- Highmark Health (Erie, PA)
- …effective resource utilization . Serves as key team members in the management of readmissions, length of stay, ED utilization , and patient/family ... or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - American Case … more
- UPMC (Pittsburgh, PA)
- …of care. + Minimum of 2 years of experience in a clinical setting and case management nursing required. + BSN preferred. + Minimum 1 year of health insurance ... and salary will be determined based upon education and nursing experience for Sr. Professional Care Manager ...experience required. + 1 year of experience in clinical, utilization management , home care, discharge planning, and/or… more
- Highmark Health (Monroeville, PA)
- …and third party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization changes, ... or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - American Case … more
- Magellan Health Services (Somerset, PA)
- …Strong organization, time management and communication skills.* Knowledge of utilization management procedures, mental health and substance abuse community ... an active work load in accordance with National Care Manager performance standards. + Works with community agencies as...time management and communication skills. Knowledge of utilization management procedures, mental health and substance… more
- Penn Medicine (Lancaster, PA)
- … Nursing . + Bachelor's degree in Nursing BSN . + Knowledge of utilization review or managed care. + Care management experience in a managed care setting. ... the following: + RN: Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing...nursing or social work or other relevant Case Management addictions medicine experience. + Excellent verbal and written… more
- Trinity Health (Philadelphia, PA)
- …The Registered Nurse (RN) is responsible for providing oversight and management to the provision of service delivery to participants. Provide skilled nursing ... **Employment Type:** Part time **Shift:** **Description:** **Registered Nurse ** **Location: LIFE Broad Street, Philadelphia PA** **Status:** On-Call **Shift:**… more
- CenterWell (Lancaster, PA)
- …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... at our Lancaster, PA branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Magellan Health Services (Newtown, PA)
- …Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community ... 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
- Penn Medicine (Radnor, PA)
- …day. Are you living your life's work? **Job Title:** Associate Clinical Manager Licensed Practical Nurse **Department:** MSKR and Neuroscience Shared Services ... overtime utilization . + Assists with the implementation of change management strategies within the practice, in alignment with department, entity/Penn Medicine… more
- Trinity Health (Philadelphia, PA)
- …overall performance of the team including quality patient care, financial performance, utilization management , and compliance with state and federal regulations. ... at Home) has a need for a Full-time Clinical Manager . This position is based out of our branch...nursing experience required, and one (1) year of management experience preferred. Qualified applicants are encouraged to apply… more