1,064 Results for

Care Manager Jobs in Washington, PA

Jobs

Pittsburgh, Pennsylvania20 days ago

Full-time

The Senior Manager of Data Discovery & Readiness leads the firm's business-aligned data readiness function within Strategic Intelligence, ensuring enterprise data is structured, governed, and delivered to support analytics, insights, and advanced modeling, and is fit for purpose for business use. The position evaluates internal and external data sources, including emerging and AI-driven data, to determine quality, relevance, and business value, and delivers curated, high-confidence datasets that enable advanced analytics.

Pittsburgh, PA7 days ago

$160,000–$220,000 Per Year

You 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.

Pittsburgh, PA7 days ago

$120,000–$160,000 Per Year

Reporting 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.

Pittsburgh, Pennsylvania20 days ago

$160,000–$185,000
Full-time

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. Manage the Cash Balance Retirement Plan distribution process and annuity payments including preparation of benefit packets, finalizing amounts, and preparing authorization instructions for plan trustee and investment manager.

Pittsburgh, Pennsylvania20 days ago

$109,500–$125,000
Full-time

The vendor management function will evolve to include and oversee vendor management services including contract management, third-party vendor risk assessment of providers, vendor registration and offboarding, strategic sourcing, contract review and management, buying, and relationship monitoring. Jointly determine and execute on vendor management strategies aligned with firm priorities working with Reed Smith leadership team.

New!

Follansbee, WV5 days ago

$37–$40

Must have national accredited wound certification (CWS, CWCN, WCC, CWON, WOC, AWCC)or be committed to complete Advanced Wound Training and national accredited Wound Certification within 1 year of hire (For those hired with wound certification, completion of a fast-track hybrid program for regulatory wound care requirements will be provided) . As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.

New!

Follansbee, WV4 days ago

$90,000–$95,000

As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. *Cancer Coverage*Nursing Tuition Assistance ProgramRestrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Pittsburgh, PA16 days ago

$116,350–$210,325

Leidos 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.

New!

MOUNDSVILLE, WV6 days ago

Join Healthcare Services Group (HCSG) as an Account Manager, leading housekeeping, laundry, and floor care teams in a long-term care facility. If you're looking for a role where you can lead with passion, drive positive change, and be part of a supportive and dedicated team, apply now and start making a difference at HCSG!

New!

Rayland, OH6 days ago

New!

MOUNDSVILLE, WV6 days ago

New!

Pittsburgh, PA3 days ago

$51,200–$81,400 Per Year

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.

New!

Steubenville, OH4 days ago

Must be a graduate of an approved medical school, completed an internship and/or residency in his/her given specialty or board eligible, insurability for professional liability, and be licensed as a physician in the State of Ohio. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Pittsburgh, PA10 days ago

$23–$24 Per Hour
Contractor
Full-time

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, PA15 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, PA20 days ago

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, PA14 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.

Fayette County, PA30+ days ago

Do you possess an active license issued by the Pennsylvania Bureau of Professional and Occupational Affairs to practice as a Social Worker, Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Psychologist, Registered Nurse, Certified Registered Nurse Practitioner, or Clinical Nurse Specialist?. SOMEONE ELSE was responsible for recommending referrals for emergency, urgent, or routine professional psychiatric, behavioral, intellectual disabilities, or autism treatment services AND conducting follow- ups of referrals with clients and providers to ensure adequate care was received.

Fayette County, PA17 days ago

SOMEONE ELSE was responsible for recommending referrals for emergency, urgent, or routine professional psychiatric, behavioral, intellectual disabilities, or autism treatment services AND conducting follow- ups of referrals with clients and providers to ensure adequate care was received. Do you possess an active license issued by the Pennsylvania Bureau of Professional and Occupational to practice as a Social Worker, Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Psychologist, Registered Nurse, Certified Registered Nurse Practitioner, or Clinical Nurse Specialist?.

Oakmont, PA30+ days ago

McMurray, PA30+ days ago

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.

Pittsburgh, PA9 days ago

Pittsburgh, PA13 days ago

Washington, Pennsylvania17 days ago

Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. Includes but not limited to community cook outs, various fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events.

Pittsburgh, PA30+ days ago

$2,022–$2,026

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.

South Hills, PA8 days ago

Part-time

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

South Hills, Pennsylvania8 days ago

Pittsburgh, PA29 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

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, PA20 days ago

Remote

$135,000–$155,000 Per Year

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.

Jefferson Hills, PA7 days ago

Integrated patient care is provided for patients with Pre/Post Op Open Heart Surgery, Cardiac Procedures such as catheterizations, ablations and pacemakers, and patients that may require bi-pap, pacing wires, chest tubes, and titratable intravenous drips. CUSTOMER SATISFACTION: Assures that department work collaboratively with patients, families, peers, and other departments in the organization to meet established organizational goals for customer satisfaction.

Pittsburgh, PA26 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, Pennsylvania22 days ago

Remote

Pittsburgh, PA30+ days ago

Remote

$140,000–$160,000 Per Year

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, PA24 days ago

Full-time
Employee

Pittsburgh, PA8 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.

Washington, PA30+ days ago

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.

Monroeville, PA20 days ago

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. Obtains or ensures acquisition of appropriate pre-certification authorizations from third party payers and placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party guidelines.

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, PA30+ days ago

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, PA7 days ago

Pittsburgh, Pennsylvania13 days ago

$41,800–$55,500 Per Year

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 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.

Canonsburg, PA30+ days ago

Identify 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.

Pittsburgh, PA11 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

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, PA29 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.

New!

Pittsburgh, PA2 days ago

$24–$25 Per Hour

Experience: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.

Pittsburgh, PA30+ days ago

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

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) |. 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.

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Care Manager Jobs in Washington, PA

Senior Manager, Data Discovery & Readiness Reed Smith US

Mechanical Project Manager Jobot

Mechanical Assistant Project Manager Jobot

Senior Benefits Manager Reed Smith US

Procurement Manager Reed Smith US

Wound Care and Skin Health Team Lead, RN Brightwood Center-WV

Regional MDS Manager, RN Brightwood Center-WV

Manager of Transmission Line Engineering Leidos

Lead Housekpeeing Manager Healthcare Services Group, Inc.

Environmental Services Department Manager Healthcare Services Group, Inc.

Environmental Services Manager Healthcare Services Group, Inc.

Residential Project Manager Dino Painting

Primary Care Physician CommonSpirit Health

Contact Center Specialist US Tech Solutions

Telephonic Care Manager (RN - Adult Care Management University of Pittsburgh Medical Center

Behavioral Health UM Care Manager (RN - Part Time University of Pittsburgh Medical Center

UM Care Manager (RN University of Pittsburgh Medical Center

Clinical Care Reviewer (County Care Management Manager, Local Government) - Fayette County Commonwealth of Pennsylvania

Clinical Care Reviewer (County Care Management Manager, Local Government) - Fayette County MH/ID Commonwealth of Pennsylvania

Clinical Care Manager (RN - Oakmont & Lower Burrell University of Pittsburgh Medical Center

Clinical Care Manager (RN - Washington & McMurray University of Pittsburgh Medical Center

Clinical Care Manager (RN - Perinatal Addiction Services University of Pittsburgh Medical Center

Clinical Care Manager (RN - Oncology Nurse Navigator University of Pittsburgh Medical Center

Telephonic Care Manager University of Pittsburgh Medical Center

Care Manager - Washington, PA Crossroads Treatment Centers

Care Manager Discovery Commons Bethel Park

Care Manager - Registered Nurse Monogram Health Inc

Care Manager - Registered Nurse Monogram Health

Senior Category Manager - Clinical and Care Management Highmark Inc

RN Assistant Nurse Manager, T2 Critical Care/Burn, West Penn Hospital Highmark Inc

New Product Planning Manager, Digital and Connected Care Zoll Data Systems, Inc.

Nurse Manager - Cardiac Progressive Care, Jefferson Highmark Inc

Product Support Manager, Pixel Differentiated Care Google LLC

New Product Planning Manager, Digital and Connected Care ZOLL Medical

Territory Manager (Continence Care) - Pittsburgh, PA Coloplast Corp

Product Support Manager, Pixel Differentiated Care Google

Recovery House Care Manager-Part Time Renewal Inc

Auto Care Center Service Manager Walmart Inc

RN Case Manager (Part Time) - Forbes Hospital Highmark Inc

Case Manager Encompass Health Corp

Case Manager Outpatient MAT Acadia Healthcare Co Inc

Case Manager Acadia Healthcare Co Inc

Case Manager ConnectiveRx

RN Field Case Manager Sedgwick Claims Management Services, Inc.

Medical Case Manager - Workers' Compensation ForzaCare

RN Case Manager Inpatient, Allegheny General Highmark Inc

RN Case Manager American Health Companies Inc

Case Manager - #26-14252 US Tech Solutions, Inc.

LPN Case Manager Allegheny County

RN Case Manager (Full Time, 40 Hours), West Penn Hospital Highmark Inc

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