- UPMC (Dubois, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Mobile Licensed Care Manager to support the Community Services team within the Commercial ... will support multiple lines of business. The Mobile Licensed Care Manager will work flexible hours in...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- Guthrie (Sayre, PA)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of ... clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs...thinking skills to create and or develop a clinical program or position and b) Demonstrated leadership skills for… more
- UPMC (Pittsburgh, PA)
- …needs and benefit from Health Plan resources. Additionally, they will help to link Your Care Program eligible members to a Your Care representative for ... into the appropriate title as either a Mobile Professional Care Manager , Sr Mobile Care ...and behavioral health conditions. + Ensures that cases are managed and documentation is within established timeframes in accordance… more
- ChenMed (Philadelphia, PA)
- …Care Management/Disease Management program with verbal introduction to their Community Care Manager for home visit once discharge to home from either ... skilled nursing facility (SNF). + Implements the ACM Coaching program with the appropriate patient population. + Identifies from...Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired We're ChenMed… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... more about us at www.amerihealthcaritas.com . **Role Overview** The Care Manager (RN) assists members appropriate for...contact and be an advocate for members in the care management program . **Responsibilities** + Conduct telephone… more
- Penn State Health (Hershey, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... no waiting period as well as a Total Rewards Program that highlights a few of the many additional...outlaw discrimination._ **Union:** Non Bargained **Position** RN Registered Nurse Care Manager - Pediatric Infusion Room **Location**… more
- Penn State Health (Camp Hill, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... no waiting period as well as a Total Rewards Program that highlights a few of the many additional...executive orders that prohibit or outlaw discrimination._ **Position** RN Care Manager (Per Diem) - DAY SHIFT… more
- St. Luke's University Health Network (Easton, PA)
- … in the communities we serve, regardless of a patient's ability to pay for health care . The Patient Care Manager is responsible for the quality, safety and ... mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care… more
- UPMC (Pittsburgh, PA)
- The Care Manager Associate (CMA) position will...of those being served. No license is required. + Managed care experience preferred. + Ability to ... Services Community Paramedic Team. The team expands paramedic roles from emergency care to a focus on non-emergent and preventative health services tailored to… more
- Penn State Health (Hershey, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... no waiting period as well as a Total Rewards Program that highlights a few of the many additional...or genetic information._ **Union:** Non Bargained **Position** Registered Nurse Care Manager - Peds Specialties - Hope… more
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