- Evolent (Harrisburg, PA)
- …on behalf of our health plans and serves in a supporting role to the Director , Intake and Utilization Management Operations. + This individual will not ... with others. **Collaboration Opportunities:** + The Manager, Client Services oversees daily utilization management and directs the medical care of our members… more
- St. Luke's University Health Network (Coaldale, PA)
- …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among ... we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the… more
- St. Luke's University Health Network (Lehighton, PA)
- …management , including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director . + Facilitates ... a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager...of Pennsylvania or seeking Pennsylvania licensure through reciprocity. NJ RN licensure required for Warren Campus. Advanced degree preferred.… more
- Geisinger (Danville, PA)
- …people, processes, or projects (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Advanced ... experience to build a rewarding, lasting career with impact. Job Duties The RN Trauma Program Manager oversees personnel and daily operations related to the trauma… more
- Fresenius Medical Center (Baden, PA)
- …+ Develops action plans for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison for patient care as per ... the disease management agreement, including initial and ongoing validation of member...with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the… more
- St. Luke's University Health Network (Bethlehem, PA)
- …management , including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director . + Facilitates ... a patient's ability to pay for health care. The RN Care Manager coordinates the overall progression of care,...touch as related to telephone and computer keyboard. EDUCATION: Registered Nurse with current license to practice… more
- Genesis Healthcare (Camp Hill, PA)
- …or ADON - Unit, or Director of Nursing ( Nurse Leader), the Registered Nurse ( RN ) delivers efficient and effective nursing care while achieving ... to achieve patient goals and minimize rehospitalizations; 4.4. Actively participates in Utilization Management or InterdisciplinaryCare Management Meeting to… more
- Gentiva (Canonsburg, PA)
- …+ Good problem-solving skills + Good time management skills **We Offer** **As a Registered Nurse / RN , you will be eligible for:** + Competitive Pay ... Management (AIM) program** will report directly to the Director of AIM. Responsible for identifying and coordinating patient/family...telephonic, video, and in person interventions afterhours. **As a Registered Nurse / RN , you… more
- Guthrie (Sayre, PA)
- …recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with ... degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant...admissions and short procedures by translating clinical information to Utilization Management requirements using pre‐determined criteria. b.… more
- United Therapeutics (Harrisburg, PA)
- …experience, including ICU and critical care of PAH, cardiology or pulmonology patients + Registered Nurse ( RN ) - State Licensure and/or Compact State ... you can truly make a difference. The Regional Field Director , RNS Program Management serves as a...Licensure RN - Registered Nurse - State Licensure and/or Compact… more