- UPMC (Pittsburgh, PA)
- …role will review requests for authorization for behavioral health services. The Utilization Management (UM) Care Manager is responsible for ... UPMC Health Plan is hiring a full-time Behavioral Health UM Care Manager to...telephonic responsibilities. This role is dedicated to driving effective utilization management for behavioral health… more
- Penn Medicine (Lancaster, PA)
- …life's work? **Fulltime/40 Hours Per Week/Excellent Medical Benefits** **POSITION SUMMARY:** The Behavioral Health Care Manager is a master's level behavioral ... for patients with comorbid medical, mental health and/or substance use disorders. The Behavioral Health Care Manager leverages their behavioral health… more
- CenterWell (Harrisburg, PA)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- CVS Health (Harrisburg, PA)
- …and English **Preferred Qualifications** + Crisis intervention skills preferred Managed care/ utilization review experience preferred + Case management and ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
- St. Luke's University Health Network (Allentown, PA)
- …for admission and/or referral to appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of the utilization ... agencies, physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management . +… more
- St. Luke's University Health Network (Sellersville, PA)
- …in independent living skills of cooking, menu planning, grocery shopping, money management , cleaning, laundry, personal hygiene, etc. + Coach and or supervise ... to transportation policy. + Provide recovery-oriented counseling as evidenced by utilization of active listening skills and other motivational enhancement techniques… more
- Geisinger (Lewistown, PA)
- …and facilitate patient needs. + Participates in unit-based decision-making regarding the utilization of evidence based practice. + Provides input to the manager ... vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and… more
- WellSpan Health (Lebanon, PA)
- …**Duties and Responsibilities** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and... of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient,… more
- WellSpan Health (Lewisburg, PA)
- …principles. **Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and... of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient,… more
- UPMC (Pittsburgh, PA)
- …or licensure in a human services field. + Three years of experience in behavioral , clinical, utilization management , home care, discharge planning, and/or ... Health is seeking a full-time Mobile Professional Care Manager to support the Community Services Department in Blair...and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other… more