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Clinical Case Manager jobs - Philadelphia, PA

Viewing 1 - 10 of 1,400 jobs

  • RN Supervisor, Utilization Management (Appeals)

    AmeriHealth Caritas - Philadelphia, PA

    Under the general supervision of the Appeals Manager the supervisor communicates with all KFHP/ACFC departments to inte ... a clinical environment, including utilization management, case management, appeals and/or discharge planning...

    2 days ago from AmeriHealth Caritas

  • Registered Nurse Health Risk Disease Management (HRDM) (RN)

    Take Care Health Systems - Hatfield, PA

    HRDM programs Assesses client employee’s educational/clinical needs, prioritizing and individualizing program based on ... in Disease Management, or Certificate in Case Management a plus Knowledge of workplace health and safety...

    30+ days ago from Take Care Health Systems

  • RN - Case Manager/Care Coord - Special Needs FT 1.0 FTE

    Tenet Healthcare - Philadelphia, PA

    of the care plan. Skills & Abilities: Ø Strong Clinical Skills Ø Strong Case Management Skills, extensive ... Homecare, long – term care) setting Ø Minimum of 5 years pediatric case management and/or care coordination experience...

    30+ days ago from Tenet Healthcare

  • VP Revenue Cycle Management (5425069)

    Universal Health Services - King of Prussia, PA

    cash flow, while minimizing bad debt to ensure that the clinical revenue cycle is effective and properly utilized. ... including: Patient Access, Patient Accounting, HIM Case Management, I/S, Finance and hospital patient care areas. *...

    19 days ago from Universal Health Services

  • RN Case Manager Care Coord Special Needs FT 1.0 FTE

    Tenet Health - Philadelphia, PA

    Skills & Abilities: Ø Strong Clinical Skills Ø Strong Case Management Skills, extensive knowledge of insurance ... Homecare, long – term care) setting Ø Minimum of 5 years pediatric case management and/or care coordination experience w...

    13 days ago from nurse.com

  • TFC Clinical Lead Philadelphia PA (4657470)

    Mentor Network - Philadelphia, PA

    for a Therapeutic Foster Care Clinical Lead to provide case management reviews and clinical oversight of therapeutic and other services. This role also serves as a member of a triad team that provides services to individuals. * Supports...

    30+ days ago from The Mentor Network

  • Director, Case Management, Full Time - 1.0 FTE PA RN license, BSN req'd/MSN, MBA OR MHA preferred 2 yrs acute care case mgmnt leadership req'd

    Tenet Healthcare - Philadelphia, PA

    BSN required, MSN, MBA or MHA preferred. Accredited Case Manager (ACM) preferred. McKesson InterQual® experience ... Business planning experience preferred. Job : Non-Clinical/Administrative Primary Location : PA-Philadelphia Hospit...

    2 days ago from Tenet Healthcare

  • Case Management Nurse, Full-Time, Days

    Capital Health - Trenton, NJ

    Identifies issues that have a negative impact on patient care and advises manager/director when physician or patient iss ... more years experience in clinical nursing. Experience in case management field, including utilization review,...

    30+ days ago from iHireSocialServices

  • Director of Case Management

    Judge Healthcare - Philadelphia, PA

    Director of Case Management Up & Coming Hospital Up to $125,000 + bonus! The Director of Case Management will have ... utilization management, appeals and denials management, and clinical documentation improvement programs, functions and...

    19 days ago from ZipRecruiter

  • CRR Clinical Coordinator Center City (5097603)

    Mentor Network - Philadelphia, PA

    Clinical Coordinator to provide case management reviews and clinical oversight of therapeutic and other services. This role also serves as a member of a triad team that provides services to individuals. * Supports the development of and...

    30+ days ago from The Mentor Network

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