Clinical Appeals Case Manager

About This JobWe are seeking a Senior Clinical Case Manager to join our team at Allegheny General Hospital. This role will oversee the end-to-end claims functions and operational inputs, including receipt of claims, operational correspondences, and corporate correspondences for multiple customer segments.

Job OverviewIn this critical role, you will oversee the development and management of end-to-end claims functions, ensuring efficient and cost-effective production. Your expertise will be utilized to complete operational inputs, including receipt of claims, correspondences, and corporate communication for multiple customer segments.About the JobYou will...

Job Summary:This role is responsible for creating, implementing, and evaluating care plans for patients and their families/caregivers across the health continuum. The ideal candidate will have a strong background in case management and be able to utilize nationally recognized standards of practice to collaborate with providers, clinical teams, health plans,...

About the JobWe are seeking a skilled RN Case Manager to join our Inpatient team at Allegheny General Hospital.Job Description:This is an exciting opportunity to work in a fast-paced environment, overseeing the end-to-end claims functions and operational inputs. As a Case Manager, you will be responsible for coordinating clinical care with patients,...

Job OverviewWe are seeking a highly skilled and dedicated Inpatient Case Manager RN to join our team at Allegheny General Hospital. As an integral part of our Case Management Department, you will play a crucial role in assisting patients and their support systems in managing medical conditions effectively.About the RoleThis full-time position requires a...

Job SummaryWe are seeking a skilled Emergency Department Case Manager RN to join our team at Allegheny General Hospital. This role is responsible for overseeing the end-to-end claims functions and operational inputs, ensuring efficient and low-cost production.About the JobThis is a full-time position that requires rotating shifts, with 80 hours every two...

About This RoleWe are seeking a highly skilled Mass Tort Paralegal to join our team. As a key member of our legal operations team, you will be responsible for managing and meeting deadlines for SOLs and other filings under the supervision of attorneys.This role requires a caring and compassionate attitude with clients, consistent with our firm's core value...

Highmark Health is seeking a skilled RN Case Manager to join our team.Job Overview:We are looking for a dedicated professional to create, implement, and evaluate care plans for patients and their families/caregivers across the health continuum. As an RN Case Manager, you will collaborate with providers, clinical teams, health plans, and external partners to...

Job Opportunity: Clinical Health NavigatorWe are seeking a highly skilled and experienced Clinical Health Navigator to join our team at Murtech.About the RoleThe successful candidate will be responsible for providing comprehensive case management services to our members, with a focus on promoting healthy behaviors and improving health outcomes.Key...

Job OverviewACCULTURATION FOR JUSTICE ACCESS & PEACE OUTREACH is seeking a skilled Refugee Resettlement Case Manager to support the efforts of the Refugee Resettlement Team in welcoming and providing services to new refugees.

Job OverviewWe are seeking a highly organized and detail-oriented Foreclosure Case Manager to join our team at LHH Recruitment Solutions in Pittsburgh. This is a full-time, in-office role that requires excellent communication skills and the ability to work collaboratively with attorneys and clients.

Rewards a highly skilled and compassionate LPN-Residential Population to join our team at Renewal, Inc.We are offering an annual salary of $62,000 - $72,000, depending on experience.About the RoleThis is a challenging and rewarding opportunity to provide direct nursing care to individuals housed in our Community Corrections Centers.As a case manager, you...

Unlock Your Potential in AI and Autonomy SafetyWe are Edge Case Research, a pioneering force in autonomous system safety. Our mission is to empower our customers to deploy safe autonomous systems in the real world.As a Senior Brand Strategist for AI Safety and Autonomy, you will lead the development and execution of integrated marketing and communications...

We are seeking a highly skilled Certified Registered Nurse Anesthetist (CRNA) to join our team in providing exceptional anesthesia care for surgical cases.About ProLocumsProLocums is a leading healthcare staffing company that connects top medical professionals with healthcare organizations nationwide. Our mission is to provide flexible and personalized...

Korzen Health is seeking an exceptional Wound Care Physician to lead our clinic at AHN Jefferson in partnership with Healogics. With a strong focus on clinical excellence, you will have the opportunity to make a meaningful impact on patient care.We offer comprehensive training in Wound Care and Hyperbaric Oxygen Therapy, ensuring that you are equipped with...

About the RoleWe are seeking a Senior Clinical Team Manager to join our team at Resources for Human Development. The ideal candidate will have experience in providing services to individuals with intellectual/developmental disabilities and mental health needs.

We are seeking a highly skilled Clinical Anesthesiology Expert to join our team at the University of Pittsburgh School of Medicine. As an Assistant Professor in the Department of Anesthesiology and Perioperative Medicine, you will play a critical role in providing exceptional patient care and advancing the field of anesthesiology.About the RoleThis is a...

Carlow University seeks highly qualified candidates for part-time adjunct instructor positions in the Master of Science in Physician Assistant Studies (PA) Program. These positions are ideal for experienced physician assistants who wish to share their expertise with students while maintaining their clinical practice.Job Summary: Adjunct faculty members will...

We are seeking a licensed clinician to provide therapy services in Pittsburgh, PA. Thriveworks is a private practice group with locations in 48 states and a mission to help people live happy, successful lives.SalaryThe salary for this position is up to $108,300 per year, depending on licensure, sessions, and bonus opportunities.Job DescriptionThis role...

About the JobWe are seeking a highly skilled Behavioral Services Manager to join our team at Heart & Soul ABA PLLC.Job SummaryThe Behavioral Services Manager is responsible for overseeing the delivery of Applied Behavior Analysis (ABA) services to clients with Autism Spectrum Disorder and other developmental delays.Key ResponsibilitiesServicing Client...