- Guthrie (Sayre, PA)
- …years of experience in an acute care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or ... Arts (BA) degree in addition to a degree in Nursing . A registered nurse with five (5)...Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care … more
- WellSpan Health (Lebanon, PA)
- …in Utilization Management , Case Management , or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or ... of care , and reduce cost. + Identifies conditions which require case management across the care continuum. Collaborates with members of the patient… more
- WellSpan Health (York, PA)
- …in Utilization Management , Case Management , or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or ... of care , and reduce cost. + Identifies conditions which require case management across the care continuum. Collaborates with members of the patient… more
- Sharecare (Harrisburg, PA)
- …Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the… more
- LifePoint Health (Johnstown, PA)
- …acute care as a Professional Nurse or RN experience with significant acute care hospital Case Management experience . Previous case management ... in employment. **Job:** ** Nursing * **Organization:** ** **Title:** *Registered Nurse (RN)- Case Management PRN/Hourly* **Location:**… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …assess the ethics and legality of patient care . + Recent experience in the case management process is preferred. + Experience in a combination of home ... (or equivalent) in related area with focus in Health Care , Social Work, Nursing , preferred. + Minimum...care management , case ...care management , case management review, utilization… more
- LifePoint Health (Johnstown, PA)
- …Preferred . Minimum four-five years management experience directing a Case Management Department in an acute care hospital. . Working knowledge of ... Professional Development and Growth Opportunities . And much more Position Summary: Provide Case Management leadership and management for hospitals within a… more
- CVS Health (Bensalem, PA)
- …are comprised of network management , clinical coverage, and policies. Community Care Case Manager's use a collaborative process of assessment, planning, ... care , cardiac) with Medicare members. - 2 years Case Management , discharge planning, and/or home health...preferred, but not required - Bachelor of Science in Nursing (BSN) **Education** Associates degree or Nursing … more
- CVS Health (Harrisburg, PA)
- …, hospice, palliative care , cardiac) with Medicare members. - 2 years Case Management , discharge planning, and/or home health care coordination ... with heart, each and every day. **Position Summary** Community Care Case Manager use a collaborative process...healthcare personnel as appropriate. - Implements and coordinates all case management activities relating to catastrophic cases… more
- UPMC (Pittsburgh, PA)
- …Care Manager + Minimum of 2 years of experience in a clinical setting and case management nursing required. + Minimum 1 year of health insurance ... care and services across the continuum of care with case management , physicians,...years of hire to remain in role) + Registered Nurse (RN) **Licensure, Certifications, and Clearances:** + LSW, CSW,… more