• Geisinger (Lewistown, PA)
    Job Title: RN - Registered Nurse Hospital Case ManagerLocation: Lewistown, PennsylvaniaJob Category: RN - Registered Nurse , Nursing and Nursing ... quality and efficiency results for assigned population.Works to appropriately apply benefits and utilization management serving as a resource to the patient or… more
    Talent (09/20/25)
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  • Geisinger (Wilkes-Barre, PA)
    …Training Program-Nursing (Required), Bachelor's Degree-Nursing (Preferred)Certification(s) and License(s)Licensed Registered Nurse (Pennsylvania) - RN_State of ... the utilization of evidence based practice.Provides input to the manager for performance appraisals of care delivery team members.Precepts and mentors new… more
    Talent (09/13/25)
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  • 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 ... Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton)Location: Scranton, PennsylvaniaJob Category: LPN -… more
    Talent (09/13/25)
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  • 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 ... Job Title: LPN - Experienced Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton)Location: Scranton, PennsylvaniaJob Category: LPN -… more
    Talent (09/13/25)
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  • 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 ... Job Title: LPN- Experienced Inpatient Licensed Practical Nurse (Geisinger South Wilkes Barre, Wilkes Barre)Location: Wilkes-Barre, PennsylvaniaJob Category: LPN -… more
    Talent (09/13/25)
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  • RN , Manager , Utilization

    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
    Humana (09/28/25)
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  • RN Acute Case Manager - System Care…

    Guthrie (Sayre, PA)
    …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of ... 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
    Guthrie (09/02/25)
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  • Inpatient Social Worker (MSW) or Registered

    St. Luke's University Health Network (Quakertown, PA)
    …regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... the continuum of care. Also works with the providers, registered nurse care managers, social workers, and...limited to: RN care managers, assistants, coordinators, utilization management staff, and director. . Facilitates… more
    St. Luke's University Health Network (09/11/25)
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  • Inpatient Registered Nurse

    St. Luke's University Health Network (Orwigsburg, PA)
    …regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... the continuum of care. Also works with the providers, registered nurse care managers, social workers, and...limited to: RN care managers, assistants, coordinators, utilization management staff, and director. + Facilitates… more
    St. Luke's University Health Network (09/08/25)
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  • UM Care Manager ( RN ) - PA…

    UPMC (Pittsburgh, PA)
    Are you a registered nurse with a background in utilization management ? Are you interested in the opportunity to work from home? UPMC Health Plan is ... looking for you! We are hiring a full-time Utilization Management Care Manager to...management certification or approved clinical certification preferred + Registered Nurse ( RN ) *Current licensure… more
    UPMC (09/27/25)
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