- Highmark Health (Pittsburgh, PA)
- …of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). + Nationally recognized Case Management Certification ... **Job Description :** Date Posted: 20250509 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 80 hours every two… more
- Penn Medicine (Philadelphia, PA)
- …quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources, ... community resourcesParticipates and drives accountability in daily interdisciplinary meetings Utilization Management:Adheres to guidelines to satisfy 3rd party payer… more
- St. Luke's University Health Network (Allentown, PA)
- …physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management. + Facilitates ... appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of...Work or Counseling or related field. EDUCATION: Registered Professional Nurse with a current license to practice in the… more
- St. Luke's University Health Network (Lehighton, PA)
- …serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams to facilitate the… more
- Intermountain Health (Harrisburg, PA)
- …Nurse (RN). Preferred Qualifications + Bachelor's degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined at position level. + ... outcomes. Provides focused support to various areas such as utilization management, emergency department, acute, ambulatory and specialty care. Essentials… more
- UPMC (Pittsburgh, PA)
- …clinical and social history, current medications, geriatric syndromes, healthcare resource utilization , and case management interventions. Updates the plan of ... staff assigned to the geographic region of the care manager . Attends and participates in face-to-face case ...experience preferred. + 1 year of experience in clinical, utilization management, home care, discharge planning, and/or case… more
- WellSpan Health (Mount Gretna, PA)
- …care and treatment progress. + Participates in daily communication with primary nurse , communicating any clinical concerns and assist in developing an action plan ... patient or update to Nursing Care Plan. + Facilitates nurse /provider rounds to assure patients are informed of and...treatment settings to provide appropriate care. + Coordinate with Case Management as indicated. + Participates in the review… more
- Prime Therapeutics (Harrisburg, PA)
- …drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description** Under supervision, is responsible for performing referral ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...Quality oversight for this program is provided by the Manager , Patient Programs. **Education & Experience** + Associates -… more
- ChenMed (Philadelphia, PA)
- …possession and maintenance of a current, valid driver's license + Certified Case Manager certification is preferred. Certification through the Commission for ... required + A minimum of one (1) year of utilization review and/or case management, home health,... Case Manager Certification (CCMC) or the American… more
- UPMC (Pittsburgh, PA)
- …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Certified Case Manager (CCM) + Driver's License + Registered Nurse (RN) + Act 33 with ... by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of care… more