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Case Manager Registered Nurse
2 weeks ago
Geisinger Wilkes Barre, United StatesJob Title: Case Manager Registered Nurse (RN) - Special Needs Unit and Community Services · Location: Wilkes-Barre, Pennsylvania · Job Category: RN - Registered Nurse, Nursing and Nursing Support, Geisinger Health Plan · Schedule: Days · Work Type: Full time · Department: GHP RN ...
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Case Manager
2 weeks ago
Washington County Mental Health Services Barre, United States Full timePOSITION: Case Manager · PROGRAM: School-Based Services · DIVISION : Children, Youth and Family Services · SUMMARY OF POSITION: Develops and /or delivers ongoing community-based assessment, treatment and supports for children and youth experiencing a severe emotional disturbanc ...
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Case Manager
3 days ago
MeraKey Wilkes-Barre, United StatesExternal Description · Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. · We are seeking a Case Manager in our Family Group Decision Making Program to join our team in ou ...
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Case Manager
3 days ago
MeraKey Wilkes-Barre, United StatesExternal Description · Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. · We are seeking Registered Behavior Technician to join our team in our Wilkes Barre, PA location. ...
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Case Manager
1 week ago
Catholic Social Services of the Diocese of Scranton Wilkes-Barre, United States Permanent/Job Summary · Full time case manager position available, Duties include but are not limited to: · Case management with individuals · Needs Assessments · Case Plan development · Documentation · Advocacy, information and referral services · Responsibilities/Duties · ADMINISTRATIV ...
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Case Manager
2 weeks ago
Washington County Mental Health Services Barre, United StatesJob Description · Job DescriptionPOSITION: Case Manager · PROGRAM: School-Based Services · DIVISION: Children, Youth and Family Services · SUMMARY OF POSITION: Develops and /or delivers ongoing community-based assessment, treatment and supports for children and youth experiencing ...
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Geisinger Wilkes Barre, United StatesJob Title: RN - Registered Nurse Case Manager - Care Coordination · Location: Wilkes-Barre, Pennsylvania · Job Category: RN - Registered Nurse, Nursing and Nursing Support · Schedule: Evenings · Work Type: Full time · Department: GWV Care Services Operations Team · Date Posted: ...
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Case Manager
2 weeks ago
Pinnacle Treatment Centers Wilkes-Barre, United States**Case Manager** · **We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth.** · Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than ...
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Case Manager- Family Development- Luzerne
6 days ago
Employment Opportunity & Training Center of NE PA City of Wilkes Barre, United States· Position Title: Case Manager- Family Development- Luzerne · Location: Parent Child Programs · • Wilkes Barre, Pennsylvania · Department: Parent Child Programs · Employment Type: Full-Time · Minimum Experience: Entry-level · Compensation Rate: $18.50- $ 19.50 · Description: ...
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Case Manager- Family Development- Luzerne
3 weeks ago
Employment Opportunity & Training Center of NE PA City of Wilkes Barre, United States· Position Title: Case Manager- Family Development- Luzerne · Location: Parent Child Programs · • Wilkes Barre, Pennsylvania · Department: Parent Child Programs · Employment Type: Full-Time · Minimum Experience: Entry-level · Compensation Rate: $18.50- $ 19.50 · Description: ...
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HIV/AIDS Case Manager
3 weeks ago
Caring Communities Wilkes-Barre, United StatesJob Description · Job Description HIV/AIDSCase ManagerWANTED · Location: Wilkes-Barre, PA · Compensation: $21.27 per hour · Status: Full-Time (37.5 hrs/wk) · Job Description: Conducts intakes and coordinates the assessment/treatment plan process and follow-up for each client; ...
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Case Manager
2 weeks ago
Department of Justice and Community Safety Northeastern United StatesAt the Department of Justice and Community Safety, we're looking for people who want to make a difference. People who take pride in their work. People who get things done. People who are committed to making Victoria a safer place. · We embrace diversity and strive to have a workf ...
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Case Management Specialist
3 weeks ago
Luzerne County, PA Wilkes-Barre, United StatesSalary: $40,284.08 Annually · Location : Wilkes-Barre, PA · Job Type: Full-time · Job Number: 01652 · Department: Drug & Alcohol · Opening Date: 05/10/2024 · Closing Date: 5/23/2024 11:59 PM Eastern · Description · This is professional work providing a full range of case m ...
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Medical Case Manager
4 days ago
Crawford & Company Wilkes Barre, PA, United States Full timeExcellence In Everything We Touch: Position Summary: · • Great Work Life Balance · • Monthly Bonus Program · • Free CEU's for licenses and certificates · • License and national certification reimbursement This is a work from home position requiring local field case management ...
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Blended Case Manager
2 weeks ago
Northeast Counseling Services Nanticoke, United StatesJob Description · Job DescriptionNortheast Counseling Services is searching for a caring, compassionate person who desires a rewarding and meaningful employment life helping people with mental health issues take charge of their lives and become productive citizens. Mental health ...
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Geisinger Health System Wilkes-Barre, United StatesJob Summary · Assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery of care model to maximize clinical, q ...
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Case Manager- Family Development- Luzerne
5 days ago
Employment Opportunity & Training Center of NE PA Wilkes-Barre, United States· Position Title: Case Manager- Family Development- Luzerne · Location: Parent Child Programs · • Wilkes Barre, Pennsylvania · Department: Parent Child Programs · Employment Type: Full-Time · Minimum Experience: Entry-level · Compensation Rate: $18.50- $ 19.50 · Description: ...
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Case Manager- Family Development- Luzerne
5 days ago
Employment Opportunity & Training Center of NE PA Wilkes-Barre, United States· Position Title: Case Manager- Family Development- Luzerne · Location: Parent Child Programs Wilkes Barre, Pennsylvania · Department: Parent Child Programs · Employment Type: Full-Time · Minimum Experience: Entry-level · Compensation Rate: $18.50- $ 19.50 · Description: Fam ...
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Commonwealth of Pennsylvania Wilkes-Barre, United StatesReference #: THE POSITION NOTE: THIS IS A REPOSTING OF CS L0686. IF YOU APPLIED UNDER THE PREVIOUS POSTING WHICH WAS OPEN FROM FEBRUARY 23, 2024 TO MARCH 7, 2024, YOU CANNOT SUBMIT A NEW APPLICATION. · Are you looking for a fulfilling career in human services where you can make a ...
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Case Management Assistant
3 weeks ago
Acadia Healthcare Moosic, United StatesESSENTIAL FUNCTIONS:Provide assistance in seamless communication between the insurance companies by checking outcomes of precent clinical, concurrent reviews, doctor to doctor and denial results.Provide communication with the Finance Department and treatment team on insurance den ...
Manager, Medical Case Manager - Wilkes Barre, PA, United States - Crawford & Company
Description
License and national certification reimbursementThis is a work from home position requiring local field case management travel to cover the Wilks-Barre, PA region.
Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management.
Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual's medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services.
Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention.
Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services.
May obtain records from the branch claims office.May review files for claims adjusters and supervisors for appropriate referral for case management services.
Makes referrals for Peer reviews and IME's by obtaining and delivering medical records and diagnostic films, notifying injured worker/disabled individual and conferring with physicians.
Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly.May spend approximately 70% of their work time traveling to homes, health care providers, job sites and various offices as required facilitating RTW and resolution of cases.
Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product.Associate's degree or relevant course work/certification in Nursing is required; Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19.
Active RN home state licensure in good standing without restrictions with the State Board of Nursing.Must meet specific requirements to provide medical case management services.
National certification must be obtained in order to reach Senior Medical Case Management status.
Travel may entail approximately 70% of work time.
Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation.
Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes.Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.
Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes.
Because a claim is more than a number — it's a person, a child, a friend.
And by helping to restore their lives, we are helping to restore our community – one claim at a time.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve.
Pay and incentive plans that recognize performance excellenceBenefit programs that empower financial, physical, and mental wellness
Training programs that promote continuous learning and career progression while enhancing job performance
Sustainability programs that give back to the communities in which we live and work
A culture of respect, collaboration, entrepreneurial spirit and inclusion
Manager, Medical Case Manager professionals in Wilkes-Barre
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Sarfaraz Memon
Human Resources Management
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Kristin Valatka
Data Entry Clerk
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C B
Student