Highmark medical Case Manager Jobs

1 - 10 of 235 Jobs
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Medical Case Manager - Behavioral Health
HighmarkHealthcare Management & Finance
Wilmington, DE
Diagnostic Categories/Disease States * The Medical Case Manager will be expected to educate members in order to enhance member understanding of illness/disease impact and to positively impact member c
from highmark.com5 days ago
Associate Case Management Coordinator
HighmarkHealthcare Management & Finance
Pittsburgh, PA
General Overview: This job functions as the primary non-clinical support to the manager of an HMS clinical team and performs all necessary administrative and clerical functions related to the daily...
from highmark.com30+ days ago
Case Manager - Current and Future Opportunities!
HighmarkHealth & Medical
Pittsburgh, PA
management staff. [Senior Specialized Case Managers provide services to members within their area of clinical specialty such as transplants, oncology, Baby BluePrints/high-risk pregnancy, neonatal car
from highmark.com7 days ago
Psychiatric Medical Director
HighmarkHealth & Medical
Wilmington, DE
communications and monitoring of services utilized. As such, the Medical Director's role is to provide clinical input into health care management services' activities including for example, care and c
from highmark.com25 days ago
Associate Medical Director - Medical Management &...
HighmarkHealth & Medical
Pittsburgh, PA
most current clinical standards. Responsible to review cases and evaluate the medical necessity and appropriateness of the requested treatment of service. Responsible for compliance to NCQA, URAC, CMS
from highmark.com30+ days ago
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Supervisor Case Management - Behavioral Health
HighmarkHealthcare Management & Finance
Wilmington, DE
care is medically appropriate, high quality, and cost effective. Accountable for the oversight; development and maintenance of the department's case management processes. This may include utilization.
from highmark.com5 days ago
Medical Director - Long Term Care
HighmarkHealth & Medical
Wilmington, DE
and monitoring of services utilized. As such, the Medical Director's role is to provide clinical input into health care management services' activities including for example, care and case management.
from highmark.com30+ days ago
Senior Project Manager - Medical Management & Policy
HighmarkTechnology
Pittsburgh, PA
Project Managers and Program team in the development and maintenance of comprehensive plans for a defined program. * Work with Executive Sponsor and Business Owner of a Program, and other management
from highmark.com30+ days ago
Manager - Quality Improvement
HighmarkTech Quality Assurance
Pittsburgh, PA
on-site visits and medical record reviews via nurse reviewers to assess the care provided in the practice setting in compliance with Gateway and external requirements * Aggregate data to identify net
from highmark.com27 days ago
Care Manager - Behavioral Health
HighmarkHealthcare Management & Finance
Pittsburgh, PA
appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the deliver
from highmark.com5 days ago

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