- 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
- Healthfirst (PA)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge ... and case management as assigned. The Case Manager , Utilization Management is also...necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or… more
- St. Luke's University Health Network (Coaldale, 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 (Lehighton, 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...including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director. + Facilitates… more
- Geisinger (Wilkes-Barre, PA)
- …and License(s) Accredited Case Manager within 3 years - American Case Management Association (ACMA); Licensed Registered Nurse (Pennsylvania) - RN_State ... a rewarding, lasting career with impact. Job Duties The RN Complex Care Manager will work with...assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to… more
- LifePoint Health (Johnstown, PA)
- * Registered Nurse ( RN ), Case Manager PRN/Hourly* Job Type:PRN/Hourly| M-Sun 8a-430p ** *Department/Unit Summary* Case Management plays an important ... in the care of hospitalized patients. Our team of RN Case Managers, Social Workers, Utilization Review...employment. **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN )- Case Management PRN/Hourly*… more
- Geisinger (Wilkes-Barre, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... rewarding, lasting career with impact. Join us as an RN Case Manager in Care Coordination to...Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania;… more
- Geisinger (Wilkes-Barre, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... patient care and enhance the professional impact of our RN Case Managers. Geisinger's Care Without Delay (CWD) is...Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania… more
- Geisinger (Danville, PA)
- …Katy Baralt, Nurse Recruiter, at ###@geisinger.edu. Job Duties The Registered Nurse assesses plans, organizes, performs, and evaluates nursing activities ... Specialty Training Program-Nursing (Required) Experience Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania;… more
- Fresenius Medical Center (Dallas, PA)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more