- 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 ... **Responsibilities** + Assess members to determine care coordination and case management needs for all referred members....level of intervention based on the member's needs and clinical progress. + Schedules follow-up calls as necessary and… more
- UPMC (Pittsburgh, PA)
- … operations as warranted. A care manager is expected to bring a level of clinical leadership to the care management department. In addition, a care manager may ... needed for case collaboration and care planning. + Develops specific clinical interventions and coordinates with the assigned Community Care contract and care … more
- UPMC (Pittsburgh, PA)
- …for coding personnel, the medical staff, physician extenders (PAs, CRNPs), nursing case management and ancillary departments. + Track and report quality ... issues among coding, nursing administration, Patient Business Services, medical staff, case management , and other ancillary departments directly affected by… more
- Heritage Ministries (Conneautville, PA)
- …and Restorative Nursing functions. This individual will work in conjunction with the Management Company's Clinical Reimbursement Case Manager, acting as a ... as well as establish spells of illness and maintain communication with Clinical Reimbursement Case Manager/ Billing Department regarding benefits. + Coordinates… more
- Humana (Harrisburg, PA)
- …the start time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. ... help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and...MCG or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in… more
- AmeriHealth Caritas (Philadelphia, PA)
- …. **Role Overview** The Care Manager (RN) assists members appropriate for case management services in achieving their optimal level of health. ... appropriate + Implement interventions based on member needs and clinical progress + Schedule follow-up calls and make referrals...as a case manager, preferably providing telephonic case management + Certification as a … more
- UPMC (Pittsburgh, PA)
- …issues among coding, nursing administration, Patient Business Services, medical staff, case management , and other ancillary departments directly affected by ... of coding experience. In this role, you will review clinical documentation within the medical record to ensure that...personnel, the medical staff, physician extenders (PAs, CRNPs), nursing case management and ancillary departments. + Assist… more
- Penn Medicine (Philadelphia, PA)
- …must involve direct contact with the individual receiving services (ie coaching, teaching, case management , etc.). OR Completion of 12 credits in an accredited ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- UPMC (Pittsburgh, PA)
- Are you an RN or social worker interested in care management , case management , or care coordination? UPMC Presbyterian Shadyside is looking for a Senior ... Discharge Plan Manager to support their Clinical Care Coordination and Discharge Planning department! The role...information and connecting patients to appropriate outpatient regional resources. Nurse Track: + BSN required. 10 years of experience… more
- Penn Medicine (Philadelphia, PA)
- …your life's work? The Advanced Practice Provider (APP) Manager will provide daily clinical and operational management for the advanced practice providers on ... APPs in the Heart & Vascular ICU, the Progressive Case Unit, the OR and the ambulatory care clinic....management experience Hours of work determined by the Clinical Service and administrative leader to meet the needs… more