- Geisinger (Lewistown, PA)
- …quality and efficiency results for assigned population.Works to appropriately apply benefits and utilization management serving as a resource to the patient or ... Nursing SupportSchedule: Days Work Type: Full timeDepartment: GLH Care Management Clinical TeamDate Posted: 09/19/2025Job ID: R-85318Job SummaryOur Geisinger nurses… more
- Geisinger (Scranton, PA)
- …the utilization of evidence based practice.Provides input to the manager for performance appraisals of care delivery team members.Precepts and mentors new ... and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/10/2025Job ID: R-78509Job… more
- Geisinger (Wilkes-Barre, PA)
- …the utilization of evidence based practice.Provides input to the manager for performance appraisals of care delivery team members.Precepts and mentors new ... and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/01/2025Job ID: R-77971Job… more
- Geisinger (Scranton, PA)
- …the utilization of evidence based practice.Provides input to the manager for performance appraisals of care delivery team members.Precepts and mentors new ... and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/01/2025Job ID: R-77970Job… more
- Geisinger (Wilkes-Barre, PA)
- …the utilization of evidence based practice.Provides input to the manager for performance appraisals of care delivery team members.Precepts and mentors new ... and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/09/2025Job ID: R-78486Job… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medical Director, Utilization Management , provides organizational leadership in the operational areas of appeals, utilization review, ... policy and practice initiatives in collaboration with the Corporate Medical Directors, Utilization Management and the Vice President, Medical Affairs. ; **Work… more
- Guthrie (Sayre, PA)
- …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of ... Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient,...experience in an acute care setting with strong care management , utilization review, and payer knowledge… more
- WellSpan Health (Mount Gretna, PA)
- …principles. **Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and...Life Support Upon Hire Required + Certified in Case Management Preferred ** Knowledge , Skills, and Abilities:** +… more
- Magellan Health Services (Somerset, PA)
- …health care setting.* Strong organization, time management and communication skills.* Knowledge of utilization management procedures, mental health and ... an active work load in accordance with National Care Manager performance standards. + Works with community agencies as...Strong organization, time management and communication skills. Knowledge of utilization management procedures,… more
