February 6, 2026For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. If you received an email purporting to be from Leidos that asks for payment-related information or any other personal information (e.g., about you or your previous employer), and you are concerned about its legitimacy, please make us aware immediately by emailing us at LeidosCareersFraud@leidos.com.
p tabindex="0">We are seeking a Healthcare Case Manager to support patients throughout their treatment journey by coordinating care, assisting with insurance approvals, and ensuring timely access to prescribed therapies. - 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. We are seeking a Healthcare Case Manager to support patients throughout their treatment journey by coordinating care, assisting with insurance approvals, and ensuring timely access to prescribed therapies.
strong>Overview: Leads daily manufacturing operations, personnel, and cross-functional initiatives to meet safety, quality, delivery, and productivity goals.. System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.
Kittanning, PA10 days ago
p>Objective: Seeking a Business Development Manager ready to fuel expansion, cultivate key partnerships, and strengthen our presence in the industrial and construction industries.. System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.
Pittsburgh, PA12 days ago
This is a great fit for someone who wants to be part of a strong local company, take pride in keeping things running smoothly, and grow in a role that actually matters. If you want a stable role with real responsibility inside a family-run business that is growing fast, apply today.
Pittsburgh, PA19 days ago
Performs and documents results of all quality assurance evaluations on all operational products and services, including (but not limited to) benefit verification cases, patient assistance cases, software support calls/emails, inbound calls from patients or health care providers, data entry, etc. The Operations Quality Assurance Associate I will be a subject matter expert for their respective assigned business unit(s) and will utilize analytical skills to analyze data, processes, and workflows to provide insightful, actionable coaching for the Operations Agents.
Pittsburgh, PA24 days ago
Successfully engage member to develop an individualized plan of care in collaboration with their primary care provider that promotes healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions. Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC agreement, a multistate license issued by a participating NLC state.
Pittsburgh, PA29 days ago
p>The Utilization Management (UM Care Manager is responsible for utilization review of health plan services and assessment of member's barriers to care, as well as actively working with providers and assessing members to ensure a safe and coordinated discharge from an inpatient setting. Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC agreement, a multistate license issued by a participating NLC state.
Pittsburgh, PA23 days ago
Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.
Lower Burrell, PA30+ days ago
li>Successfully engage member to develop an individualized plan of care in collaboration with their primary care provider that promotes healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions.
Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC agreement, a multistate license issued by a participating NLC state.
Pittsburgh, PA30+ days ago
The Clinical Care Manager role nurse will deliver face-to-face, community-based care management for pregnant and postpartum members (up to 1 year postpartum, with a strong emphasis on perinatal addiction services, Medication for Opioid Use Disorder (MOUD, and harm reduction. Successfully engage member to develop an individualized plan of care in collaboration with their primary care provider that promotes healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions.
li>Clinical Social Worker (CSW OR Emergency Medical Technician (EMT OR Licensed Clinical Social Worker (LCSW OR Licensed Marriage & Family Therapist OR Licensed Professional Counselor (LPC OR Licensed Social Worker (LSW OR Paramedic OR Psychologist OR Registered Nurse (RN. Develops specific outreach plans for assigned members who do not maintain regular contact with their medical or behavioral health provider as recommended contributing to frequent crises, recidivism, and interfering with maximum benefit from available care.
p>This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Pittsburgh, PA22 days ago
Successfully engage member to develop an individualized plan of care in collaboration with their primary care provider that promotes healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions. Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC agreement, a multistate license issued by a participating NLC state.
Works with Physician Advisor and Attending Physicians to obtain necessary documentation to support current LOC, alters LOC as needed and expedites discharge planning for patients who no longer require hospital services. Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC agreement, a multistate license issued by a participating NLC state.
Pittsburgh, PA30+ days ago
Discovery Management Group leadsone of the nation’s most purpose-driven and people-centered senior livingorganizations, managing and enhancing senior living communities across theUnited States. At Discovery Senior Living, weare constantly challenging how we are doing things to ensure the lifestyle weare offering our residents is absolutely the greatest value proposition in themarketplace.
Pittsburgh, PA30+ days ago
The incumbent acts as a strategic business partner, interfacing at the VP and Director levels of the company, providing leadership in the designated spend category for category strategy/plans, strategic sourcing and other strategic procurement processes such as supplier relationship management, spend performance management, demand and compliance management, internal spend and external market analysis, and category governance. Build and manage relationships with priority business executives, serves as a key member of the business unit leadership team to support implementation of business strategies through advanced procurement initiatives and team alignment, facilitate the entire sourcing process and closely collaborate with clients to select and award business to suppliers.
Pittsburgh, PA30+ days ago
p>AHN WEST PENN BURN CENTER: As the only burn center in Western Pennsylvania verified by the American Burn Association and the American College of Surgeons for both adult and pediatric care, we deliver high-quality, comprehensive patient care from injury through rehabilitation.
CUSTOMER SATISFACTION:
- Works collaboratively with patients, families, peers, and other departments in the organization/network to meet established organizational goals for patient experience.
Pittsburgh, PA30+ days ago
Bridge the gap between product area and gUP product teams to define, develop, and deliver integrated support experiences, ensuring that internal tools are optimized to support unique device requirements and user journeys. You will lead the transformation of support through generative AI automation and advanced on-device diagnostics, while implementing personalized customer care models that foster long-term loyalty and reduce churn throughout the product lifecycle.
li>Additional benefits include, but are not limited to, Employee Assistance Program, Employee Stock Purchase Plan, Tuition Assistance, Flexible Spending Accounts, Health Savings Account, Life Style Spending Account, Volunteer Time Off, Paid Parental Leave, if eligible , Family Building Benefits, Virtual Physical Therapy, Accident, Critical Illness and Hospital Indemnity Insurances, Identity Theft Protection, Legal Plan, Voluntary Life Insurance and Long Term Disability and more. Teva is searching for a Long Term Care Associate Account Manager to represent our existing Psychiatry products as part of the brand strategy within LTC Accounts, while collaborating with Teva's local sales teams for the implementation and pull-through of product access strategies specific to the product commercial activities in Albany, NY.
Education/Certification/Experience + Bachelor's degree required + Minimum of 4 years of pharmaceutical, Healthcare, or pharmaceutical sales experience + Experience in Long Term Care or related field preferred + Record of successfully achieving sales goals and building effective customer relationships + Demonstrated career success in LTC networking and local pull through preferred Skills/Knowledge/Abilities + Ability to interact with customers in live and virtual environments and proficiency with technology + Ability to travel as required, which may include overnight and/or weekend travel + Valid US driver’s license and acceptable driving record required + Candidate must be able to successfully pass background, motor, and drug screening **Salary Range** The annual starting salary for this position is between $88,000 – $160,000 annually. + Additional benefits include, but are not limited to, Employee Assistance Program, Employee Stock Purchase Plan, Tuition Assistance, Flexible Spending Accounts, Health Savings Account, Life Style Spending Account, Volunteer Time Off, Paid Parental Leave, if eligible , Family Building Benefits, Virtual Physical Therapy, Accident, Critical Illness and Hospital Indemnity Insurances, Identity Theft Protection, Legal Plan, Voluntary Life Insurance and Long Term Disability and more **Already Working @Teva?**
li>HFMS (Heart Failure Management system) is a non-invasive, patch-based device that monitors pulmonary fluid levels and has been shown to reduce heart failure readmissions rates by 38 percent. TherOx Super Saturated Oxygen (SSO2) Therapy is the first FDA-approved therapy since the stent 20+ years ago to reduce infarct size in patients with the most severe heart attacks.
p>The New Product Planning Manager, Digital & Connected Care, for ZOLL Cardiac Management Solutions is an upstream marketing role at the intersection of digital health, patient engagement, and physician workflow adoption in the care and treatment of acute heart disease. This role is responsible for shaping product strategy for digital and connected solutions in the ZOLL CMS portfolio that transform patient-facing digital experiences as well as how physicians consume, interpret, and act upon longitudinal insights generated from products in the ZOLL CMS portfolio.
p>As a Care Experience Manager (CEM), you'll play a vital role in supporting both our clients and caregivers - making a meaningful impact every single day. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
p>The Continence Care Territory Manager is responsible for achieving territory sales objectives through selling activities which include cultivating business partnerships with key decision makers, product in-services, driving market share and sales growth. Employees in this role are expected to meet healthcare customers in person at their facilities or healthcare systems; therefore, this will require completion of credentialing requirements that meet the access requirements of each healthcare facility or system.
Pittsburgh, PA30+ days ago
Bridge the gap between product area and gUP product teams to define, develop, and deliver integrated support experiences, ensuring that internal tools are optimized to support unique device requirements and user journeys. You will lead the transformation of support through generative AI automation and advanced on-device diagnostics, while implementing personalized customer care models that foster long-term loyalty and reduce churn throughout the product lifecycle.
Pittsburgh, PA17 days ago
This individual will work with residents to develop, implement and maintain a recovery plan, connect residents with various community resources to aid in their recovery and coordinates care with internal and external treatment providers. A minimum of a high school diploma or GED equivalency and 1 year of experience working in a residential, human services, substance abuse or community support setting required.
p>These Auto Care Center roles focus on the needs of our customers who entrust us with the care of their vehicles as they shop for merchandise and services offered at Walmart. The Auto Care Center is a rewarding place to work with opportunities for advanced associate training, business development, and application of technology.
Case Manager Cranberry Township Comprehensive Treatment Center
Case ManagerCranberry Township, Pennsylvania16 days ago
li>Providing 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. - 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.
Pittsburgh, PA30+ days ago
p>Reporting 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.
Pittsburgh, PA30+ days ago
li>Expands industry knowledge base for professional growth and development while providing ongoing applicable education to the patient, family, physician(s), and other members of the interdisciplinary team (IDT) including, but not limited to, appropriateness of care, documentation requirements, severity of illness and intensity of services criteria, insurance benefits/requirements/limits, discharge planning requirements, length of stay and resource utilization issues.
This job oversees, develops, and manages the end-to-end claims functions and operational inputs including but not limited to the receipt of claims, operational correspondences, and corporate correspondences for multiple customer segments; fully utilizes the support mechanisms available to complete the required delivery of high-performance, efficient, and low-cost production.
pittsburgh, PA30+ days ago
Make appropriate/timely referrals, including documentation to post discharge providers/physician Ensure accuracy of discharge and payor-related information in the patient record Participate in utilization review process: data collection, trend review, and resolution actions. Case Manager Career OpportunityRecognized for your abilities as a Case ManagerAre you ready for a Case Management role that brings your career closer to home and heart?
Pittsburgh, Pennsylvania22 days ago
Establishes 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 Case Manager collaborates and maintains consistent communications with internal and external partners (Pharma Reps, Doctor offices or Insurance companies) to formulate, affect, interpret operational practices to achieve resolution based on last stop coordination concerns.
Pittsburgh, PA16 days ago
li>Providing 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.
Pittsburgh, PA30+ days ago
li>Providing 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.
Pittsburgh, PA30+ days ago
p>| Type | Requirement | | :--- | :--- | | Required | None | | Preferred | ACM Certification: Accredited Case Manager - American Case Management Association (ACM) | | Preferred | Case Management - ABOHN: American Board of Occupational Health Nurses | | Preferred | CCM: Certified Case Manager - Commission for Case Manager Certification (CCMC) |. Location: Pittsburgh, PA 15224 Address: West Penn, 4800 Friendship Ave Company: Allegheny Health Network (AHN) Job Category: Nursing Position Type: Full Time Posted: 03/09/2026 Req ID: J278039.
Pittsburgh, PA30+ days ago
p># RN Case Manager Full Time 40 Hours West Penn Hospital Careers at Highmark Health ## Job Overview Location: Pittsburgh, PA 15224 (West Penn, 4800 Friendship Ave) Company: Allegheny Health Network (AHN) Job Category: Nursing Position Type: Full Time Posted: 03/27/2026 Req ID: J274669 ## About the Organization West Penn Hospital West Penn Hospital has four-time Magnet® recognition, private patient rooms, free employee parking, and a generous benefit package for full-time and part-time status employees. 20% Effectively identifies barriers and analyzes situations for assigned patient population, including risk for admission/readmission, external resources, and patient/family capacity, in order to determine safe plans for transition and care coordination.
Pittsburgh, PA20 days ago
This 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. 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.
Pittsburgh, PA30+ days ago
Participates 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 Encompass Health Rehabilitation Hospital of Harmarville
Case ManagerPittsburgh, PA3 days ago
Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
The 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.