- Travelers Insurance Company (Reading, PA)
- …damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. + Extensive ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
- Veterans Affairs, Veterans Health Administration (Butler, PA)
- …US State or territory Work Schedule: Monday- Friday; 7:30am- 4:00pm Preferred Experience: Case Management Experience, 5 years + RN Experience desired. Telework: ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Responsible… more
- Travelers Insurance Company (Pittsburgh, PA)
- …insured based on application of policy information, facts or allegations of each case . Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates ... activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts.… more
- 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)
- … case management nursing required. + Minimum 1 year of health insurance experience required. + Case management certification or approved clinical ... care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and...years of hire to remain in role) + Registered Nurse (RN) **Licensure, Certifications, and Clearances:** + LSW, CSW,… 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...Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN). Preference will be given to LSW, CSW… 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… more