- Travelers Insurance Company (Blue Bell, PA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. +… more
- St. Luke's University Health Network (Allentown, PA)
- …as necessary to facilitate insurance authorizations if needed. + Initiates Case Management referrals when appropriate. + Coordinates activities in the department ... patient transfers. + Facilitates communication between referring and receiving physicians and nursing units. + Triages and secures the most appropriate means of… more
- BAYADA Home Health Care (Warren, PA)
- BAYADA Pediatrics has an immediate need for a **CNA - Certified Nursing Assistan** t or **Home Health Aide** to care for our pediatric clients. As a member of our ... heard. **We have a current school & parent work case open in Warren PA.** **M-F Full time hours**...time off + 24 / 7 on call clinical manager support Qualifications for CNA/HHA: + Minimum one year… more
- Travelers Insurance Company (Pittsburgh, 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
- 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
- BAYADA Home Health Care (Philadelphia, PA)
- …seeking a Registered Nurse (RN) to fill the position of **Clinical RN Nurse Manager ** for our **Philadelphia, PA** Medicare Certified, Home Health office. Do ... environment, we offer exciting career paths for nurses like you. The **Clinical Nurse Manager ** is responsible for overseeing daily clinical operations and… 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 ...2 years of experience in a clinical setting and case management nursing required. + Pediatric … more
- UPMC (Pittsburgh, PA)
- …and Clearances:** Nurse Track: + RN License Required. + CCM/ACM or other nursing or social work certification is required. Non- Nurse Track: + LSW, LCSW or ... 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… more
- Commonwealth of Pennsylvania (PA)
- Aging Care Manager 1 (Local Government) - Wayne County Area...and Training Requirements: + Three years as an Aging Case Aide 2; or + A bachelor's degree which ... Agency on Aging Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5022220) Apply Aging Care Manager 1 (Local Government) - Wayne County Area Agency… more
- UPMC (Pittsburgh, PA)
- …the better. UPMC Health Plan is hiring a full-time Mobile Professional Care Manager position to support the Population Health Case Management department. This ... counties. Occasional travel may be required throughout surrounding counties. The Care Manager will support UPMC Health Plan members local to these areas. The… more