- UPMC (Pittsburgh, PA)
- …Coordinate access to information or staff with outside legal counsel and insurance investigators. + Develop relationships within the management structure in ... into the insurance program. Serve as liaison between the Risk Management and non-Faculty physicians. Identify specific needs of the hospital and/or office… more
- UPMC (Pittsburgh, PA)
- …looking for an opportunity to use your nursing background in outpatient, home health, or case management ? Do you have an interest in health insurance , but ... Medication Review as appropriate. + Refer members to appropriate case management , health management , or...Case Manager (CCM) + Driver's License + Registered Nurse (RN) + Act 33 with renewal + Act… more
- UPMC (Pittsburgh, PA)
- …a full-time Mobile Professional Care Manager position to support the Population Health Case Management department. This is a Monday through Friday daylight role ... care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and...w Renewal + Act 73 FBI Clearance + Automotive Insurance + Basic Life Support OR Cardio Pulmonary Resuscitation… more
- CenterWell (Lancaster, PA)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...and reliable transportation. + Two years as a Registered Nurse with at least one-year of management … more
- UPMC (Dubois, PA)
- …calls. + Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health ... that they deserve. A proud part of the UPMC Insurance Services Division, CCBH provides members with the behavioral...Maintains contact with and refers members to community based case management services as appropriate. Identifies provider… more
- UPMC (Pittsburgh, PA)
- …calls. + Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health ... Plan staff. + Maintains contact with and refers members to community-based case management services as appropriate.Identifies provider issues and recommendations… more
- UPMC (Pittsburgh, PA)
- …calls. + Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health ... staff. + Maintains contact with and refers members to community based case management services as appropriate. Identifies provider issues and recommendations… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Care Manager (RN) provides support to members appropriate for care coordination and case management services in achieving their optimal level of health through ... member goals. **Responsibilities** + Assess members to determine care coordination and case management needs for all referred members. + Completes comprehensive… more
- Highmark Health (Erie, PA)
- …Unit is specialized 35-bed unit dedicated to the continuous monitoring and management of patients requiring cardiac and medical telemetry care. The unit provides ... licensed practical nurses, patient care technicians, physicians, advanced practice provides, case managers, and ancillary staff who work collaboratively to deliver… more
- Trinity Health (Darby, PA)
- …to ensure appropriate resource use and reimbursement. + Screen patients for Intensive Case Management programs, including disease management and discharge ... Registered Nurse license in the State of Pennsylvania required. + Case Management certification from an accredited organization preferred. + **Experience:**… more