- St. Luke's University Health Network (Allentown, PA)
- …physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management . + Facilitates ... appropriate level of care. + May assist in the utilization management of psychiatric cases in the...Work or Counseling or related field. EDUCATION: Registered Professional Nurse with a current license to practice in the… more
- UPMC (Pittsburgh, PA)
- …substance use disorder levels of care for all Community Care contracts. The Care Manager will also be responsible for crisis management and referring members to ... bring a level of clinical leadership to the care management department. In addition, a care manager ...Care contracts regarding approval for out of network service utilization . + Consults with appropriate physician advisors as needed… more
- UPMC (Pittsburgh, PA)
- …check out our Oncology Nursing Blog (https://mycareer.upmc.com/impact-inspiration-oncology- nursing -at-upmc/) ! Responsibilities: + Continuing Education Program ... and technology. C. Maintains overall responsibility for all aspects of contract management including quality assurance, utilization review, ROI and other areas… more
- Highmark Health (Pittsburgh, PA)
- …the enhanced Nurse Licensure Compact (eNLC). + Nationally recognized Case Management Certification within 5 years of start date. + Critical thinking and problem ... Description :** Date Posted: 20250509 Location: Allegheny General Hospital Department: Case Management , Inpatient Status: Full Time Shift: 80 hours every two weeks… more
- UPMC (Pittsburgh, PA)
- …in a human services field. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Community Services Department in Blair County! The Mobile… more
- Trinity Health (Newtown, PA)
- …overall performance of the team including quality patient care, financial performance, utilization management , and compliance with state and federal regulations. ... Home, has a need for a Full-time Hospice Clinical Manager . This position is based out of our branch...nursing experience required, and one (1) year of management experience preferred.** Experience in EPIC a plus **Other… more
- UPMC (Pittsburgh, PA)
- …with 6-8 year of experience. + 3 years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... medical social work, home care, discharge planning, and case management required. + For Mobile Care Manager ...years of experience in a clinical setting and case management nursing required. + Minimum 1 year… more
- UPMC (Pittsburgh, PA)
- …6-8 year of experience. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Care Management Department...Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN) *Current licensure either in the state where… more
- UPMC (Pittsburgh, PA)
- …an LSW, LPC, or CSW + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... Manager position to support the Population Health Case Management department. This is a Monday through Friday daylight...Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN) *Current licensure either in the state where… more
- UPMC (Pittsburgh, PA)
- …Psychologist, LMFT or LPC + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... Health Plan is hiring a full-time Mobile Professional Care Manager to join the Community Team. This role will...and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or… more