- Geisinger (Wilkes-Barre, PA)
- …experience to build a rewarding, lasting career with impact. Join us as an RN Case Manager in Care Coordination to strengthen that impact. Apply to learn more, ... Top 8 Most Innovative Healthcare Systems in Becker's Hospital Review , we're working to create a national model for...forward to hearing from you! Job Duties The RN Case Manager assesses, plans, implements, coordinates, monitors… more
- Highmark Health (Pittsburgh, PA)
- …with operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits ... **Job Description :** Date Posted: 20250207 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 80 hours every two… more
- Penn Medicine (Philadelphia, PA)
- …work? Penn Presbyterian Medical Center (PPMC) has an outstanding opportunity for a PRN RN Case Manager to join the Case Management team and work alongside ... activity in Canopy concurrentlyAccounts for all patient days accurately in CanopyEnters review indicating "pending" status of case if outcome not determined and… more
- Cardinal Health (Harrisburg, PA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... develop and execute effective solutions. + Provide guidance and training to junior case managers on best practices in case management, patient interaction, and… more
- St. Luke's University Health Network (Lehighton, PA)
- …appropriate to the age of the patient treated. + Performs admission review on all inpatients. Attends daily patient rounds and shares professional knowledge, ... physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management. + Facilitates… more
- UPMC (Pittsburgh, PA)
- …Insurance + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Certified Case Manager (CCM) + Driver's License + Registered Nurse (RN) + ... Medication Review as appropriate. + Refer members to appropriate case management, health management, or lifestyle programs based on assessment data. Engage… more
- UPMC (Pittsburgh, PA)
- …by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of care ... UPMC Health Plan is hiring a full-time Telephonic Care Manager to support the Medicare line of business within...following review and communicate recommendations to the member and providers.… more
- Highmark Health (Harrisburg, PA)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... care services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case … more
- Comcast (Philadelphia, PA)
- …and performance. + Collaborates with physical wellbeing team on business case development for ongoing strategic roadmap. + Prepares recommendations to present ... trends and identify areas of future improvements. + Analyzes health plan utilization and performance to identify priorities for future clinical intervention based on… more
- University of Pennsylvania (Philadelphia, PA)
- …and much more. Posted Job Title Associate Director, Admissions Operations//Slate Manager Job Profile Title Associate Director C, Student Services, Admissions Job ... Description Summary The Associate Director of Admissions Operations/Slate Manager is a critical component of the Admissions department's technical and operational… more