Case Manager - Inpatient Rehabilitation Center
- Lehigh Valley Health Network Expired
- Bethlehem, Pennsylvania
- Full Time
This job ad was removed 4 days ago.
Job Description
Case Manager - Inpatient Rehabilitation Center
Full-Time
Day Shift
Department
IRF - Muhl
Shift Details
Day Shift, 8:00-4:30pm
Job ID
wd-JR122913
Posted
June 3, 2025
Join a team that delivers excellence.
Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.
Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.
Imagine a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
Summary
Screens/evaluates referrals for admission to determine eligibility. Secures physician approval for admission. Verifies insurance coverage information and obtains pre-authorization if insurance requires. Once patient admitted to the IRC, coordinates discharge planning needs and provides supportive counseling, and interventions for designated patient populations. Coordinates a variety of services such as intervention, client advocacy, education, and psychosocial assessments. Maintains utilization review process.
Job Duties
Partners with unit-based care managers to ensure appropriate exchange of information regarding patient financial status, diagnosis, and discharge needs.
Completes clinical review and assesses the appropriateness of admission through the evaluation of admission criteria.
Conducts and documents detailed psycho-social assessments/evaluations to interpret social, environmental and medical needs of the patient and family.
Intervenes and communicates with appropriate individuals (physician team members and insurance companies) to ensure appropriate utilization of resources, quality of care and care facilitation.
Documents authorizations and continued stay reviews according to departmental policy and procedure.
Provides timely, accurate, and thorough clinical reviews to assist in admission and continued stay reviews.
Participates in Team Conference to support the patient, family for optimum plan of care. Facilitates discussion regarding plan of care with patient, family and third party insurance.
Participates in the Performance Improvement process including assessment, implementation, and evaluation of new/updated processes to ensure goals are met each FY, as well as all procedures are streamlined for effectiveness and efficiency.
Minimum Qualifications
Master's Degree in Social Work
2 years of previous utilization review experience. and
2 years Knowledge of utilization management as it relates to third party payers. and
2 years Case Management experience
Ability to maintain the strictest adherence to HIPAA while maintaining confidentiality of all PHI.
Ability to work in a team environment demonstrating flexibility to work toward common goals based around prioritized needs.
Ability to be attentive to detail and maintain a positive attitude.
Ability to complete work assignments accurately and in a timely manner while managing multiple responsibilities and prioritizing all tasks effectively.
Demonstrates proficiency with all work queue processes.
Knowledge of evidence-based clinical decision support criteria.
Preferred Qualifications
Master's Degree in Social Work
Knowledge of evidence-based criteria such as InterQual criteria and/or MCG criteria.
ACM - Accredited Case Manager ACMA - State of Pennsylvania Upon Hire and
CCM - Certified Case Manager CCMC - State of Pennsylvania Upon Hire and
CMCN - Certified Managed Care Nurse ABMCN - State of Pennsylvania Upon Hire
Physical Demands
Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation.
Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.
Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.
Location
Bethlehem- Schoenersville Road
2775 Schoenersville Rd, 18017-7307, Bethlehem, United States
Don't see the position you're looking for?
Submit your Resume to join our Talent Network and stay informed about future opportunities!
Join Our Talent Network
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Learn why our colleagues make LVHN a Great Place to Work
See All Stories About Our Colleagues
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COLLEAGUE STORY
Hope, Strength and Team Support
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COLLEAGUE STORY
Lisa Saab, RN, Realized Her Potential in Home Care Nursing
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COLLEAGUE STORY
It's a Calling' - Calling All Certified Nurse-Midwives!
Customer Service
888-402-LVHN (5846)
Contact Us
Mon - Fri: 7 am - 8 pm
Saturday: 9 am - 5 pm
Sunday: 9 am - 5 pm
Support
For Referring Physicians
For Health Professionals
For Employers
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2025 Lehigh Valley Health Network. Image content is used for illustrative purposes only.
Are you a current LVHN colleague?
YesNo
Full-Time
Day Shift
Department
IRF - Muhl
Shift Details
Day Shift, 8:00-4:30pm
Job ID
wd-JR122913
Posted
June 3, 2025
Join a team that delivers excellence.
Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.
Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.
Imagine a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
Summary
Screens/evaluates referrals for admission to determine eligibility. Secures physician approval for admission. Verifies insurance coverage information and obtains pre-authorization if insurance requires. Once patient admitted to the IRC, coordinates discharge planning needs and provides supportive counseling, and interventions for designated patient populations. Coordinates a variety of services such as intervention, client advocacy, education, and psychosocial assessments. Maintains utilization review process.
Job Duties
Partners with unit-based care managers to ensure appropriate exchange of information regarding patient financial status, diagnosis, and discharge needs.
Completes clinical review and assesses the appropriateness of admission through the evaluation of admission criteria.
Conducts and documents detailed psycho-social assessments/evaluations to interpret social, environmental and medical needs of the patient and family.
Intervenes and communicates with appropriate individuals (physician team members and insurance companies) to ensure appropriate utilization of resources, quality of care and care facilitation.
Documents authorizations and continued stay reviews according to departmental policy and procedure.
Provides timely, accurate, and thorough clinical reviews to assist in admission and continued stay reviews.
Participates in Team Conference to support the patient, family for optimum plan of care. Facilitates discussion regarding plan of care with patient, family and third party insurance.
Participates in the Performance Improvement process including assessment, implementation, and evaluation of new/updated processes to ensure goals are met each FY, as well as all procedures are streamlined for effectiveness and efficiency.
Minimum Qualifications
Master's Degree in Social Work
2 years of previous utilization review experience. and
2 years Knowledge of utilization management as it relates to third party payers. and
2 years Case Management experience
Ability to maintain the strictest adherence to HIPAA while maintaining confidentiality of all PHI.
Ability to work in a team environment demonstrating flexibility to work toward common goals based around prioritized needs.
Ability to be attentive to detail and maintain a positive attitude.
Ability to complete work assignments accurately and in a timely manner while managing multiple responsibilities and prioritizing all tasks effectively.
Demonstrates proficiency with all work queue processes.
Knowledge of evidence-based clinical decision support criteria.
Preferred Qualifications
Master's Degree in Social Work
Knowledge of evidence-based criteria such as InterQual criteria and/or MCG criteria.
ACM - Accredited Case Manager ACMA - State of Pennsylvania Upon Hire and
CCM - Certified Case Manager CCMC - State of Pennsylvania Upon Hire and
CMCN - Certified Managed Care Nurse ABMCN - State of Pennsylvania Upon Hire
Physical Demands
Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation.
Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.
Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.
Location
Bethlehem- Schoenersville Road
2775 Schoenersville Rd, 18017-7307, Bethlehem, United States
Don't see the position you're looking for?
Submit your Resume to join our Talent Network and stay informed about future opportunities!
Join Our Talent Network
Stories from our team
Learn why our colleagues make LVHN a Great Place to Work
See All Stories About Our Colleagues
Image
COLLEAGUE STORY
Hope, Strength and Team Support
Image
COLLEAGUE STORY
Lisa Saab, RN, Realized Her Potential in Home Care Nursing
Image
COLLEAGUE STORY
It's a Calling' - Calling All Certified Nurse-Midwives!
Customer Service
888-402-LVHN (5846)
Contact Us
Mon - Fri: 7 am - 8 pm
Saturday: 9 am - 5 pm
Sunday: 9 am - 5 pm
Support
For Referring Physicians
For Health Professionals
For Employers
Website Feedback
Accessibility
Privacy Policy
Terms & Conditions
About LVHN
About Us
Give
Careers
Volunteer
Health Tips, News & Stories
Events
Shop
Price Transparency
Social
2025 Lehigh Valley Health Network. Image content is used for illustrative purposes only.
Are you a current LVHN colleague?
YesNo
Case Manager - Inpatient Rehabilitation Center
Full-Time
Day Shift
Department
IRF - Muhl
Shift Details
Day Shift, 8:00-4:30pm
Job ID
wd-JR122913
Posted
June 3, 2025
Join a team that delivers excellence.
Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.
Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.
Imagine a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
Summary
Screens/evaluates referrals for admission to determine eligibility. Secures physician approval for admission. Verifies insurance coverage information and obtains pre-authorization if insurance requires. Once patient admitted to the IRC, coordinates discharge planning needs and provides supportive counseling, and interventions for designated patient populations. Coordinates a variety of services such as intervention, client advocacy, education, and psychosocial assessments. Maintains utilization review process.
Job Duties
Partners with unit-based care managers to ensure appropriate exchange of information regarding patient financial status, diagnosis, and discharge needs.
Completes clinical review and assesses the appropriateness of admission through the evaluation of admission criteria.
Conducts and documents detailed psycho-social assessments/evaluations to interpret social, environmental and medical needs of the patient and family.
Intervenes and communicates with appropriate individuals (physician team members and insurance companies) to ensure appropriate utilization of resources, quality of care and care facilitation.
Documents authorizations and continued stay reviews according to departmental policy and procedure.
Provides timely, accurate, and thorough clinical reviews to assist in admission and continued stay reviews.
Participates in Team Conference to support the patient, family for optimum plan of care. Facilitates discussion regarding plan of care with patient, family and third party insurance.
Participates in the Performance Improvement process including assessment, implementation, and evaluation of new/updated processes to ensure goals are met each FY, as well as all procedures are streamlined for effectiveness and efficiency.
Minimum Qualifications
Master's Degree in Social Work
2 years of previous utilization review experience. and
2 years Knowledge of utilization management as it relates to third party payers. and
2 years Case Management experience
Ability to maintain the strictest adherence to HIPAA while maintaining confidentiality of all PHI.
Ability to work in a team environment demonstrating flexibility to work toward common goals based around prioritized needs.
Ability to be attentive to detail and maintain a positive attitude.
Ability to complete work assignments accurately and in a timely manner while managing multiple responsibilities and prioritizing all tasks effectively.
Demonstrates proficiency with all work queue processes.
Knowledge of evidence-based clinical decision support criteria.
Preferred Qualifications
Master's Degree in Social Work
Knowledge of evidence-based criteria such as InterQual criteria and/or MCG criteria.
ACM - Accredited Case Manager ACMA - State of Pennsylvania Upon Hire and
CCM - Certified Case Manager CCMC - State of Pennsylvania Upon Hire and
CMCN - Certified Managed Care Nurse ABMCN - State of Pennsylvania Upon Hire
Physical Demands
Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation.
Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.
Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.
Location
Bethlehem- Schoenersville Road
2775 Schoenersville Rd, 18017-7307, Bethlehem, United States
Don't see the position you're looking for?
Submit your Resume to join our Talent Network and stay informed about future opportunities!
Join Our Talent Network
Stories from our team
Learn why our colleagues make LVHN a Great Place to Work
See All Stories About Our Colleagues
Image
COLLEAGUE STORY
Hope, Strength and Team Support
Image
COLLEAGUE STORY
Lisa Saab, RN, Realized Her Potential in Home Care Nursing
Image
COLLEAGUE STORY
It's a Calling' - Calling All Certified Nurse-Midwives!
Customer Service
888-402-LVHN (5846)
Contact Us
Mon - Fri: 7 am - 8 pm
Saturday: 9 am - 5 pm
Sunday: 9 am - 5 pm
Support
For Referring Physicians
For Health Professionals
For Employers
Website Feedback
Accessibility
Privacy Policy
Terms & Conditions
About LVHN
About Us
Give
Careers
Volunteer
Health Tips, News & Stories
Events
Shop
Price Transparency
Social
Facebook
Instagram
LinkedIn
2025 Lehigh Valley Health Network. Image content is used for illustrative purposes only.
Are you a current LVHN colleague?
YesNo
Full-Time
Day Shift
Department
IRF - Muhl
Shift Details
Day Shift, 8:00-4:30pm
Job ID
wd-JR122913
Posted
June 3, 2025
Join a team that delivers excellence.
Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.
Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.
Imagine a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
Summary
Screens/evaluates referrals for admission to determine eligibility. Secures physician approval for admission. Verifies insurance coverage information and obtains pre-authorization if insurance requires. Once patient admitted to the IRC, coordinates discharge planning needs and provides supportive counseling, and interventions for designated patient populations. Coordinates a variety of services such as intervention, client advocacy, education, and psychosocial assessments. Maintains utilization review process.
Job Duties
Partners with unit-based care managers to ensure appropriate exchange of information regarding patient financial status, diagnosis, and discharge needs.
Completes clinical review and assesses the appropriateness of admission through the evaluation of admission criteria.
Conducts and documents detailed psycho-social assessments/evaluations to interpret social, environmental and medical needs of the patient and family.
Intervenes and communicates with appropriate individuals (physician team members and insurance companies) to ensure appropriate utilization of resources, quality of care and care facilitation.
Documents authorizations and continued stay reviews according to departmental policy and procedure.
Provides timely, accurate, and thorough clinical reviews to assist in admission and continued stay reviews.
Participates in Team Conference to support the patient, family for optimum plan of care. Facilitates discussion regarding plan of care with patient, family and third party insurance.
Participates in the Performance Improvement process including assessment, implementation, and evaluation of new/updated processes to ensure goals are met each FY, as well as all procedures are streamlined for effectiveness and efficiency.
Minimum Qualifications
Master's Degree in Social Work
2 years of previous utilization review experience. and
2 years Knowledge of utilization management as it relates to third party payers. and
2 years Case Management experience
Ability to maintain the strictest adherence to HIPAA while maintaining confidentiality of all PHI.
Ability to work in a team environment demonstrating flexibility to work toward common goals based around prioritized needs.
Ability to be attentive to detail and maintain a positive attitude.
Ability to complete work assignments accurately and in a timely manner while managing multiple responsibilities and prioritizing all tasks effectively.
Demonstrates proficiency with all work queue processes.
Knowledge of evidence-based clinical decision support criteria.
Preferred Qualifications
Master's Degree in Social Work
Knowledge of evidence-based criteria such as InterQual criteria and/or MCG criteria.
ACM - Accredited Case Manager ACMA - State of Pennsylvania Upon Hire and
CCM - Certified Case Manager CCMC - State of Pennsylvania Upon Hire and
CMCN - Certified Managed Care Nurse ABMCN - State of Pennsylvania Upon Hire
Physical Demands
Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation.
Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.
Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.
Location
Bethlehem- Schoenersville Road
2775 Schoenersville Rd, 18017-7307, Bethlehem, United States
Don't see the position you're looking for?
Submit your Resume to join our Talent Network and stay informed about future opportunities!
Join Our Talent Network
Stories from our team
Learn why our colleagues make LVHN a Great Place to Work
See All Stories About Our Colleagues
Image
COLLEAGUE STORY
Hope, Strength and Team Support
Image
COLLEAGUE STORY
Lisa Saab, RN, Realized Her Potential in Home Care Nursing
Image
COLLEAGUE STORY
It's a Calling' - Calling All Certified Nurse-Midwives!
Customer Service
888-402-LVHN (5846)
Contact Us
Mon - Fri: 7 am - 8 pm
Saturday: 9 am - 5 pm
Sunday: 9 am - 5 pm
Support
For Referring Physicians
For Health Professionals
For Employers
Website Feedback
Accessibility
Privacy Policy
Terms & Conditions
About LVHN
About Us
Give
Careers
Volunteer
Health Tips, News & Stories
Events
Shop
Price Transparency
Social
2025 Lehigh Valley Health Network. Image content is used for illustrative purposes only.
Are you a current LVHN colleague?
YesNo
Job ID: 479706419
Originally Posted on: 6/4/2025
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