- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time UM Care Manager to support our UM Clinical Operations team. This role will primarily work Monday - Friday standard daylight ... a Pennsylvania RN license. The Utilization Management (UM) Care Manager is responsible for utilization review of health plan... is responsible for utilization review of health plan services and assessment of member's barriers to care, as… more
- Highmark Health (Erie, PA)
- …Vincent Hospital** St. Vincent Hospital is a Magnet(R)-designated hospital for excellence in nursing , serving the people in the Lake Erie region since 1875 with a ... quality of care and service second to none! **Allegheny Health Network** At AHN,...transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment… more
- Penn Medicine (Philadelphia, PA)
- … service line in support of institutional and departmental missions. The APP Manager for Cardiovascular services at HUP provides leadership for APPs in the ... integrating the boundaries of setting or entity. The AP Manager , consistent with all nurse practitioners and/or...physician. This position has a dual reporting structure. The Manager will report to the service /… more
- UPMC (Pittsburgh, PA)
- …based upon education and nursing experience for Sr. Professional Care Manager within the Insurance Services Division. **Responsibilities:** + Assist member ... Are you looking for an opportunity to use your nursing background in outpatient, home health, or case management?...Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Certified Case Manager (CCM) + Driver's License + Registered Nurse… more
- Penn Medicine (Philadelphia, PA)
- …+ Registered Nurse - PA (Required) + 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) ... requirements to assure optimal reimbursement for the hospital for services provided. Responsibilities: + Interact with medical staff and...Experience: * And 5+ years Prior experience as a nurse case manager with knowledge of utilization… more
- Penn Medicine (Radnor, PA)
- …living your life's work? **Looking for a FT Associate Clinical Manager Ambulatory RN** **Location: 145 King of Prussia Rd.** **Department:** **Otorhinolaryngology ... PMR** Summary: + The Associate Clinical Manager will be responsible for overseeing the day-to-day clinical practices in collaboration with Practice Leadership. The… more
- Trinity Health (Newtown, PA)
- …Shift **Description:** St. Mary Home Care has a full-time opening for a Primary Care Nurse for Home Care services for the Langhorne, Newtown, and greater Bucks ... needed for St. Mary's** As a Home Health Registered Nurse , you'll provide in-home skilled nursing care...and medical social work), palliative care, hospice and bereavement services . Our legacy continues with a pioneering, future-thinking care… 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 ... of residence, and in facilities. The Mobile Professional Care Manager will coordinate programs, services , and facilitate...primary care and behavioral health providers and other social service or provider agencies as needed to develop and… more
- Centene Corporation (Harrisburg, PA)
- …is remote/work from home with 50% travel to visit Medicaid LTSS participants in nursing facilities typically within no more than 2 hours drive one way in Lackawanna ... quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care members and… more
- Penn State Health (Hershey, PA)
- …Virtual Health Client Success Manager / Clinical Development & Implementation Specialist **Location** US:PA: Hershey | Nursing | Full Time **Req ID** 73377 ... ability to work remotely. Travel to hospital sites supporting virtual services is required** A successful Clinical Development and Implementation Specialist (CDIS)… more