- Penn Medicine (Philadelphia, PA)
- …Registered Nurse - PA (Required) + 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) ... Equivalent Experience: * And 5+ years Prior experience as a nurse case manager with knowledge of utilization review and third-party payors. We believe… more
- WellSpan Health (Lebanon, PA)
- …4pm Weekend rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use ... to address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** +… more
- CVS Health (Harrisburg, PA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible… more
- Geisinger (Wilkes-Barre, PA)
- …License(s) Accredited Case Manager within 3 years - American Case Management Association (ACMA); Licensed Registered Nurse (Pennsylvania) - RN_State of ... career with impact. Job Duties The RN Complex Care Manager will work with individuals who have complex health...optimizing the patient or member's health status. + Manages utilization and practice metrics to further refine the delivery… more
- Geisinger (Wilkes-Barre, PA)
- …experience to build a rewarding, lasting career with impact. Join us as an RN Case Manager in Care Coordination to strengthen that impact. Apply to learn more, ... forward to hearing from you! Job Duties The RN Case Manager assesses, plans, implements, coordinates, monitors...of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery… more
- Geisinger (Danville, PA)
- …rotation . At least three (3) years of RN work experience is required. Registered Nurse - Case Manager - Care Coordination + Integrates evidence-based ... coordination of services. + Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency… more
- St. Luke's University Health Network (Stroudsburg, PA)
- …Care Manager coordinates the overall progression of care, resource utilization , and discharge planning for designated patient populations across the continuum of ... management, including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among all… more
- WellSpan Health (York, PA)
- …health care. Works in a team type assignment or Care Coordination Team (CCT) Model ( Case Manager and Social Worker teams are assigned to patients by physician ... holiday per year **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use… more
- LifePoint Health (Johnstown, PA)
- *Registered Nurse (RN), Case Manager ...the care of hospitalized patients. Our team of RN Case Managers, Social Workers, Utilization Review staff, ... harassment in employment. **Job:** **Nursing* **Organization:** ** **Title:** *Registered Nurse (RN)- Case Management PRN/Hourly* **Location:** *Pennsylvania-Johnstown*… more
- WellSpan Health (York, PA)
- …weekend requirement **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient ... to address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Essential Functions:** + Reviews… more