Top 594 Developmental disabilities case manager Jobs in Pennsylvania

Case Manager, Registered Nurse (Oncology experience required)
CVS Health —Pennsylvania
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Case Manager
A1 Homecare Services LLC —Philadelphia, PA
- Full-time
- Mid-level
Quick Apply
Housing Navigator Case Manager
United Way —Allentown, PA
- $30 an hour
- Full-time
- Spanish
- Mid-level
- 1 year
- Disability insurance
- Health insurance
Case Manager
Preferred Health Care (PHC) —Lancaster, PA
- Email
- Nursing
- Mid-level
- Computer skills
- Health insurance
- Dental insurance
Case Manager/Case Manager Trainee
Third Circuit Court of Appeals —Philadelphia, PA
- $44,458 - $88,445 a year
- Background check
- Computer literacy
- Mid-level
- Commuter assistance
- Paid holidays
10d
Medical Case Manager
Greater Philadelphia Health Action —Philadelphia, PA
- Full-time
- Writing skills
- Mid-level
- Outpatient experience
- Disability insurance
- Health insurance
Quick Apply
Case Manager
Caring People Alliance —Philadelphia, PA
- $31.75 an hour
- Full-time
- Microsoft Word
- Clean driving record
- Computer literacy
Quick Apply
Case Manager (Adult Services)
Community Council Health Systems —Philadelphia, PA
- Full-time
- Adults
- Mid-level
Quick Apply
Case Manager, Prison Linkage
The Wright Center for Graduate Medical Education —Scranton, PA
- Full-time
- BLS Certification
- Mid-level
- Bachelor's degree
2d
Case Manager
Public Health Management Corporation —Philadelphia, PA
- Addiction Medicine
- Mid-level
- Master's degree
Quick Apply
RN Case Manager- 40/hrs, Day Shifts (Temple Hospital- Jeanes Campus)
Temple University Health System —Philadelphia, PA
- Full-time
- Nursing
- RN License
- Hospital
2d
Case Manager-MCC
Public Health Management Corporation —Philadelphia, PA
- Part-time
- Addiction Medicine
- Writing skills
- Mid-level
Quick Apply
Case Manager
Promises Behavioral Health, LLC —Wrightsville, PA
- Full-time
- Addiction Medicine
- Writing skills
- English
Case Manager
GSPP Rehabilitation —Philadelphia, PA
- 8 hour shift
- Nursing
- RN License
- Licensed Clinical Social Worker
Equal Opportunity/Title IX Case Manager
Lehigh University —Bethlehem, PA
- $56,030 - $68,190 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- University
- Retirement plan
Case Manager I
Diakon —Coatesville, PA
- Full-time
- Bachelor's degree
- Children
- 1 year
- Disability insurance
- Health insurance
Case Manager
PMHCC Inc. —Philadelphia, PA
- Full-time
- Nursing
- Adults
- Mid-level
- Free parking
- Paid parental leave
Quick Apply
ReNew Woman's Advocacy Case Manager
Bethany Christian Services USA LLC —York, PA
- Weekends as needed
- Mid-level
- 3 years
- Driver's License
- Wellness program
- 403(b) matching
12d
Assessment and Case Manager
Gateway Rehabilitation Center Corp HQ —Pittsburgh, PA
- Full-time
- Current TB test
- Computer literacy
- Pass drug screening
Quick Apply
Employment Case Manager
Public Health Management Corporation —Philadelphia, PA
- Weekends as needed
- Addiction Medicine
- Writing skills
- HIPAA
Quick Apply

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Case Manager, Registered Nurse (Oncology experience required)

CVS Health -
Pennsylvania

Apply Now

Job Details

Full-time
$54,095 - $155,538 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

RN License
Medical records
Typing
Oncology
Hospital experience

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

This is a remote work from home role anywhere in the US with virtual training.

American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.

Key Responsibilities

This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.
Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits.
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.
Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations.
Identifies and escalates member’s needs appropriately following set guidelines and protocols.
Need to actively reach out to members to collaborate/guide their care.
Perform medical necessity reviews.

Required Qualifications

5+ years’ experience as a Registered Nurse, including at least 1 year in a hospital setting.
The AHH RN Case manager position requires the nurse to support members across multiple states. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license. Nurses residing in non‑compact states must hold an individual, state‑specific RN license for each state they support
1+ years’ experience documenting electronically using a keyboard.
1+ years’ current or previous experience in Oncology.

Preferred Qualifications

1+ years’ Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care.
1+ years' experience in Utilization Review.
CCM and/or other URAC recognized accreditation preferred.
1+ years’ experience with MCG, NCCN and/or Lexicomp.
Bilingual in Spanish preferred.
Bachelors Degree

Education

Diploma or Associates Degree in Nursing required.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $155,538.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

developmental disabilities case manager jobs in pennsylvania

Case Manager, Registered Nurse (Oncology experience required)

Case Manager

Housing Navigator Case Manager

Case Manager

Case Manager/Case Manager Trainee

Medical Case Manager

Case Manager

Case Manager (Adult Services)

Case Manager, Prison Linkage

Case Manager

RN Case Manager- 40/hrs, Day Shifts (Temple Hospital- Jeanes Campus)

Case Manager-MCC

Case Manager

Case Manager

Equal Opportunity/Title IX Case Manager

Case Manager I

Case Manager

ReNew Woman's Advocacy Case Manager

Assessment and Case Manager

Employment Case Manager

I want to receive the latest job alert for developmental disabilities case manager in pennsylvania

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