• Director of Quality Management - Inpatient…

    Select Medical (Hummelstown, PA)
    …joint venture with Select Medical & Penn State Health** **Director of Quality Management ** **(DQM)** + Bonus incentives + Extensive onboarding and training program + ... amputation, and multiple traumas **Responsibilities** Coordinates the Medical Quality Management and Performance Improvement activities to measurably enhance the… more
    Select Medical (10/29/25)
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  • Clinical Care Manager (RN) - Murrysville & Level…

    UPMC (Murrysville, PA)
    …looking for an opportunity to use your nursing background in outpatient, home health, or case management ? Do you have an interest in health insurance, but thrive ... Medication Review as appropriate. + Refer members to appropriate case management , health management , or...Case Manager (CCM) + Driver's License + Registered Nurse (RN) + Act 33 with renewal + Act… more
    UPMC (12/12/25)
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  • Clinical Care Manager (RN) - Oakland (Pediatric)

    UPMC (Pittsburgh, PA)
    Do you have a background in case management and pediatric nursing? If so, UPMC has an opportunity for you! UPMC Health Plan is hiring a full-time Clinical Care ... Medication Review as appropriate. + Refer members to appropriate case management , health management , or...Case Manager (CCM) + Driver's License + Registered Nurse (RN) + Act 33 with renewal + Act… more
    UPMC (12/12/25)
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  • Mobile Professional Care Manager (Cambria/Somerset…

    UPMC (Pittsburgh, PA)
    …a full-time Mobile Professional Care Manager position to support the Population Health Case Management department. This is a Monday through Friday daylight role ... care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and...Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN). Preference will be given to LSW, CSW… more
    UPMC (12/08/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Harrisburg, PA)
    …function as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal ... expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in...Excel, Outlook, experience working in a health plan medical management documentation system a plus. Minimum Education: LVN/LPN +… more
    Datavant (11/12/25)
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  • Health Plan Specialist

    UPMC (Pittsburgh, PA)
    …liaison. + Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers or ... in medical social work, home care, discharge planning, and case management required. + For Mobile Care...years of hire to remain in role) + Registered Nurse (RN) **Licensure, Certifications, and Clearances:** + LSW, CSW,… more
    UPMC (11/25/25)
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  • LPN (Weekends) - T11 Trauma

    UPMC (Altoona, PA)
    …have an amazing team of Nurses, Nursing Assistants, Physical Therapists, Physicians, and Case Management , who collaborate to provide exceptional patient care to ... Licensed Practical Nurse (Weekends) T11 Trauma Full-time, weekends-only, any shift...Posted: 11/21/2025 UPMC Altoona is hiring a Licensed Practical Nurse to work weekends on our T11 Trauma unit!… more
    UPMC (11/22/25)
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  • LPN - 4N Tele (Full Time), St. Vincent

    Highmark Health (Erie, PA)
    …Unit is specialized 35-bed unit dedicated to the continuous monitoring and management of patients requiring cardiac and medical telemetry care. The unit provides ... licensed practical nurses, patient care technicians, physicians, advanced practice provides, case managers, and ancillary staff who work collaboratively to deliver… more
    Highmark Health (10/29/25)
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  • UM Care Manager (RN) - PA Candidates Preferred

    UPMC (Pittsburgh, PA)
    … department. + Minimum of 2 years of experience in a clinical and/or case management nursing required. + Minimum of 1-year work-related experience in Utilization ... Are you a registered nurse with a background in utilization management...terminology. + Computer proficiency required.Licensure, Certifications, and Clearances: + Case management certification or approved clinical certification… more
    UPMC (12/12/25)
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  • Nursing Assistant - Med Surg Tele Unit

    Penn Medicine (West Chester, PA)
    …teaching. Prints or copies records for patient transfer to another institution when case management is not available. Uses the Soarian Financial Application to ... care under the direction and supervision of a Registered Nurse . Both the Unit Secretary and Nursing Assistant performs...and the chart copy placed in the chart when Case Management is not available. In ACC,… more
    Penn Medicine (12/06/25)
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