Care Manager RN - PA, Working at Home - Pennsylvania

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · Weekend Remote RN - 3 days per week plus weekends. · This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropr ...

The Registered Nurse assesses human responses and plans nursing care for individuals or families responsible. · Graduate of an accredited School of Nursing. · Licensed and in good standing with the State Board of Nursing in state of practice. · ...

The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. · Assures safe delivery of nursing services in alternative care settings. · Active participation in on-going interdiscipli ...

The Internal Staffing Team Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. · Act 34 Criminal Background Clearance Certificate · Act 33 Child Abuse Clearance Certificate · Act ...

The Internal Staffing Team Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. · Act 34 Criminal Background Clearance Certificate · Act 33 Child Abuse Clearance Certificate · Act ...

The Internal Staffing Team Registered Nurse is responsible for providing high-quality, patient-centered care within a hospital setting. · Places the patient at the center of everything they do by continuously evaluating and assessing patient and family satisfaction and performing ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over a specified panel of members that range in health status/severity and clinical ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · This job is directly responsible for the value creation, impact and cost control and fiscal/ROI targets as set by the Organization, including revenue stream outcomes, and engagement of primary care providers (PCP) enrol ...

Company : · Allegheny Health NetworkJob Description :  · GENERAL OVERVIEW:  · This job works collaboratively with participating Clinical Integration Network (CIN) practices and institute stakeholders, regional concierge team and CIN leadership to implement clinical integration an ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY  · This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs.  The incumbent assesses health management needs of the assigned member panel and ut ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electron ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · This job is directly responsible for the value creation, impact and cost control, and fiscal/ROI targets as set by the Organization. This includes revenue stream outcomes and engagement of primary care providers (PCP) an ...

Company : · Allegheny Health NetworkJob Description :  · GENERAL OVERVIEW: · This job provides patient care, documents and charges for care per department policy, fulfills legal and ethical requirements of the profession and position, independently supervises Behavioral Health Co ...

Company : · Allegheny Health NetworkJob Description :  · GENERAL OVERVIEW: · The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for ...

Company : · Allegheny Health NetworkJob Description :  · Learn more about AHN Home Infusion · GENERAL OVERVIEW: · The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Regi ...

Company : · Highmark HealthJob Description :  · JOB SUMMARY: · This job collaborates with Sales Client Management and the Sales Executive team. The position will develop member transition strategies to steer the transition of members to AHN and community providers; thereby minimi ...

Company : · Allegheny Health NetworkJob Description :  · GENERAL OVERVIEW: · The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for ...

Company : · Highmark HealthJob Description :  · JOB SUMMARY  · This job works directly with network providers to support key clinical transformation programs with a focus on utilization of appropriate care. The team member works with internal and external stakeholders to ensure a ...

This job provides case and condition management services to Pediatric members with behavioral health concerns. The incumbent uses clinical and motivational interviewing skills to assess members' needs and establish mutually agreeable short and long-term goals. · Function as a pri ...

Company : · Allegheny Health NetworkJob Description :  · GENERAL OVERVIEW: · The Internal Staffing Team Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Internal Staffing ...