• RN - Complex Case Manager - Care…

    Geisinger (Lewistown, PA)
    …Degree-Related Field of Study (Preferred) Experience Minimum of 3 years-Nursing (Required) Certification (s) and License(s) Accredited Case Manager within 3 years ... lasting career with impact. Job Duties The RN Complex Case Manager will work with individuals who have complex...dental and vision) starting on day one + Three medical plan choices, including an expanded network for out-of-area… more
    Geisinger (08/17/25)
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  • Registered Nurse - RN Case Manager…

    Gentiva (Irwin, PA)
    **Overview** **Deliver Comfort. Guide Families. Transform End-of-Life Care.** **Registered Nurse - RN Case Manager - Hospice - FT - 4 - 10 hour shifts - F/S/S & 1 ... **What You'll Do as a Hospice RN / RN Case Manager:** + Be the primary point of contact...driver's license, auto insurance, and reliable transportation. + CPR certification required. **Preferred Experience (Not Required):** + Hospital RN… more
    Gentiva (08/18/25)
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  • RN - Registered Nurse - Case Manager - Care…

    Geisinger (Danville, PA)
    …This is a unique opportunity to join our Care Coordination team supporting Geisinger Medical Center (GMC) inpatient care areas. This RN role is full time, exempt, ... of RN work experience is required. Registered Nurse - Case Manager - Care Coordination + Integrates evidence-based clinical...dental and vision) starting on day one + Three medical plan choices, including an expanded network for out-of-area… more
    Geisinger (08/13/25)
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  • RN - Registered Nurse Case Manager - Trauma

    Geisinger (Wilkes-Barre, PA)
    …Wyoming Valley Hospital is a fully accredited Level 1 Trauma Program. The Trauma Case Manager plays an essential role in the operations of Trauma and Geisinger's ... interaction and tracking various quality performance indicators for accreditation. The Trauma Case Manager will also round with the trauma clinical team. Job Duties… more
    Geisinger (07/24/25)
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  • RN Case Manager/ Clincal Educator

    BAYADA Home Health Care (Dushore, PA)
    …regulations, OASIS documentation, and home health standards. + CPR Instructor certification a plus (or willingness to obtain). + Proficiency with electronic ... medical record systems. + Excellent communication, time management, and...Competitive salary with mileage reimbursement + Comprehensive benefits: PTO, medical /dental/vision insurance, 401(k) with company match + Supportive team… more
    BAYADA Home Health Care (08/16/25)
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  • RN - Registered Nurse - Senior Clinical…

    Geisinger (Danville, PA)
    …(CDI) is designed to improve the physician's documentation in the patient's medical record, supporting the appropriate severity of illness, expected risk of ... staff and other support services. The program does not challenge the provider's medical judgement, but rather provides a methodology in which to clarify existing… more
    Geisinger (06/19/25)
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  • Medical Director, Clinical Services

    Highmark Health (Harrisburg, PA)
    …a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION ** **Required** + Medical Doctor or Doctor of Osteopathic Medicine ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may be required.… more
    Highmark Health (07/29/25)
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  • Medical Director - National Medicare

    Humana (Harrisburg, PA)
    …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The … more
    Humana (08/21/25)
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  • Behavioral Health Medical Director…

    Humana (Harrisburg, PA)
    …related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an approved ABMS Medical or ABPN Specialty + A current and ... our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The… more
    Humana (08/09/25)
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  • Medical Director - NorthEast Region

    Humana (Harrisburg, PA)
    …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The … more
    Humana (07/25/25)
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