- Humana (Harrisburg, PA)
- …involved in the care planning for beneficiaries receiving services under the TRICARE program . The Care Manager , Telephonic Behavioral Health 2 (Focus on ... planning for beneficiaries receiving services under the TRICARE program . **Role Responsibilities** + Serves as primary advocate for...+ Minimum of 1 year of managed care experience. The Care Manager ,… more
- Guthrie (Troy, 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 **PAY RANGE:**… more
- CVS Health (Harrisburg, PA)
- …compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized ...of care management within Medicare and Medicaid managed care . + Familiarity with community resources… 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 outlaw discrimination._ **Union:** Non Bargained **Position** Registered Nurse Care Manager - Peds Infusion Room **Location**… 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)
- …UPMC, it will be a contract role employed by Strategic Consulting Partners (SCP). The Care Manager Associate (CMA) position will be part of the UPMC Health ... the Health Plan's one of a kind's homebound vaccination program . All this significantly positively impacts members' health and...of those being served. No license is required. + Managed care experience preferred. + Ability 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 outlaw discrimination._ **Union:** Non Bargained **Position** Clinical Case Manager - Pediatric Palliative Care **Location** US:PA:… more
- CVS Health (Harrisburg, PA)
- …attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care management ... it all with heart, each and every day. **Requisition Job Description** The Pharmacy Program Manager is an individual contributor (non-people manager ) role.… more