- Highmark Health (Harrisburg, PA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- St. Luke's University Health Network (Quakertown, PA)
- …for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... the continuum of care. Also works with the providers, registered nurse care managers, social workers, and...members of care management, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... the continuum of care. Also works with the providers, registered nurse care managers, social workers, and...members of care management, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and… more
- UPMC (Pittsburgh, PA)
- …in all aspects of member care, to include complex and/or specialized care. + Registered Nurse ( RN ) with an active PA License required + BSN Preferred ... interaction with members and providers. Presents or contributes to complex case reviews by the interdisciplinary team,...(BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) + Act… more
- WellSpan Health (Lebanon, PA)
- …Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to… more
- CVS Health (PA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...Oncology or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- St. Luke's University Health Network (Easton, PA)
- …for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... populations across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams… more
- St. Luke's University Health Network (Bethlehem, PA)
- …ability to pay for health care. The Registered Nurse Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... populations across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams… more
- Humana (Harrisburg, PA)
- …optimal health. **Use your skills to make an impact** **Required Qualifications** + Unrestricted Registered Nurse ( RN ) license in state of residency, with ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic...Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… more
- Sharecare (Harrisburg, PA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more