RN | Home Health Case Manager RedstoneRN | Home Health Case ManagerGreensburg, PAFull timeWe offer a full array of services for ages 55+ from Retirement Living, Personal Care, Long Term Care & Rehabilitation, and Redstone@Home Hospice, Home Care & Home Health Services. Our collaborative approach modeled by our Leadership reflect our Core Values: Respect, Quality, Truth, Teamwork, Life Balance and Life-Long Learning.
Case Manager Outpatient MAT Acadia Healthcare Co IncCase Manager Outpatient MATPittsburgh, PAProviding case management and care coordination services for patients in the clinic; Responsible for coordinating the continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral sources requirements; May also be responsible for conducting individual, and family educational sessions, various duties related to coordinating treatment and discharge activities, as needed; Coordinates in a timely manner, issues or activities relevant to the team, and/or to the team's relationship within the facility or treatment milieu; and, Perform other duties as assigned. Your Responsibilities as a Case Manager: Provides quality care through developing, implementing, managing, and evaluating patient care plans; Collects clinical data, correlates this clinical data, and provides clinical input to the treatment team; Conveys medical criteria and clinical information between the insurance provider and treatment team as warranted; May also correlate clinical data for the business office as required.
Case Manager Acadia Healthcare Co IncCase ManagerPittsburgh, PAProviding case management and care coordination services for patients in the clinic; Responsible for coordinating the continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral sources requirements; May also be responsible for conducting individual, and family educational sessions, various duties related to coordinating treatment and discharge activities, as needed; Coordinates in a timely manner, issues or activities relevant to the team, and/or to the team's relationship within the facility or treatment milieu; and, Perform other duties as assigned. Your Responsibilities as a Case Manager: Provides quality care through developing, implementing, managing, and evaluating patient care plans; Collects clinical data, correlates this clinical data, and provides clinical input to the treatment team; Conveys medical criteria and clinical information between the insurance provider and treatment team as warranted; May also correlate clinical data for the business office as required.
Case Manager ConnectiveRxCase ManagerPittsburgh, Pennsylvania$41,800–$60,600 / yearFull timeEstablishes and maintains professional and effective relationships with all internal and external customers (i.e., care coordination colleagues, care field team, patient advocacy groups, insurance company case managers, specialty pharmacies, physician office staff and office coordinators) while multitasking to coordinate, evaluate and advocate for options and services to meet the client’s needs. The incumbent utilizes care coordination to address patient and physician concerns; obtains insurance approval for designated therapy and proactive plans to avoid the potential of delayed coverage by working with the patient, family, insurance, company, physicians, workplace, benefits administrators and individuals from other areas.
Field RN Case Manager (Monroeville, PA) NK ConsultancyField RN Case Manager (Monroeville, PA)Monroeville, PennsylvaniaClinical Advocacy: Independently assess injured workers' medical conditions and develop coordinated treatment plans with healthcare providers. We are dedicated to ensuring injured workers receive the care and advocacy they need to return to their lives and livelihoods safely and efficiently.
Medical Case Manager - Workers' Compensation ForzaCareMedical Case Manager - Workers' CompensationPittsburgh, PAPart timeThis role is ideal for licensed nurses or certified rehabilitation counselors with prior experience working in a role where the primary responsibility was coordinating medical care and case management for individuals with active workers' compensation claims. ABOUT US:Founded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care.
RN Field Case Manager Sedgwick Claims Management Services, Inc.RN Field Case ManagerCanonsburg, PAIdentify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor's degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager This Field Case Manager will cover West Pittsburg, PA region (including some of Ohio) and must live in this area in order to be considered.
LPN Case Manager Allegheny CountyLPN Case ManagerPittsburgh, PAReporting to the Regional Center Administrator the Licensed Practical Nurse LPN Case Manager plays an integral role in ensuring complex health cases are managed appropriately along with continuity of care preventing readmissions and enhancing patient outcomes. This specialized position requires a unique blend of clinical andor administrative nursing expertise exceptional communication skills and a compassionate patient-centered approach.
HSP Case Manager Amedisys IncHSP Case ManagerWashington, PA$88,000–$92,000 / yearJoin Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies.
RN Hospice Nurse Case Manager Amedisys IncRN Hospice Nurse Case ManagerMonongahela, PA$85,000–$90,000 / yearJoin Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies.
RN Case Manager Hospice Amedisys, Inc.RN Case Manager HospiceMonongahela, Pennsylvania$85,000–$90,000 / yearFull timeOverview: Hospice Registered Nurse Case Manager Make a difference every day as an Amedisys RN case manager Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies.
Case Manager Registered Nurse - Medicare (Remote) CVS Health CorpCase Manager Registered Nurse - Medicare (Remote)Work At Home, PARemote$60,522–$129,615 / yearCommunity Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs.
Complex Case Manager RN - (Remote) Highmark IncComplex Case Manager RN - (Remote)PARemoteThe incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. For assigned case load, create care plans to address members' identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
Child/Youth Behavioral Health Case Manager I Elevance HealthChild/Youth Behavioral Health Case Manager ISeven Fields, PACurrent active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
NewRN Case Manager American Health Companies IncRN Case ManagerPittsburgh, PAParticipates in all Managed Care related audits; generates, maintains and tracks periodic and annual reports/documents via MS Office program, e-mails to support Care Coordination program. The RN Case Manager is primarily responsible for the daily management and support of the Case Management strategies for care coordination for a group of members who are associated with a Medicare Advantage plan.
Case Manager - #26-14252 US Tech Solutions, Inc.Case Manager - #26-14252Pittsburgh, PA$24–$25 / hourExperience: 3+ years of experience in healthcare case management, patient support, care coordination, reimbursement, utilization review, social services, nursing, or related healthcare fields. In this role, you'll serve as a key advocate for patients while collaborating with healthcare providers, specialty pharmacies, insurance companies, and internal teams to deliver an exceptional patient experience.
RN Case Manager Amedisys IncRN Case ManagerUniontown, PA$33–$45 / hourJoin Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques.
Case Manager, Extended Psychiatric Unit Penn Highlands HealthcareCase Manager, Extended Psychiatric UnitConnellsville, PAThe Case Manager supports Residents within the EAC unit by coordinating care across the interdisciplinary team, ensuring medical necessity, facilitating transitions, connecting Residents to community-based services. This role is essential to the EAC program's philosophy of recovery-oriented, trauma informed care, community integration and step-down readiness.
Registered Nurse Case Manager Purposelink RecruitmentRegistered Nurse Case ManagerCanonsburg, PennsylvaniaThis is an opportunity for a dedicated Registered Nurse Case Manager to join our client and make a meaningful impact in the lives of patients receiving hospice care. Collaborate with interdisciplinary healthcare teams, including physicians, social workers, and support staff.
NewSubstance Use Disorder Case Manager MerakeySubstance Use Disorder Case ManagerPittsburgh, PAFor eligible applicants, our new Fellowship Program offers up to $25,000 student loan payoff for Bachelor's level candidates and $45,000 payoff for Master's level candidates after a 2-year commitment of working with Merakey as a Substance Use Disorder Case Manager and an official acceptance into the Fellowship Program. They will meet with PIRs on demand and via scheduled appointments to assist with linkage to external resources such as, but not limited to housing, recovery based supports such as 12-step meetings, medical benefits, PCP, specialty doctors, food banks.