NewRN Case Manager - Home Health Interim HealthCareRN Case Manager - Home HealthCoraopolis, PA$80,000–$95,000 / yearTo qualify as a Registered Nurse Case Manager (RNCM) position with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position . We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace.
Senior Benefits Manager Reed Smith USSenior Benefits ManagerPittsburgh, Pennsylvania$160,000–$185,000Full timepointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto">Position summary. Monitor and analyze employee benefit practices, review benchmarking data and trends to ensure that benefit plans are competitive, cost-effective and enable the Firm to attract and retain employees.
NewMechanical Project Manager JobotMechanical Project ManagerPittsburgh, PA$160,000–$220,000 / yearYou will support Senior Project Managers and Project Engineers while also leading field crews, coordinating self-perform and subcontracted work, and managing project financials and schedules from preconstruction through turnover. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
NewMechanical Assistant Project Manager JobotMechanical Assistant Project ManagerPittsburgh, PA$120,000–$160,000 / yearReporting to Project Managers and Senior Project Managers, you’ll help drive day-to-day project coordination, document control, schedule tracking, and field communication while developing the technical and leadership skills to run projects independently. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
NewBusiness Valuation Manager JobotBusiness Valuation ManagerPittsburgh, PA$75,000–$119,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. For more than three decades, we have partnered with privately held businesses, business owners, and organizations across a wide range of industries, providing accounting, tax, consulting, and valuation services tailored to their unique needs.
NewSenior Construction Manager - Water/Wastewater Whitman, Requardt & Associates, LLPSenior Construction Manager - Water/WastewaterPittsburgh, PAFull timeAll projects require effectively managing field construction inspection staff assigned multiple, concurrent tasks or projects for monitoring the contractor’s work for conformance to the design contract plans, specifications and general permit requirements, tracking daily quantities, completing daily electronic inspection reports, reviewing payment requisitions, maintaining field construction documentation and as-built drawings. Specific experience with regional W-WW agencies preferred, including but not limited to Pittsburgh Water and ALCOSAN and managing e-Construction documentation requirements for construction documentation quality controls and cost/ budget controls.
NewDialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNPittsburgh, PAAs the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support.
Care Coordinator- # 26-14818 US Tech SolutionsCare Coordinator- # 26-14818Pittsburgh, PA$24–$25 / hourContractorFull timeIn 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.
Care Coordinator #26-15136 US Tech SolutionsCare Coordinator #26-15136Pittsburgh, PA$24–$25 / hourContractorFull timeIn 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.
NewConstruction Manager- Water/Wastewater Whitman, Requardt & Associates, LLPConstruction Manager- Water/WastewaterPittsburgh, PAFull timeAll projects require effectively managing field construction inspection staff assigned multiple, concurrent tasks or projects for monitoring the contractor’s work for conformance to the design contract plans, specifications and general permit requirements, tracking daily quantities, completing daily electronic inspection reports, reviewing payment requisitions, maintaining field construction documentation and as-built drawings. Specific experience with regional W-WW agencies preferred, including but not limited to Pittsburgh Water and ALCOSAN and managing e-Construction documentation requirements for construction documentation quality controls and cost/ budget controls.
NewAssistant Manager Valvoline IncAssistant ManagerPittsburgh, PAresponsible for taking the lead in helping build a high-performance team capable of differentiating Valvoline Instant Oil. This role requires the ability to review, read, and understand written and digital training materials, safety procedures, labels, and operational instructions.
NewManager of Transmission Line Engineering LeidosManager of Transmission Line EngineeringCranberry Township, PA$116,350–$210,325Leidos seeks the best and the brightest, and in return, we invest in you, with an eye on your future, through career advancement, growth opportunities, and continuous improvement via mentoring, formal and informal project management training and assistance with obtaining pertinent certifications. The successful candidate will serve as a Supervisor and Engineering Lead on high voltage electric transmission line design projects of overhead and underground systems for some of the largest utilities in the country as well as regional utilities.
NewResidential Project Manager Dino PaintingResidential Project ManagerPittsburgh, PA$51,200–$81,400 / yearThis 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.
Contact Center Specialist US Tech SolutionsContact Center SpecialistPittsburgh, PA$23–$24 / hourContractorFull timePerforms 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.
Telephonic Care Manager (RN - Adult Care Management University of Pittsburgh Medical CenterTelephonic Care Manager (RN - Adult Care ManagementPittsburgh, PASuccessfully 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.
Behavioral Health UM Care Manager (RN - Part Time University of Pittsburgh Medical CenterBehavioral Health UM Care Manager (RN - Part TimePittsburgh, PAThe 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.
UM Care Manager (RN University of Pittsburgh Medical CenterUM Care Manager (RNPittsburgh, PACurrent 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.
Care Manager RN - Utilization Management (UM) Remote Highmark IncCare Manager RN - Utilization Management (UM) RemotePARemoteThis 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.
Clinical Care Manager (RN - Oakmont & Lower Burrell University of Pittsburgh Medical CenterClinical Care Manager (RN - Oakmont & Lower BurrellLower Burrell, PASuccessfully 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.
Clinical Care Manager (RN - Perinatal Addiction Services University of Pittsburgh Medical CenterClinical Care Manager (RN - Perinatal Addiction ServicesPittsburgh, PAThe 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.
Mobile Professional Care Manager (RN - Butler County University of Pittsburgh Medical CenterMobile Professional Care Manager (RN - Butler CountyPittsburgh, PAClinical 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.
NewTelephonic Care Manager (RN - HCBS Command Team University of Pittsburgh Medical CenterTelephonic Care Manager (RN - HCBS Command TeamPittsburgh, PASuccessfully 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.
NewCare Manager JEVS Care at HomeCare ManagerPittsburgh, PA$45,000–$52,000Full timeThis role will manage long-term client relationships and satisfaction, which includes conducting home visits, monitoring EVV compliance and managing EVV barriers, Plan of Care annual updates, Caregiver evaluations (90 day and annual), incident reporting, post-hospitalization follow-up/Care Gaps, and other duties as assigned. Bachelor’s Degree in Human Services, Business Administration, or related field preferred or minimum 2 years’ experience in Home Care, Social Work, and/or work with The Office of Long-Term Living.
NewPatient Care Manager CareRing HealthPatient Care ManagerBeaver Falls, PAAssist CTAs with their day-to-day duties, including screening new patients and caregivers, on-boarding new patients and caregivers, staffing patient cases with caregivers and ensuring patient cases are started promptly, communicating with patients, caregivers, and patient families to ensure satisfaction and quality service delivery, and assist with on-site visits as needed . We are seeking talented, passionate individualsto join our team as a Patient Care Manager and help our patients live happier and healthier lives.
Telephonic Care Manager University of Pittsburgh Medical CenterTelephonic Care ManagerPittsburgh, PASuccessfully 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.
NewPatient Care Manager Patriot HomecarePatient Care ManagerBeaver Falls, PAAssist CTAs with their day-to-day duties, including screening new patients and caregivers, on-boarding new patients and caregivers, staffing patient cases with caregivers and ensuring patient cases are started promptly, communicating with patients, caregivers, and patient families to ensure satisfaction and quality service delivery, and assist with on-site visits as needed . We are seeking talented, passionate individuals to join our team as a Patient Care Manager and help our patients live happier and healthier lives.
Professional Care Manager University of Pittsburgh Medical CenterProfessional Care ManagerPittsburgh, PACurrent 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.
Care Manager Discovery Commons Bethel ParkCare ManagerPittsburgh, PA$2,022–$2,026Discovery 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.
Senior Category Manager - Clinical and Care Management Highmark IncSenior Category Manager - Clinical and Care ManagementPittsburgh, PAThe 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.
Product Support Manager, Pixel Differentiated Care Google LLCProduct Support Manager, Pixel Differentiated CarePittsburgh, PABridge 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.
New Product Planning Manager, Digital and Connected Care Zoll Data Systems, Inc.New Product Planning Manager, Digital and Connected CarePittsburgh, PARemote$135,000–$155,000 / yearThe 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.
Long Term Care Assoc Acct Mgr - Pittsburgh, PA Teva PharmaceuticalsLong Term Care Assoc Acct Mgr - Pittsburgh, PAPittsburgh, PA$88,000–$160,000 / yearEducation/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?**
New Product Planning Manager, Digital and Connected Care ZOLL MedicalNew Product Planning Manager, Digital and Connected CarePittsburgh, PennsylvaniaRemoteThe 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.
Territory Manager (Continence Care) - Pittsburgh, PA Coloplast CorpTerritory Manager (Continence Care) - Pittsburgh, PAPittsburgh, PARemote$140,000–$160,000 / yearThe 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.
Care Experience Manager Aveanna Healthcare Holdings IncCare Experience ManagerPittsburgh, PA$43,000–$50,000 / yearAs 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.
Product Support Manager, Pixel Differentiated Care GoogleProduct Support Manager, Pixel Differentiated CarePittsburgh, PAFull timeBridge 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.
Long Term Care Assoc Acct Mgr - Pittsburgh, PA Teva Pharmaceutical Industries LtdLong Term Care Assoc Acct Mgr - Pittsburgh, PAPittsburgh, PA$88,000–$160,000 / yearAdditional 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.
Recovery House Care Manager-Part Time Renewal IncRecovery House Care Manager-Part TimePittsburgh, PAThis 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.
Auto Care Center Service Manager Walmart IncAuto Care Center Service ManagerPITTSBURGH, PAThese 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. Programs range from high school completion to bachelor''s degrees, including English Language Learning and short-form certificates.
External Communications Manager-Life Sciences & Health Care Deloitte Touche Tohmatsu LtdExternal Communications Manager-Life Sciences & Health CarePA$93,000–$132,000 / yearTo view the associated benefit package, please reference this document https://resources.deloitte.com/:b:/r/sites/dnet-tod-us/Shared%20Documents/Benefits/USBenefitsJourneyCDandETAM.pdf?csf=1&web=1&e=pKjS1C. The ideal candidate will be a public relations professional with a demonstrated ability to work collaboratively with individuals at all levels of a matrixed organization, coach leaders on media interviews and social strategy, and be a resource for reporters covering life sciences topics such as pharma, cell and gene therapy and health care topics like the future of health and agentic AI in chronic conditions.
Case Manager Cranberry Township Comprehensive Treatment CenterCase ManagerCranberry Township, PennsylvaniaFull timeProviding 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.
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.
Case Manager Encompass Health CorpCase Managerpittsburgh, PAMake 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?
NewCase 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.
Case Manager Outpatient MAT Acadia Healthcare Co IncCase Manager Outpatient MATCranberry Township, 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 ManagerCranberry Township, 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 Encompass Health Rehabilitation Hospital of HarmarvilleCase ManagerPittsburgh, PAJoin 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.
RN 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.
RN Case Manager Inpatient, Allegheny General Highmark IncRN Case Manager Inpatient, Allegheny GeneralPittsburgh, PAExpands 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.