Follows current home health nursing professional standards of practice and agency approved protocols. Identifies when clients need or qualify for additional services and make referral to the appropriate manager or other community resource. In home care, supervises and monitors the performance of Hom...
Competency and Experience [Knowledge, Skills and Abilities]Required Qualifications/ExperienceBachelor’s degree in nursing or related fields of human resource management, health policy and/or health care administration and five (5) years of customer service, social work or related field experience. P...
Our team of talented Case Managers aims to individualize health care to meet each patient's specific needs with a patient-centric and outcome-driven focus. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers,...
Engage, motivate, and lead team in a positive manner that fosters teamwork and excellence, including planning and organizing work in a managerial role. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the...
Contributes to or completes comprehensive assessment of patients and their families/caregivers, inclusive of clinical/physical needs, social determinants of health, and economic barriers impacting their ability to manage their health. Case Management - American Board of Occupational Health Nurses (A...
Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state ...
Disabilities/Mental Health Manager. Disabilities Mental Health Services Manager. This position is responsible for the management and oversight of family services, health services, or services to children with disabilities, Experience working in mental health arena and working with low-income clients...
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientati...
The healthcare space is exploding with the convergence of new service models, technologies, health sector shifts, and a growing demand for open access to health information. Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Cardinal Health is looking fo...
Healthcare or Health Insurance Experience. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, relig...
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access...
This position will require the skillset of an experienced project manager who has successfully delivered large scale, multi-phased system implementations with multiple work streams, numerous different types of stakeholders and the ability to comfortably deliver updates and relay information to vendo...
A minimum of three years clinical home health experience and demonstrated abilities in Medicare Certified Home Health Agency (CHHA) standards. CMS Conditions of Participation (CoP's) and Department of Health regulatory requirements. Collaborates with Quality Manager/Clinical Educator to identify edu...
This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veter...
The Senior Manager, Pharma Services Growth is a critical member of the Trade Strategy team, which is tasked with leveraging CVS Health’s size and scale to create differentiated, one-of-a-kind solutions for pharmaceutical manufacturers that reduce the costs of goods and make pharmaceuticals more acce...
Contributes to or completes comprehensive assessment of patients and their families/caregivers, inclusive of clinical/physical needs, social determinants of health, and economic barriers impacting their ability to manage their health. This job has responsibility for creating, implementing, and evalu...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Develops plans of action and provides manager support to utilize effectively workforce management tools and reports to ensure all timeliness and accuracy requirements are met for enrollment/billing, claims customer service telephone and written/appeals are met for all contracts (TDP, ADDP, and FHFA)...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of populations and individuals by focusing on the social determinants of health impacting wellness. The Social Work Case Manager in Care Management is a profe...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Healthcare Reform compliance and filing requirements for health insurance entities (e. This job is responsible for managing the financial accounting and reporting activities for the various health insurance subsidiaries of the Organization in accordance with Statutory Accounting Principles (SAP). Th...
The Ambulatory Nurse Manager is responsible for the operational management and administration of those activities which promote the delivery of safe, efficient, and effective health care. Masters in Nursing, Public Health OR Bus Admin preferred. Nationally ranked, Jefferson, which is principally loc...
Understanding of healthcare costs and the broader healthcare service delivery system. This job has primary ownership and oversight over a specified panel of oncology members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member...
The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of populations and individuals by focusing on the social determinants of health impacting wellness. The Social Work Case Manager in Care Management is a profe...