- UPMC (Pittsburgh, PA)
- …calls. + Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health ... Plan staff. + Maintains contact with and refers members to community-based case management services as appropriate.Identifies provider issues and recommendations… more
- UPMC (Tobyhanna, PA)
- …of the practice of held licensure. + Demonstrates knowledge of clinical treatment, case management and community resources. + Encourages coordination of care ... delivery of behavioral health care. In addition, a care manager may serve as the care management ...+ Maintains contact with and refers members to community-based case management services as appropriate. + Possesses… more
- UPMC (Dubois, PA)
- …calls. + Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health ... Behavioral Health is seeking a full-time Mobile Licensed Care Manager to support the Community Services team within the...Maintains contact with and refers members to community based case management services as appropriate. Identifies provider… more
- UPMC (Pittsburgh, PA)
- …calls. + Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or health ... Health Plan is hiring a full-time Mobile Professional Care Manager to join the Community Team. This role will...Maintains contact with and refers members to community based case management services as appropriate. Identifies provider… more
- CenterWell (Lancaster, PA)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... at our Lancaster, PA branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services...and reliable transportation. + Two years as a Registered Nurse with at least one-year of management … more
- UPMC (Pittsburgh, PA)
- …contacts. + Identifies provider issues and recommendations for improvement. + Contact potential case management members to determine if there is a need for ... Health Plan is hiring a full-time Pediatric Health Care Manager to support the Medical Management Medicaid... case management intervention. + Receives and responds… more
- Trinity Health (Darby, PA)
- …to ensure appropriate resource use and reimbursement. + Screen patients for Intensive Case Management programs, including disease management and discharge ... **Employment Type:** Part time **Shift:** **Description:** **RN Care Manager - Utilization Management ** **Location:** Mercy... license in the State of Pennsylvania required. + Case Management certification from an accredited organization… more
- UPMC (Pittsburgh, PA)
- Are you an experienced Pediatric nurse with case management experience? We have a unique opportunity that may be a perfect fit for you! UPMC Health Plan is ... hiring a full-time Telephonic Care Manager to work with families, members, nursing agencies, and...team summarizing clinical and social history, healthcare resource utilization, case management interventions. Update the plan of… 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. The Care ... Nursing (RN) required **Licensure** + Current and unrestricted Registered Nurse licensure in Pennsylvania required + Valid driver's license...three years of experience as a case manager , preferably providing telephonic case management… 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 an Expert ... Discharge Plan Manager to support their Clinical Care Coordination and Discharge...information and connecting patients to appropriate outpatient regional resources. Nurse Track: + Nurse track: BSN required.… more