- Guthrie (Towanda, PA)
- …staff, exhibiting the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within the ... issues, and risk management concerns. + Acts on behalf of Clinical Manager / Director in his/her absence, attending meetings and making decisions as appropriate… more
- UPMC (Pittsburgh, PA)
- …the direct oversight of the day-to-day operations of the authorization, denial management , and/or utilization review functions of UPMC Revenue Cycle, involving ... Purpose: UPMC is hiring a full-time Clinical Manager , Revenue Cycle CCM to support the Pre-Arrival...+ Function as a resource person for authorization, denial management and/or utilization review processes. + Assess… more
- ChenMed (Philadelphia, PA)
- …identifies functional status (ADLs and PT needs), discusses medications and self- management , identifies and corrects knowledge deficits. + Supports, collaborates ... + Performs other duties as assigned and modified at manager 's discretion. ** KNOWLEDGE , SKILLS AND ABILITIES:** +...required + A minimum of one (1) year of utilization review and/or case management , home health,… more
- Select Medical (Erie, PA)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with… more
- Highmark Health (Pittsburgh, PA)
- …party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization changes, contract ... or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - American Case … more
- Battelle Memorial Institute (Harrisburg, PA)
- …assist patients to optimize their level of function and self-care + Possess knowledge of patient education principles and management of complex medical, ... line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our...to ensure adherence within legal and professional parameters + Knowledge and skill in using pre-established utilization … more
- CVS Health (Pittsburgh, PA)
- …the operational actions needed to ensure the programs are implemented correctly. Knowledge of utilization management interventions including prior ... will be responsible for overseeing the development, maintenance, and execution of utilization management programs. This will include both the clinical content… more
- CBRE (Harrisburg, PA)
- Workplace Strategy & Occupancy Planning Manager Job ID 250685 Posted 08-Dec-2025 Service line GWS Segment Role type Full-time Areas of Interest Workplace Strategy ... of America **About The Role:** As a CBRE Workplace Strategy & Occupancy Planning Manager , you will play a crucial role in optimizing our real estate portfolio,… more
- St. Luke's University Health Network (Sellersville, PA)
- …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. . Facilitates communication among all ... to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as… more
- St. Luke's University Health Network (Bethlehem, PA)
- …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among all ... an nurse or a social worker The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as… more