- 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 (Murrysville, PA)
- …of health insurance experience required. + 1 year of experience in clinical, utilization management , home care, discharge planning, and/or case management ... to enhance their knowledge and skills related to health or lifestyle management . + Contact members with gaps in preventive health care services and assist them… more
- UPMC (Pittsburgh, PA)
- …of health insurance experience required. + 1 year of experience in clinical, utilization management , home care, discharge planning, and/or case management ... to enhance their knowledge and skills related to health or lifestyle management . + Contact members with gaps in preventive health care services and assist them… more
- Magellan Health Services (Newtown, PA)
- …health care setting. Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided...an active work load in accordance with National Care Manager performance standards. + Works with community agencies as… 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
- UPMC (Pittsburgh, PA)
- Purpose: UPMC Corporate Revenue Cycle is hiring a Clinical Manager to join our Care Management Team! This role works Monday through Friday during daylight hours. ... position has the opportunity to work remotely. The Clinical Manager is responsible for the direct oversight of the...oversight of the day-to-day operations of the authorization, denial management , and/or utilization review functions of UPMC… 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
- Select Medical (Mckeesport, 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 (Monroeville, 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
- Ryder System (Harrisburg, PA)
- … Systems (e.gManhattan Scale), and Labor MgtSystems expert preferred + Knowledge of Warehouse Management operations, data analytics, Industrial Engineering, ... HR processes + Knowledge on team member hiring/on-boarding + Knowledge of goal setting and performance management /resolution advanced preferred… more