- Penn Medicine (Philadelphia, PA)
- …their critical thinking skills and being a strong patient advocate. The case manager conducts utilization management activities, communication with insurers, ... (Outlook, Canopy, CERME, ECIN, shared drive, Internet) + Credentials: Registered Nurse - PA (Required) PA RN Licensure required. Education or Equivalent… more
- UPMC (Pittsburgh, PA)
- …Preference will be given to candidates with a Pennsylvania RN license. The Utilization Management (UM) Care Manager is responsible for utilization ... Health Plan is hiring a flex full-time UM Care Manager to support our UM Clinical Operations team. This...management certification or approved clinical certification preferred + Registered Nurse ( RN ) *Current licensure… more
- Select Medical (York, PA)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... current licensure in a clinical discipline either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT)...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Select Medical (Mckeesport, PA)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates...**Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
- WellSpan Health (York, PA)
- …principles. **Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and..., or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or +… more
- Trinity Health (Philadelphia, PA)
- …bonus and day one benefits** **Position Purpose:** The Registered Nurse ( RN ) is responsible for providing oversight and management to the provision of ... participants, at appropriate intervals, at times of status changes Registered Nurse ( RN ) and as...clinicians and caregivers. Responsible for identification of need and utilization of clinical services. **Minimum Qualifications:** + Must be… more
- CenterWell (Lancaster, PA)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... sit on-site at our Lancaster, PA branch location.** The ** RN Clinical Manager ** coordinates and oversees all...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Penn Medicine (Philadelphia, PA)
- …Nurse - PA (Required) + 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) + Pennsylvania ... each day. Are you living your life's work? Job Title: RN Pre Certification Case Manager Department: Business...years Prior experience as a nurse case manager with knowledge of utilization review and… more
- Penn Medicine (Lancaster, PA)
- …requirements being one of the following: + RN : Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing. Bachelor's degree in ... General Health is recruiting for a full-time inpatient Case Manager to join a team of dedicated Case Managers...Bachelor's degree in Nursing BSN . + Knowledge of utilization review or managed care. + Care management… more
- ChenMed (Philadelphia, PA)
- …RN with bachelor's degree in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required + Compact ... working remote for the remaining hours. The Acute Care Manager , Complex Care ( RN ) is responsible for...required + A minimum of one (1) year of utilization review and/or case management , home health,… more