- Sevita (Fairview, PA)
- …treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans. **Nursing Manager ** Use your RN experience ... NeuroRestorative, a part of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal...conditions while providing meaningful support to your co-workers. As Manager of Nursing, you will lead a team of… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Overview** The Care Manager (RN) assists members appropriate for case management services in achieving their optimal level of health . The Care Manager ... integrated managed care products, pharmaceutical benefit management and specialty pharmacy services , behavioral health services , and other administrative… more
- Guthrie (Sayre, PA)
- Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials, appeals, and audit processes within the health ... of claim denials, effective appeal strategies, and proactive audit response. The manager leads a team of specialists, coordinates with internal departments, and… more
- AmeriHealth Caritas (Philadelphia, PA)
- …and case management services in achieving their optimal level of health through self-management. The Care Manager (RN) is responsible for engaging ... **Role Overview** The Care Manager (RN) provides support to members appropriate for...managed care products, pharmaceutical benefit management and specialty pharmacy services , behavioral health services , and… more
- UPMC (Pittsburgh, PA)
- …for access to services and for protecting the patient's health , well-being, safety, and rights. + Identify clinical , psychosocial, historical, ... UPMC Presbyterian Shadyside is looking for a Discharge Plan Manager to support their Clinical Care Coordination...Worker Qualifications:** Bachelor's degree in social work or another health or human services field that promotes… more
- UPMC (Pittsburgh, PA)
- …for access to services and for protecting the patient's health , well-being, safety, and rights. + Identify clinical , psychosocial, historical, ... Presbyterian Shadyside is looking for a Senior Discharge Plan Manager to support their Clinical Care Coordination...Non-Nurse Track: + MSW or master's degree in another health and human services field that promotes… more
- Sharecare (Harrisburg, PA)
- …The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing the objectives and goals of the ... as well as supporting colleague development. The VBCM Operations Manager ensures that the quality, clinical and...clinical /coaching oversight to team to ensure consistency in service delivery to drive contract outcomes. + Collaborate with… more
- UPMC (Pittsburgh, PA)
- …required + **Social Worker Qualifications:** Bachelor's degree in social work or another health or human services field that promotes the physical, psychosocial, ... **Purpose:** The Discharge Plan Manager functions as the coordinator and is accountable...team is responsible for 24/7 coverage._** **Responsibilities:** + Identify clinical , psychosocial, historical, financial, cultural, and spiritual needs that… more
- Medtronic (Pittsburgh, PA)
- …Develops proposals and assesses customer needs in order to recommend customized products/ services . Limited oversight from sales manager . Works with senior ... and Renal Denervation (CRDN). We're seeking a motivated Territory Manager to spearhead our efforts in Victoria. In this...We're committed to providing a "second life" and improved health to individuals battling Coronary Artery Disease, High Blood… more
- Sharecare (Harrisburg, PA)
- …an effective plan of care and positive member experience that leads to improved health outcomes. The Care Manager will advocate and guide utilizing motivational ... **Job Description:** Sharecare is the leading digital health company that helps people - no matter...for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care… more