Highmark medical Case Manager Jobs

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Medical Case Manager - Pediatric Private Duty
HighmarkHealth & Medical
Pittsburgh, PA
GENERAL OVERVIEW: The Medical Case Manager - Pediatric Private Duty will assure that pediatric members with complex medical and/or psychosocial needs have access to high quality, cost-effective... Ph
from highmark.com5 days ago
Medical Case Manager - Rare and Complex Disease...
HighmarkHealth & Medical
Pittsburgh, PA
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.com23 days ago
RN Case Manager - Rare and Complex Disease Management
HighmarkNursing
Pittsburgh, PA
GENERAL OVERVIEW: This position is responsible for the provision of telephonic case management services to members with medical needs in areas of clinical specializations within 17 rare and complex...
from highmark.com21 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
Job search red flag: applications asking for your financial information
Medical Social Worker
HighmarkSocial 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 coac
from highmark.com16 days ago
Supervisor, Medical Management & Policy Clinical
HighmarkHealth & Medical
Pittsburgh, PA
General Overview: The Supervisor, Medical Management and Policy - Clinical is responsible for managing a team of clinicians charged with promoting quality member outcomes, to optimize member benefits,
from highmark.com30+ days ago
Manager HMS Clinical Team
HighmarkHealth & Medical
Pittsburgh, PA
General Overview: * Leads a team of licensed clinical professionals who deliver health coaching and case management services to Highmark members * Accountable for daily operation of unit including...
from highmark.com5 days ago
Care Manager
HighmarkHealthcare Management & Finance
Wilmington, DE
within the care manager's professional discipline. Effectively functions in accordance with applicable state, federal laws and regulatory compliance. * Implements all care management reviews accordin
from highmark.com10 days ago
Care Manager
HighmarkHealthcare Management & Finance
Charleston, WV
within the care manager's professional discipline. Effectively functions in accordance with applicable state, federal laws and regulatory compliance. * Implements all care management reviews accordin
from highmark.com21 days ago
Care Manager - Utilization Management RN
HighmarkNursing
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.com23 days ago

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