Highmark medical Case Manager Jobs

1 - 10 of 219 Jobs
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Medical Case Manager - Behavioral Health
HighmarkHealthcare Management & Finance
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.com9 days ago
Mgr Case Management
HighmarkHealthcare Management & Finance
Wilmington, DE
General Overview: The Manager is responsible for supervising a team of Case Manager Supervisors who are charged with promoting quality member outcomes, to optimize member benefits, and to promote effe
from highmark.com7 days ago
Mgr Case Mgt LTC - Gateway
HighmarkHealthcare Management & Finance
Wilmington, DE
General Overview: The Manager is responsible for supervising a team of Case Manager Supervisors who are charged with promoting quality member outcomes, to optimize member benefits, and to promote effe
from highmark.com3 days ago
Care Manager - Medical UM
HighmarkHealth & Medical
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.com30+ days ago
Medical Director - Medical Management & Policy
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
Case Manager - Transition Management
HighmarkHealthcare 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.comYesterday
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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
Care Manager
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.com30+ days ago
Medical Coder
HighmarkHealth & Medical
Pittsburgh, PA
assigning and sequencing ICD-9 CM/CPT/HCPCS and ICD-10 codes to diagnoses and procedure for the documented information. Essential Job Functions: * Compile, abstract and maintain patient medical record
from highmark.com3 days ago
Business Analyst - Medicaid Case Management
HighmarkHealth & Medical
Wilmington, DE
the health care insurance industry * Data analytics and extraction techniques such as SQL commands * Ability to use data to build a business case Highmark Health and its affiliates prohibit
from highmark.com30+ days ago

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