• Insurance Pre-Cert Coord at Infusion Services…

    Penn Medicine (Philadelphia, PA)
    …one week in advance whenever possible. Provide accurate information to billing and case management to assure payment of claims. Willingly accepts responsibility ... Key Team partners include: Patient Accounting Team including Financial Counseling, Registration, Nursing Management , SPU staff, Physician Office staff, CBO … more
    Penn Medicine (08/07/25)
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  • Occupational Therapist (OT) - Mobile Outpatient

    Genesis Healthcare (Williamsport, PA)
    management of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization, and ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization, and patient… more
    Genesis Healthcare (08/08/25)
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  • Supervisor-Ambulatory Clinical Operations-LPN…

    WellSpan Health (Reinholds, PA)
    …according to their risk, and to assist in identifying patients in need of Case Management . + Works with leadership to deliver patient care through practice ... support staff in accordance with the State Board of Nursing Licensing Regulations and the Nurse Practice...all responsibilities of the Medical Assistant and Physician Office Nurse . + Monitors Risk and Safety Management more
    WellSpan Health (06/25/25)
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  • Drug & Alcohol Therapist

    Sojourner House (Pittsburgh, PA)
    …representatives. + Excellent time management skills. + Ability to provide case management , diagnostic assessments, develop treatment plans, make and track ... protocols when conducting individual and group interventions. + Provides clinical case management supporting including linkages to behavioral and medical… more
    Sojourner House (08/01/25)
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  • CHC Service Coordinator, NF UPMC CHC Service…

    UPMC (Pittsburgh, PA)
    …on human culture. Preferred: + Minimum of year of LTSS, Service Coordination or Case Management experience. Additional Requirements: + Must have a valid driver's ... UPMC Health Plan is seeking a full-time CHC Service Coordinator, Nursing Facilities to support Community HealthChoices in Centre & Mifflin Counties! UPMC Community… more
    UPMC (08/27/25)
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  • Professional Care Manager

    UPMC (Pittsburgh, PA)
    …experience required. + BSN or related Bachelors degree preferred. + Previous case management experience preferred. + Previous In-Patient Hospital experience ... the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and post-acute care referrals… more
    UPMC (08/15/25)
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  • RN Care Coordinator PCMH (Patient Centered Medical…

    Guthrie (Sayre, PA)
    …the Care Coordination team through participation on regular team meetings and regional Case Management meetings, as well as leading discussions and teachings to ... data analysis and process outcome evaluation. Education, License & Cert: Licensed Registered Nurse . Bachelor's Degree in Nursing or related field required. With… more
    Guthrie (08/12/25)
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  • Senior Risk & Compliance Analyst

    Highmark Health (Harrisburg, PA)
    …guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes and files, ... Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, state, CMS, and… more
    Highmark Health (07/04/25)
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  • Senior Associate Director, Disability Services

    University of Pennsylvania (Philadelphia, PA)
    …to determine reasonable accommodations and support services, advises students, provides case management services, and makes referrals to other resources. ... Weingarten Center leadership team. Job Description Job Responsibilities Provide Case Management Services for Students with Disabilities...received at home, in the community or in a nursing facility. If you apply when you're newly hired,… more
    University of Pennsylvania (08/28/25)
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  • Worklife Resource Consultant - Medicare

    CVS Health (Harrisburg, PA)
    …programs). + 1+ year(s) experience in social work, social services, or case management field. + Private, confidential workspace free from ... various life and work situations. + Appropriately documents member interactions and research/ case fulfillment in the system. + Works in an inbound and outbound… more
    CVS Health (07/29/25)
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