- CenterWell (Harrisburg, PA)
- …of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + ... to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to...patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate… more
- CenterWell (Harrisburg, PA)
- …of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional ... **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers… more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Community Services Department in Blair ... County! The Mobile Professional Care Manager will work...field. + Three years of experience in behavioral, clinical, utilization management, home care , discharge planning, and/or… more
- UPMC (Pittsburgh, PA)
- …to change healthcare for the better. UPMC Health Plan is hiring a full-time Mobile Professional Care Manager position to support the Population Health Case ... health and/or substance use disorders are preferred. The Mobile Professional Care Manager assists UPMC...CSW. + Three years of experience in behavioral, clinical, utilization management, home care , discharge planning, and/or… more
- UPMC (Pittsburgh, PA)
- …Individuals hired into this role will be hired into the appropriate title as either a Mobile Professional Care Manager , Sr Mobile Care Manager , or ... members, peers, and external contacts. + For Sr Mobile Care Manager + Master's degree in social...experience. + 3 years of experience in behavioral, clinical, utilization management, home care , discharge planning, and/or… more
- UPMC (Dubois, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Mobile Licensed Care Manager to support the Community Services team within the Commercial ... will support multiple lines of business. The Mobile Licensed Care Manager will work flexible hours in...LPC. + Three years of experience in behavioral, clinical, utilization management, home care , discharge planning, and/or… more
- UPMC (Pittsburgh, PA)
- …UPMC Children's Hospital has fulfilled this mission since its founding in 1890.** The Care Manager (CM) coordinates the clinical and financial plan for patients. ... utilization management, resource management, discharge planning and post-acute care referrals and authorizations. Works with multi-disciplinary team in resource… more
- Guthrie (Sayre, PA)
- …and make recommendations for alternate levels of care . The Acute Case Manager also performs Utilization Management throughout the continuum of care ... with the patient and members of the interdisciplinary health care team. The Acute Case Manager takes...in an acute care setting with strong care management, utilization review, and payer knowledge.… more
- Magellan Health Services (Somerset, PA)
- …and analysis. + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. ... and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data....quality of care . General Job Information Title Care Manager , BH - Remote in PA,… more
- Highmark Health (Harrisburg, PA)
- …and caregivers in order to align goals and plans. Incumbents will serve as professional role models, utilizing their expertise in care management to promote a ... interdisciplinary team partners including but not limited to: appropriateness of care , documentation requirements, utilization review principles and criteria,… more