- ICW Group (Philadelphia, PA)
- …(RN) or Licensed Vocational Nurse (LVN) required. Certification in case management , rehabilitation nursing or a related specialty is strongly preferred. ... and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment… more
- Penn Medicine (Philadelphia, PA)
- …of Obstetric Anesthesia and Perinatology Center of Excellence Award Summary: + Assists Nurse Manager by assuming 24-hour accountability for the operation of the ... the principles of Relationship Based Care and effective communication. * Supports the Nurse Manager in establishing/updating processes and work practices for the… more
- Geisinger (Danville, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... Case Managers - and are dedicated to elevating your nursing career. Our culture empowers you to act with...have prior RN experience in a hospital setting. Case Management experience is preferred and not required. The successful… more
- CVS Health (PA)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... position consists of working intensely as a telephonic case manager with patients and their care team for fully...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Geisinger (Lewistown, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... we'd love to hear from you! Job Duties The RN Hospital Case Manager assesses, plans, implements, coordinates, monitors and evaluates all options and services with… more
- Geisinger (Danville, PA)
- …3 years-Managing people, processes, or projects (Required), Minimum of 3 years- Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse ... a rewarding, lasting career with impact. Job Duties The RN Trauma Program Manager oversees personnel and daily operations related to the trauma program, including… more
- St. Luke's University Health Network (Easton, PA)
- …, including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among ... patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is...Perinatal Social Workers is required. OR: Graduate of professional nursing program. Registered Nurse with current license… more
- UPMC (Pittsburgh, PA)
- …Nurse (RN) with an active PA License required + BSN Preferred + Case management nursing preferred. + Minimum 1 year of health insurance experience preferred. ... Nurse Clinical Care Coordinator is responsible for delivering nursing assessments and evaluations within recognized standards of ...+ 1 year of experience in clinical, utilization management , home care, discharge planning, and/or… 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 ... **Overview** **Critical Illness Recovery Hospital** **Case Manager (PRN)** _Requires a current licensure in a...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Fresenius Medical Center (Dallas, PA)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
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