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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.

<p>Highmark provides millions of people with the security of quality health insurance</p>
<p>Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.</p>
<p>Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.</p>
<p>Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values. </p>

Highmark Inc

RN Case Manager (Part Time) - West Penn Hospital

Demonstrates competencies of clinical reasoning and critical-thinking skills for managing complex and high-risk patients while simultaneously assuming the patient advocate role to ensure conflict-free, unbiased and culturally competent care. Assesses, plans, implements coordinates, and monitors and evaluates options for patients, their families, caregivers and the health care team, including providers, to promote effective care coordination outcomes.

Independence Health System

Case Manager - RN

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Demonstrates competencies of clinical reasoning and critical-thinking skills for managing complex and high-risk patients while simultaneously assuming the patient advocate role to ensure conflict-free, unbiased and culturally competent care. Ensures operation of equipment by completing preventive maintenance requirements; following manufacturers instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques.

CASE MANAGER - RN

For eligible applicants, our new Fellowship Program offers up to $25,000 student loan payoff for Bachelor's level candidates and $45,000 payoff for Master's level candidates after a 2-year commitment of working with Merakey as a Substance Use Disorder Case Manager and an official acceptance into the Fellowship Program. They will meet with PIRs on demand and via scheduled appointments to assist with linkage to external resources such as, but not limited to housing, recovery based supports such as 12-step meetings, medical benefits, PCP, specialty doctors, food banks.

HOUR

Merakey

Substance Use Disorder Case Manager

Due to the field-based nature of this home health position, a valid driver’s license and the ability to spend approximately 20% of your workday driving to and from patient locations are required. Deliver compassionate, patient-centered care in a hospice setting, collaborating with an interdisciplinary team dedicated to comfort, dignity, and quality of life.

Allegheny Health Network

Hospice Registered Nurse Case Manager

NCMs will function as the nursing liaison across disciplines within the AVS system, with family members/caregivers, and with community-based health care providers/agencies to ensure medical and nursing care is appropriate and timely. Merakey offers generous benefits that promote well-being, financial security, and work-life balance, including: Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.

Licensed Practical Nurse Case Manager

Dynamic Workforce Solutions (DWFS) contracts with state and local entities to provide services that offer the communities we serve reliable workforce development and training solutions that result in talented, well-trained people positioned for tomorrow''s jobs. Our human-centered approach combines real corporate support, long-term leadership, and cutting-edge technology including AI interview tools, virtual reality career exploration, and real-time predictive analytics.

Arbor E&T, LLC

Case Manager

By applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Essential skills include proficiency in using general pharmacy management systems and effective communication.

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<h3>OUR FOCUS IS GROWTH</h3>
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<p>It’s not just about filling job openings.  It’s about enabling growth and inspiring success.  That’s what we do.</p>
<p>Mitchell Martin is one of the nation’s largest staffing companies, with offices throughout the US as well as in India and the Philippines.  We help drive success for both people and companies by helping them achieve positive growth.   We do this by building strong relationships and developing a deep understanding of the people we work with, in order to facilitate the best matches for both sides of the equation.    </p>
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Mitchell Martin

Reimbursement Case Manager

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Summary of Position : The Nurse Case Manager coordinates resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals to facilitate quality, individualized, holistic treatment goals, including timely return to work when appropriate. Excellent verbal and written communication skills, including the ability to interact effectively with patients, customers, and fellow employees via phone, email, in-person, and formal presentations.

TRIUNE Health Group

Nurse Case Manager - Pittsburgh, PA

Merakey offers generous benefits that promote well-being, financial security, and work-life balance, including: Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. They provide intensive therapeutic services in all types of settings, including but not limited to community living arrangements, schools, community settings, natural support residents, etc.

Merakey offers generous benefits that promote well-being, financial security, and work-life balance, including: Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply.

Blended Case Manager

We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives. As an RN Case Manager, you'll coordinate compassionate, individualized hospice care by assessing patients, partnering with the interdisciplinary care team, and developing plans that support each patient's needs.

YEAR

<p>UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, <strong>UnitedHealthcare</strong> and <strong>Optum</strong>, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.</p>

<p><strong>What we do</strong></p>

<p>Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.</p>

<p><a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> <br><br></p>

<p><strong>Caring. Connecting. Growing together. </strong></p>

<p>Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:</p>

<p>• <strong>Caring.</strong> Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> <br>

</p><p>• <strong>Connecting.</strong> We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> <br>

</p><p>• <strong>Growing together.</strong> UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a> <br></p>

UnitedHealth Group Inc

RN Case Manager Hospice

Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies.

Amedisys Inc

RN Hospice Nurse Case Manager

Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques.

RN Case Manager

FULL_TIME

Job functions include working outdoors in varying weather conditions including heat, cold, and rainMust be able to lift, carry, and move materials weighing up to 50 pounds occasionally using proper lifting techniques Cognitive and Sensory Requirements:Ability to focus on Recovery Support program details, follow through with timelines, and attend to multiple tasks and interactions. Conducts random room searches, documents findings, and confiscates prohibited/contraband items in accordance with program policy, immediately reporting incidents and confiscated items to Director of Reintegration Services, Transitional Housing Manager and the ACM Coordinator.

Veterans Place of Washington Boulevard Inc.

Assistant Case Manager/Full Time

Talent Acquisition

Basic Function: Coordination of services, education, advocacy and direct care to individuals with mental illness/intellectual disabilities and their families who require supports to support recovery and increase community tenure within the least restrictive setting across the continuum of care. Provides nursing support to the psychiatric team completing Triage/screening for all incoming calls related to medication/symptoms/patient concerns.

Heritage Valley Health System

RN Case Manager - Staunton Clinic (Part-Time)

Overview: Full-Time Days Make a difference every day as an Amedisys RN case manager Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies.

Amedisys, Inc.

[AW]-iCims

Nurse liaison who coordinates care and communicates pertinent medical information among the Injured Worker, the Insured, and the Carrier to facilitate appropriate treatment, successful rehabilitation, and return to work. Attend physician appointments; obtain diagnosis, prognosis, treatment plan, rehab length, estimated RTW (modified/regular duty), and MMI/Full Recovery as appropriate.

Opus Medical

Field Nurse Case Manager - Greater Pittsburgh

PART_TIME

What You'll DoConduct skilled nursing visits in patients' homes (assessment, reassessment, medication administration, IV therapy, and treatments)Develop and implement individualized care plansEducate patients and caregivers on managing conditions and medicationsCollaborate with a multidisciplinary team to ensure continuity of careDocument visits and patient progress accurately and timely What You'll NeedCurrent Registered Nurse (RN) license in the state of Pennsylvania. This is a great opportunity to build meaningful connections, deliver personalized care, and see the impact of your work every single day-all in a supportive home setting.

Case Manager Jobs in Pittsburgh, PA

RN Case Manager (Part Time) - West Penn Hospital Highmark Inc

Case Manager - RN Independence Health System

CASE MANAGER - RN Independence Health System

Substance Use Disorder Case Manager Merakey

Hospice Registered Nurse Case Manager Allegheny Health Network

Licensed Practical Nurse Case Manager Merakey

Case Manager Arbor E&T, LLC

Reimbursement Case Manager Mitchell Martin

Nurse Case Manager - Pittsburgh, PA TRIUNE Health Group

Case Manager Merakey

Blended Case Manager Merakey

RN Case Manager Hospice UnitedHealth Group Inc

RN Hospice Nurse Case Manager Amedisys Inc

RN Case Manager Amedisys Inc

Assistant Case Manager/Full Time Veterans Place of Washington Boulevard Inc.

RN Case Manager - Staunton Clinic (Part-Time) Heritage Valley Health System

RN Case Manager Hospice Amedisys, Inc.

Field Nurse Case Manager - Greater Pittsburgh Opus Medical

RN Case Manager | Weekends Community Care

CASE MANAGER - WEEKEND Independence Health System

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