- Mitsubishi Chemical Group (Harrisburg, PA)
- ** Compliance Case Manager (2082)** + Title: Compliance Case Manager + Group Company: Mitsubishi Chemical America + Location:Remote Group Company: ... as they are today. Job Purpose Mitsubishi Chemical Group is seeking a ** Compliance Case Manager ** to join a team committed to excellence, continuous… more
- ChenMed (Philadelphia, PA)
- …We're rapidly expanding and we need great people to join our team. The RN Case Manager (Community Care Nurse) is an on-site role within our Primary Care ... and post-acute facilities, as well as, their home environments. The Nurse Case Manager role also involves establishing relationships with patients' families… more
- Guardian Life (Harrisburg, PA)
- **Position Summary** The Group Life Claims Case Manager II is responsible for paying beneficiaries of members life and AD&D claims. They will spend 6-8 weeks in ... eligibility claims while being mentored. The Group Life Claims Case Manager II then begins to build...experience or product knowledge strongly preferred + Regulatory and Compliance experience a plus + Understanding of medical terminology… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …perspective and experience makes ConnectiveRx better than the sum of its parts. The Case Manager 's primary duty is to assist customers with chronic illnesses in ... to their wellbeing needs, journey and treatment plan. The Case Manager collaborates and maintains consistent communications...concerns. Case Managers use discretion for timely case resolution and maintains compliance based on… more
- Trinity Health (Newtown, PA)
- …**Description:** **St. Mary's Home care & Hospice is seeking a full time Hospice RN Case Manager ** $10K Sign on bonus offered Signing Bonus is not applicable to ... access to our Virtual Care Center RNs. **Hospice RN Case Manager position summary** Our Hospice RN...the physician, and/or requested by the client/family, and in compliance with the state's Nurse Practice Act, any applicable… more
- Highmark Health (Erie, PA)
- …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... Case Management - American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for Case Manager Certification… more
- Highmark Health (Monroeville, PA)
- …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... and authorizations for post-acute services as needed and with compliance with all regulatory and contractual requirements. + Documents,...- American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for … more
- CVS Health (Chester Springs, PA)
- …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... + Discharge planning or home health care with Medicare members + Certified Case Manager or Additional national professional certification (CRC, CDMS, CRRN, COHN,… more
- Penn Medicine (Philadelphia, PA)
- …with possible co-occurring substance abuse issues and/or homelessness. The Targeted Case Manager assists participants with linking with services, monitoring ... attainable level in the community. Responsibilities: + Adheres to compliance standards in service provision as mandated by the...activities in collaboration with the psychiatric provider and clinical case manager at Hall Mercer or at… more
- Select Medical (Pittsburgh, PA)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...resource management within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. +… more