Highmark medical Case Manager Jobs

1 - 10 of 202 Jobs
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Medical Case Manager - Behavioral Health
Highmark Inc.Healthcare Management & Finance
Wilmington, DE
Knowledge of Medical Terminology and Medical Diagnostic Categories/Disease States * The Medical Case Manager will be expected to educate members in order to enhance member understanding of illness/dis
from highmark.com20 days ago
Manager Case Management
Highmark Inc.Healthcare Management & Finance
Parkersburg, WV
General Overview: The Manager, Case Management is responsible to effectively manage the daily operations to ensure appropriate identification and management of members with complex medical... of Gate
from highmark.com25 days ago
Manager Case Management
Highmark Inc.Healthcare Management & Finance
Pittsburgh, PA
General Overview: The Manager, Case Management is responsible to effectively manage the daily operations to ensure appropriate identification and management of members with complex medical... of Gate
from highmark.com30+ days ago
Medical Case Manager - Maternity - High Risk Pregnancy
Highmark Inc.Health & Medical
Pittsburgh, PA
Medical Terminology and Medical Diagnostic Categories/Disease States * The Medical Case Manager will be expected to educate members in order to enhance member understanding of illness/disease impact a
from highmark.com20 days ago
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Case Manager - Managed Care Case Management
Highmark Inc.Healthcare Management & Finance
Parkersburg, WV
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.com27 days ago
Case Manager - Managed Care - UM and Care Coordination
Highmark Inc.General Management & Business
Wilmington, DE
members to coordinate care and navigate the healthcare system by recommending and/or implementing interventions related to the improvement of medical care and costs. Conducts member-facing clinical...
from highmark.com3 days ago
Case Manager - Transition Management
Highmark Inc.Healthcare Management & Finance
Pittsburgh, PA
General Overview: This position is responsible for the transition management in assisting patients who are being discharged from the hospital and returning home. Senior Specialized Case Managers... S
from highmark.com20 days ago
Associate Case Management Representative
Highmark Inc.Health & Medical
Pittsburgh, PA
General Overview: Coordinates the Workers' Compensation or disability medical management process from the time of case receipt through closure utilizing critical thinking skills to achieve physician..
from highmark.com3 days ago
Supervisor Case Management
Highmark Inc.Management Consulting
Parkersburg, WV
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.com27 days ago
Medical Director - Medical Management & Policy
Highmark Inc.Health & Medical
Wilmington, DE
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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