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Medical Case Manager - Pittsburgh
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$57,700 - $106,700 a year
Full-time
- Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services.
- Follows established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member’s care and progress across the continuum of care.
- Coordinate with community organizations/agencies for the purpose of identifying additional resources for which the MCO is not responsible.
- Bachelor’s degree in nursing or RN certification in lieu of bachelor's degree or Master’s degree in Social Work and 3 years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations.
- Bachelor’s degree in Social Work with five years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations
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