Highmark medical Case Manager Jobs

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Case Manager
Highmark Inc.Healthcare Management & Finance
Pittsburgh, PA
management staff. The Case Manager supports members in developing self-management skills and adopting positive behavior changes, identifies and addresses barriers to member's adherence to standards of
from highmark.com28 days ago
Manager Case Management - Medicaid/ Managed Care
Highmark Inc.Healthcare 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.com30+ days ago
Case Manager - Medicare/ Chronic Adult Case Management
Highmark Inc.Health & Medical
Pittsburgh, PA
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.com30+ days ago
Medical Director - WV
Highmark Inc.Health & Medical
Parkersburg, WV
general interest. * Serve as a resource for information and consultation on the issues related to utilization management, clinical services and medical affairs, including such issues as case manageme
from highmark.com30+ days ago
Associate Medical Director - Medical Management &...
Highmark Inc.Health & 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
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Supervisor Case Management - Clinical Operations
Highmark Inc.Health & Medical
Pittsburgh, PA
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.com30+ days ago
Medical Social Worker
Highmark Inc.Social Services & Mental Health
Pittsburgh, PA
GENERAL OVERVIEW: The Medical Social Worker is the primary or consultative contact for members across the continuum of health related services. The depth of engagement with the member ranges from coa
from highmark.com30+ days ago
Care Manager
Highmark Inc.Healthcare 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.com7 days ago
Care Manager
Highmark Inc.Healthcare Management & Finance
Pittsburgh, PA
appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identif
from highmark.com22 days ago
Care Manager
Highmark Inc.Healthcare Management & Finance
Wilmington, DE
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

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