- ChenMed (Philadelphia, PA)
- …for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired We're ChenMed and we're transforming healthcare ... hospital daily from 9am-3pm, working remote for the remaining hours. The Acute Care Manager , Complex Care (RN) is responsible for achieving positive patient… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Telephonic Care Manager will be part of the Humana Military Case Management team; providing ... . + 3 or more years of clinical or managed care experience. + Experience in managing...**Preferred Qualifications** + An active designation as a Certified Care Manager (CCM). If no active designation… more
- Trinity Health (Darby, PA)
- **Employment Type:** Part time **Shift:** **Description:** **RN Care Manager - Utilization Management** **Location:** Mercy Fitzgerald **Department:** Care ... **Schedule:** **Per Diem** **Position Purpose** Mercy Fitzgerald is seeking a dedicated **RN Care Manager - Utilization Management** to join our Care … more
- Magellan Health Services (Bethlehem, PA)
- …in a timely fashion. - As necessary, takes escalated calls or fills-in for the Care Manager team during high-peak periods. + Works with the workforce planning ... problem areas and strategies for better practices for the Care Manager team. + Maintains an active...health and autism benefits, community treatment resources, mental health managed care programs, and company policies and… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... services. Discover more about us at www.amerihealthcaritas.com . **Role Overview** The Care Manager (RN) assists members appropriate for case management services… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** The Care Manager (RN) provides support to members appropriate for care coordination and case management services in achieving their optimal ... level of health through self-management. The Care Manager (RN) is responsible for engaging...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- Magellan Health Services (Newtown, PA)
- …mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and ... + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. Proposes… more
- Magellan Health Services (Somerset, PA)
- …mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and ... + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. Proposes… more
- St. Luke's University Health Network (Easton, PA)
- … in the communities we serve, regardless of a patient's ability to pay for health care . The Patient Care Manager is responsible for the quality, safety and ... mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care… more
- Penn State Health (Hershey, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... medical or genetic information._ **Union:** Non Bargained IND567 **Position** Registered Nurse Care Manager - Peds HemOnc Infusion Room **Location** US:PA:… more