Highmark medical Case Manager Jobs

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Medical Case Manager - Medicaid Behavioral Health
HighmarkHealth & Medical
Wilmington, DE
Physician Advisors and other interdepartmental contacts. * Knowledge of Medical Terminology and Medical Diagnostic Categories/Disease States * The Medical Case Manager will be expected to educate mem
from highmark.com7 days ago
Medical Case Manager - Medicaid Non-Speciality
HighmarkHealth & Medical
Wilmington, DE
contacts. * 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 o
from highmark.com7 days ago
Medical Director
HighmarkHealth & Medical
Wilmington, DE
health care management services' activities including for example, care and case management initiatives, clinical program development, and network management. Medical Director activities are by nature
from highmark.com10 days ago
Manager Case Management - Medicaid/ Managed Care
HighmarkHealthcare Management & Finance
Wilmington, DE
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.com3 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.com14 days ago
One of the most important things you can do for your career: networking
Medical Director - Behavioral Health
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.com10 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.com10 days ago
Supervisor Case Management - Medicaid Non-Specialty
HighmarkHealth & Medical
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.com7 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.com14 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.com3 days ago

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