- Guthrie (Sayre, PA)
- …case reimbursement. a) Identifies cost/ clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b) ... hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who holds... management , utilization review, and payer knowledge. A Case Management certification or obtaining a … more
- Geisinger (Danville, PA)
- …be supported by a visible and engaged leadership team, including our Operations Manager, Clinical Team Coordinator, and Nurse Educator, who are committed to your ... Job Summary Geisinger is proud to offer a full time Clinical Team Coordinator RN up to $24,000 hiring incentive for eligible candidates! Market competitive hiring… more
- CVS Health (Harrisburg, PA)
- …Worker or Registered Nurse + At least 1 year of Care Management experience + Experience with multi-tasking + Excellent time management skills **Preferred ... Qualifications** + Prior CM experience + Prior Medicaid Experience **Education** Registered Nurse : Associates degree (required) & Licensed Registered Nurse OR… more
- UPMC (Washington, PA)
- The Manager oversees the day-to-day operations of the Case management department under the direction of the Director. The Manager is accountable for the ... following Case Management...Certifications, and Clearances:** + Current licensure as a Registered Nurse in practicing state required. + UPMC approved Care … more
- Commonwealth of Pennsylvania (PA)
- …Nurse + 18040 - Certified Registered Nurse Practitioner + 18170 - Clinical Nurse Specialist Other Requirements: + You must meet the PA residency ... Clinical Care Reviewer (County Care Management ...Professional Counselor, Psychologist, Registered Nurse , Certified Registered Nurse Practitioner, or Clinical Nurse … more
- ChenMed (Philadelphia, PA)
- …any additional education patient may need and to oversee appropriate patient discharge from case management . + Performs clinical , fall prevention, and social ... other members of the care team that provides hyperfocus case management and field nursing interventions to...clinical field preferred + A valid, active Registered Nurse (RN) license in State of employment required. Compact… more
- Penn Medicine (Lancaster, PA)
- …and experience required. BSN preferred. + Three 3+ years of rehab case management experience. + Clinical Rehab Nurse experience. + Experience and ... to rehabilitation services. **Preferred Qualifications:** + Certification in Case Management + Certification as a Registered Rehabilitation Nurse preferred +… more
- Penn Medicine (Lancaster, PA)
- …through lean six-sigma training. + Helps in identification of best methods to transmit case management plan to all points of care provided in the health ... Three 3 years of acute care nursing or social work or other relevant Case Management addictions medicine experience. + Excellent verbal and written communication… more
- St. Luke's University Health Network (Allentown, PA)
- … Work Queues for Medical Necessity and Late-Pick-Up/Notification that are entered by Case Management and Business Office. + Monitors retro denials to ensure ... level and final decision with revenue impact. + Assists Case Management as necessary to ensure that...EDUCATION: Graduate of an accredited professional nursing program. Registered nurse with current license to practice in the state… more
- Highmark Health (Monroeville, PA)
- …Incumbents will utilize nationally recognized standards of practice for case management by collaborating with providers, clinical teams, health plans, and ... Fingerprinting Criminal Background Clearance Certificate **Preferred** + Nationally recognized Case Management Certification + Transition planning and… more