Highmark medical Case Manager Jobs

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Manager 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.com6 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
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.com16 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.com8 days ago
Develop an elevator pitch to use at career fairs or networking events
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.com16 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.comYesterday
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
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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