- Penn Medicine (Philadelphia, PA)
- …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... DME, placements, hospice, community resources, transportationQuality data collection and risk management referralWorks with patient and family to assure provision of… more
- Select Medical (Hummelstown, PA)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + Care Planning Management … more
- UPMC (Pittsburgh, PA)
- …in a human services field. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... who have unstable, inadequate, or no residence. Intensive care management is provided in collaboration with the local housing...Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN). Preference will be given to those with… more
- UPMC (Pittsburgh, PA)
- …to LSW, LPC or CSW. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... Care Manager position to support the Population Health Case Management department. This is a Monday through Friday daylight...Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN). Preference will be given to LSW, CSW… more
- UPMC (Pittsburgh, PA)
- …with 6-8 year of experience. + 3 years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or...years of hire to remain in role) + Registered Nurse (RN) Licensure, Certifications, and Clearances: + LSW, CSW,… more
- UPMC (Pittsburgh, PA)
- …Psychologist, LMFT or LPC + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or...Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN) + Act 33 with renewal + Act… more
- UPMC (Pittsburgh, PA)
- …6-8 year of experience. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... full-time Mobile Professional Care Manager to support the Care Management Department in Beaver & Lawrence Counties! The Mobile...Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN) *Current licensure either in the state where… more
- UPMC (Pittsburgh, PA)
- …of Diagnosis-Related Groups (DRGs), OR + Completion of Health Information Management program (RHIA) or Accredited Record Technician (RHIT) certification AND at ... Clinical Documentation Improvement (CDI) experience. + Background in Quality Assurance, Utilization Review, or Quality Insights. + Advanced knowledge of DRGs, PPS,… more
- Penn Medicine (Philadelphia, PA)
- …overtime utilization + Assists with the implementation of change management strategies within the practice, in alignment with department, entity/Penn Medicine ... High School Diploma/GED (Required) Graduate of a state approved Practical Nurse Program. And 3+ years practical nursing experience (Required) **Licenses,… more
- UPMC (Harrisburg, PA)
- …Referral Program, CRNA to CRNA Referrals Purpose: The Chief CRNA is a professional nurse who is responsible for formulating a plan related to quality, cost, and ... development, staff performance, and validates the appropriateness of patient care management . Demonstrating flexibility in meeting the units needs, the Chief CRNA… more