- WellSpan Health (Lebanon, PA)
- …Includes Weekend rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient ... to address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** +… more
- Battelle Memorial Institute (Harrisburg, PA)
- …The Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team in support of our ... ensuring comprehensive support for those who serve. As a Nurse Case Manager , you will...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or… more
- CVS Health (Harrisburg, PA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible… more
- Geisinger (Danville, PA)
- …protection, universal life and pet and legal insurance Position Details The RN Case Manager assesses, plans, implements, coordinates, monitors and evaluates all ... proud to announce a salary increase for RN Hospital Case Managers - making this the perfect time to...of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery… more
- WellSpan Health (Gettysburg, PA)
- …health care. Works in a team type assignment or Care Coordination Team (CCT) Model ( Case Manager and Social Worker teams are assigned to patients by physician ... and Sunday 7a-7p **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use… more
- WellSpan Health (Chambersburg, PA)
- **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to ... address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities**… more
- WellSpan Health (Lewisburg, PA)
- …weekend coverage **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient ... to address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Essential Functions:** + Reviews… more
- Guthrie (Sayre, PA)
- …clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for...in an acute care setting with strong care management, utilization review, and payer knowledge. A Case … more
- Highmark Health (Jefferson Hills, PA)
- …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... + Case Management - American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for Case Manager Certification… more
- Highmark Health (Monroeville, PA)
- …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care...- American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for … more