- Guthrie (Sayre, PA)
- …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of ... Arts (BA) degree in addition to a degree in Nursing . A registered nurse with five (5)...admissions and short procedures by translating clinical information to Utilization Management requirements using pre‐determined criteria. b.… more
- Penn Medicine (Philadelphia, PA)
- …their critical thinking skills and being a strong patient advocate. The case manager conducts utilization management activities, communication with insurers, ... fearful you will miss patient contact? If so, our nurse case manager role at Penn Medicine...community resources, transportation, and quality data collection and risk management referral. + Responsibilities: Utilization management… more
- CenterWell (Harrisburg, PA)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
- CenterWell (Harrisburg, PA)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical...procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous… more
- Geisinger (Danville, PA)
- …base clinically and administratively through active participation in professional, and educational nursing activities to enhance skills as manager , leader, and ... Graduate from Specialty Training Program- (Required) Experience Minimum of 2 years- Nursing (Required) Certification(s) and License(s) Licensed Practical Nurse -… more
- Penn Medicine (Lancaster, PA)
- …and assists nursing personnel in assessing patient family status to plan of nursing care. + Assists Nurse Manager in evaluating and setting standards ... + Position Summary: + Under the direction of the Nurse Manager , the Assistant Nurse ...works with the medical staff to coordinate medical and nursing management of patient care. + Assists… more
- Penn Medicine (Lancaster, PA)
- …person and assists nursing personnel in assessing patient/family status to plan of nursing care. + Assists Nurse Manager in evaluating and setting ... pediatric beds. **POSITION SUMMARY:** Under the direction of the Nurse Manager , the Assistant Nurse ...works with the medical staff to coordinate medical and nursing management of patient care. + Assists… more
- Penn Medicine (Lancaster, PA)
- …and assists nursing personnel in assessing patient family status to plan of nursing care. + Assists Nurse Manager in evaluating and setting standards ... evening shift Summary: + Under the direction of the Nurse Manager , the Assistant Nurse ...works with the medical staff to coordinate medical and nursing management of patient care. + Assists… more
- WellSpan Health (Lebanon, PA)
- …acute care experience Required + Field of Experience in Utilization Management , Case Management , or Clinical Nursing Specialty. Preferred **Licenses:** ... **Duties and Responsibilities** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued… 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 all ... patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is...Perinatal Social Workers is required. OR: Graduate of professional nursing program. Registered Nurse with current license… more