- Evolent (Harrisburg, PA)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology… more
- WellSpan Health (York, PA)
- …is seeking a Medical Director, Division of Adult Neurology for a system -wide role overseeing Adult Neurology care across 7 acute care hospitals, 9+ clinical ... Administers and directs the activities of assigned personnel. Provides medical care to patients. Reviews the quality, adequacy and...the Program Director and with faculty development. In that case - we will consider a greater time commitment… more
- Penn Medicine (Philadelphia, PA)
- …to expand their knowledge and apply it to transitions in care. Our nurse case managers (CRC's) work alongside innovative medical teams as well as post-acute ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...you will miss patient contact? If so, our nurse case manager role at Penn Medicine is the perfect… more
- CVS Health (Harrisburg, PA)
- …Lead team meetings and serve as the first point of contact for complex case issues or challenges. + Support hiring, onboarding, and ongoing talent development of ... + Build and maintain relationships with stop loss carriers to support case resolution and negotiation efforts. + Clearly articulate Meritain's services, underwriting… more
- Guthrie (Sayre, PA)
- …adjustment to care in the hospital; b. Assessment of the patients' medical and nursing requirements, home situation, financial resources, and the community resources ... plan based on evaluation of patient's needs e. Participates in an on‐call system 24‐hour accessibility and accountability to meet patient needs. f. Receives training… more
- Penn Medicine (Philadelphia, PA)
- …with departments such as Pharmacy, Clinical Effectiveness and Quality Improvement (CEQI), Case Management, Infection Control and Prevention, the Medical Staff ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Select Medical (Mechanicsburg, PA)
- …are administered in accordance to contract terms. + Complete and execute Single Case Agreements. + **Liaison between DBD's, CEO's, CBO, and Payor Provider Relations ... tracking.** + Serve as Hospital, payor relations, admissions, and case management support. + Promote use of Contract Information... management support. + Promote use of Contract Information System and other tools. + Develop and maintain positive… more
- UPMC (Pittsburgh, PA)
- …for an opportunity to use your nursing background in outpatient, home health, or case management? Do you have an interest in health insurance, but thrive on working ... in a medical office setting with face-to-face interaction with the members...all activities in the Health Plan's care management tracking system following Health + Successfully engage member to develop… more
- Sedgwick (Harrisburg, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... PURPOSE** **:** To evaluate medical reports escalated due to deficient information utilizing evidence...+ Provides MRO expertise in special cases where a case is escalated. + Provides assistance where occupational health… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... day. Are you living your life's work? Penn Presbyterian Medical Center (PPMC) has an outstanding opportunity for a...for a PRN Social Worker MSW to join the Case Management Social Work team and work alongside some… more