- 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...MD office. + Includes, but is not limited to, insurance authorizations ( medication, transportation, alternate level of care),… more
- Amgen (Philadelphia, PA)
- …stakeholders across the patient care ecosystem-including physicians, nurses, office staff, case managers, infusion centers, and caregivers. + Navigate and engage ... by working cross-functionally with field access teams, patient services teams, and case managers. + Coordinate internal matrix teams (eg, MSLs, Market Access, … more
- UPMC (Seven Fields, PA)
- UPMC Family Hospice Clinical Manager If you are looking for a rewarding health care career where you provide Life Changing Medicine in a direct one-on-one patient ... with physicians, social workers, and nursing to support patient needs. The Clinical Manager position is an on-site position that is accountable and responsible for… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid, and/or… more
- AmeriHealth Caritas (Reading, PA)
- …Overview** Under the Direction of the Supervisor, the Transition Care Manager is responsible for completing preventative multidisciplinary discharge planning for ... Room using AmeriHealth Caritas policies and procedures. The Transition Care Manager will assess and process discharge planning needs across all disciplines,… more
- Penn State Health (Hershey, PA)
- …Support go-to-market and pilot programs. + Will perform all duties of the Clinical Case Manager - Virtual Health position when needed for staffing and to maintain ... three (3) years of hire. + Licensed to practice as a RN Registered Nurse by the state of employment required. **PREFERRED QUALIFICATION(S):** + CCRN certification +… more
- GE Vernova (PA)
- …vital to health, safety, security and improved quality of life. As a Customer Success Manager (CSM) at GE Vernova, you will play a critical role in driving the ... as a trusted partner. + **Product Expertise & Use Case Alignment** + Develop and maintain deep product knowledge...drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
- UPMC (Pittsburgh, PA)
- …Hospital has fulfilled this mission since its founding in 1890. The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall ... and finance teams for clinical documentation requirements, level of care, insurance coverage issues, specific payer and government policies and post-acute services… more
- ICW Group (Philadelphia, PA)
- …the team goals. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Provides oversight for all vended Nurse Case Management (NCM) products, including Field Case ... Acts as a gatekeeper for referrals between in-house telephonic nurse case managers, claims examiners and vendors.... management and utilization review. + Works closely with Case Management Manager and Director to perform… more
- Travelers Insurance Company (Wyomissing, PA)
- …with insured based on application of policy information, facts or allegations of each case . Consults with Unit Manager on use of Claim Coverage Counsel. + ... to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to...fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and… more