- Prime Healthcare (Bristol, PA)
- …review of the medical record for the medical necessity, intensity of service and severity of illness. Qualifications Education and Work Experience + Starting ... accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At… more
- Prime Healthcare (Philadelphia, PA)
- …review of the medical record for the medical necessity, intensity of service and severity of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Starting ... accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing experience preferred. At… more
- CVS Health (Harrisburg, PA)
- …direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and ... comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan… more
- Geisinger (Danville, PA)
- …a national model for improving health. Today, we're focused on bringing our region services that improve every facet of life to drive total health, inside and out. ... (2) years of RN work experience is required. Registered Nurse - Case Manager - Care Coordination + Integrates evidence-based clinical guidelines, preventive… more
- St. Luke's University Health Network (Easton, PA)
- …planning, implementing, coordinating, and evaluating health and community related services to meet a patient's physical, psychosocial, vocational, and health ... in a cost effective, outcomes-oriented and timely manner. As department needs change, the services may be performed at any level within the Network's continuum of … more
- Penn Medicine (Philadelphia, PA)
- …party payer requirementsEducates team in appropriate documentation to reflect Intensity of service (IS) / Severity of Illness (SI) and plan of careProactively ... for all patient days accurately in CanopyEnters review indicating "pending" status of case if outcome not determined and accounts for all cases assigned on a… more
- BAYADA Home Health Care (Media, PA)
- BAYADA Home Health Care is seeking a **Clinical RN Case Manager(RN required)** for our **Media, PA Assistive Care office** . Do you want to be part of providing care ... paths for nurses like you. **Responsibilities for a RN Case Manager:** + Lead, inspire and motivate others to...+ Participate in the training of new aides and in- services for field staff. **Qualifications for a Clinical Nurse… more
- St. Luke's University Health Network (Bethlehem, PA)
- …unit from admission through discharge. This includes securing coverage for services through continued stay reviews, retro authorizations and other coverage related ... efforts. The Case Manager actively explores and utilizes available internal and...planning, implementing, coordinating, and evaluating health and community related services to meet a patient's physical, psychosocial, vocational, and… more
- Penn State Health (Hershey, PA)
- …to end of orientation period **PREFERRED QUALIFICATION(S):** + Experience as a case manager, in discharge planning or insurance issues preferred. + Appropriate ... and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling. **WHY PENN STATE HEALTH MILTON S. HERSHEY… more
- Trustmark (Harrisburg, PA)
- …best to our colleagues, clients and communities. **About the role** The Case Underwriter III is responsible for providing timely and accurate underwriting offers, ... for assigned territory. Underwriting authority is a maximum of 7,500 life case or $750,000 of annualized premium. + Negotiates non-standard broker arrangements and… more