- Guthrie (Troy, 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
- Highmark Health (Harrisburg, PA)
- …/ experience with Medicaid or Medicare populations **Preferred** + Prior experience working in case management and managed care * Knowledge of assessments and ... Inc. **Job Description :** **JOB SUMMARY** The Pediatric Shift Care Case Manager plays a crucial role...a central point of contact within Highmark Wholecare, handling case management , needs assessment, resource coordination, and… 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
- Penn State Health (Hershey, PA)
- …of orientation period **PREFERRED QUALIFICATION(S):** + BSN preferred. + Previous experience in case management , care coordination, outcomes management ... discharge planning preferred. + Certification in case management from a nationally recognized organization preferred. **WHY PENN... Care Coordinator I - DAY SHIFT - Care Transitions **Location** US:PA: Hershey | Nursing … 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
- Community Health Systems (Scranton, PA)
- …Nursing , or a related field preferred + 1-2 years of experience in care coordination, case management support, patient access, or healthcare ... **Job Summary** The Care Management Specialist provides administrative and...home health agencies, durable medical equipment (DME) providers, skilled nursing facilities, and other post-acute care services… 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
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