• Clinical Auditor/Analyst Intermediate - Remote

    UPMC (Pittsburgh, PA)
    …Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. Registered Nurse ( RN ). Bachelor of Science in Nursing ... to clinical guidelines, coding requirements, regulatory requirements, and resource utilization . This role also acts as a SME for...CIC, CCA, CCS, CCS-P) or AHFI designation required. + Registered Nurse ( RN ) + Act… more
    UPMC (01/06/26)
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  • Senior Discharge Plan Manager , Casual

    UPMC (Pittsburgh, PA)
    …month. Are you an RN or social worker interested in care management, case management, or care coordination? UPMC is proud to announce the new Clinical Care ... UPMC Mercy is hiring a Casual Discharge Plan Manager to support our Clinical Care Coordination and...a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews… more
    UPMC (12/16/25)
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  • Regional Care Manager

    Wellpath (Lemoyne, PA)
    …Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management and pre-certification experience + Knowledge ... point of care support. **How you make a difference** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director, Regional… more
    Wellpath (12/12/25)
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  • DRG Specialist

    UPMC (Pittsburgh, PA)
    … Health Information Administrator OR Registered Health Information Technician (RHIT) OR Registered Nurse ( RN ) + Act 34 *Current licensure either in ... + Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Registered more
    UPMC (01/07/26)
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  • Radiology Clinical Account Manager

    Hologic (Pittsburgh, PA)
    …+ Candidates with backgrounds such as Radiology Technologists, Mammography Technologists, Registered Nurses ( RN ), or other clinical professionals are strongly ... Radiology Clinical Account Manager - Pittsburgh, PA Pittsburgh, PA, United States...National Accounts to optimize customer experience. + Educate through case coverage, in-services and office calls to drive account… more
    Hologic (12/16/25)
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  • PA or NJ Licensed Social Work Manager , Per…

    St. Luke's University Health Network (Bethlehem, PA)
    …of care needs. The OP CM SW also collaborates with the Outpatient Care Manager RN , Community Health Worker and extender staff as needed to address ... ability to pay for health care. The Outpatient Care Manager , Social Worker (OP CM SW) is responsible for...needs to ensure efficient and effective continuity of care, utilization of resources and to avoid unnecessary hospitalizations. +… more
    St. Luke's University Health Network (11/13/25)
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  • Acute Service Coordinator

    Devereux Advanced Behavioral Health (Braddock, PA)
    …Counseling, Sociology, Education with a certificate in Special Education or Nursing with a Registered Nurse License. + Two (2) years of human service working ... needs. The Ideal Candidate Will: Possess the ability to demonstrate commitment to and utilization of the best practice of: + Housing First + Harm Reduction + Trauma… more
    Devereux Advanced Behavioral Health (12/16/25)
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