Rn Field Case Manager Jobs in Pittsburgh

Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..

... degree in a Health related Field or a Licensed Practical Nurse ... 2 years experience in medical case management or care coordination Comprehensive ... experiences Previous experience with electronic..

Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... Care Management Team, the care manager..

Job Information Humana Director, Behavioral Health Strategy in Pittsburgh Pennsylvania Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..

... and monitoring and evaluating the case management plan against the member's ... Sociology, Psychology, Gerontology or related field Registered Nurse (RN) licensed in the state of ... experience. Previous..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... Government. Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will..

Job Information Humana Care Coach 1 in Pittsburgh Pennsylvania Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain an optimal ..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Pittsburgh Pennsylvania Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..

Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..

Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a NICU Care Manager, Telephonic Nurse..

Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex ... Responsibilities The Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida Medicaid .....

... services, monitors and evaluates the case management plan against the member's ... human services or a related field with - one (1) year ... experiences in health care and/or..

... services, monitors and evaluates the case management plan against the member's ... human services or a related field with - one (1) year ... experiences in health care and/or..

Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities ..

Job Information Humana Telephonic Care Coach Professional 1 -WAH Nationwide in Pittsburgh Pennsylvania Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve ..

... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..

Plastic Surgery Opportunities in Metro Pittsburgh, PA!!rnrnrnFull-Time & Part-Time Options below:rnrn1) Brick and Mortar Model: In this model, Client leases a space in a given location with on-site accredited facilities. Heavy ..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. Responsibilities ..