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.com8 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.com30+ days ago
Claims Analyst - Worker's Comp
HighmarkInsurance
Pittsburgh, PA
medical case managers, brokers, attorneys and reinsurers. * Internal customers include Claims Analysts, Bill Processors, Account Managers, Loss Control Consultants, Underwriters, Sales Reps and Claim
from highmark.com22 days ago
Manager Case Management - Long Term Care
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.com16 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.com30+ days ago
Supervisor Case Manage - Long Term Care
HighmarkGeneral Management & Business
Wilmington, DE
assisting in the day to day activities as needed. * Ensuring care is medically appropriate, high quality, and cost effective. * Conducting frequent ride-alongs and shadowing of Case Managers for han
from highmark.com10 days ago
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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 - Long Term Care
HighmarkNursing
Wilmington, DE
General Overview: The Case Manager serves as the single point of contact for members to coordinate all of the member's care needs across the various service delivery systems and community supports. Th
from highmark.com22 days ago
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.com30+ 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

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