for the better. UPMC Health Plan is hiring a full-time Mobile Professional Care Manager position to support the Population Health Case Management department. ... Occasional travel may be required throughout surrounding counties. The Care Manager will support UPMC Health Plan...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- UPMC (Dubois, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Mobile Licensed Care Manager to support the Community Services team within the Commercial ... will support multiple lines of business. The Mobile Licensed Care Manager will work flexible hours in...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Mobile Professional Care Manager to join the Community Team. This role will work standard daylight hours Monday - Friday. ... is provided at the IRS rate. The Mobile Professional Care Manager assists UPMC Health Plan members...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- UPMC (Williamsport, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Licensed Care Manager in the Williamsport area. This role will work in a hybrid structure with ... working from home and traveling throughout the region. The Care Manager is responsible for assisting members...three years of relevant clinical experience. + Experience in managed care strongly preferred. + General knowledge… more
- UPMC (Pittsburgh, PA)
- UPMC Community care Behavioral Health is hiring a full-time Precert Care Manager . This role will work 4 ten-hour overnight shifts, Thursday - Sunday 9:30 pm ... reside within Pennsylvania or the tri-state area. A Precert Care Manager for the 24 hour precert...substance use disorder services strongly preferred. + Experience in managed care strongly preferred. + General knowledge… more
- Guthrie (Sayre, PA)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of ... clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs...alternate levels of care . The Acute Case Manager also performs Utilization Management throughout the continuum of… more
- AmeriHealth Caritas (Reading, PA)
- **Role Overview** Under the Direction of the Supervisor, the Transition Care Manager is responsible for completing preventative multidisciplinary discharge ... Room using AmeriHealth Caritas policies and procedures. The Transition Care Manager will assess and process discharge...years nursing experience in a related clinical setting * Managed care experience preferred * Emergency Room… more
- UPMC (Camp Hill, PA)
- UPMC Community Care Behavioral Health is hiring a Licensed Professional Care Manager for the Camp Hill region. This role will work in a hybrid structure with ... Mileage reimbursement is provided at the IRS rate. A Care Manager is responsible for assisting members...three years of relevant clinical experience. + Experience in managed care strongly preferred. + General knowledge… more