- 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 ... on-site at an assigned hospital daily from 9am-3pm, working remote for the remaining hours. The Acute Care Manager,...required + A minimum of one (1) year of utilization review and/or case management , home health,… more
- Guthrie (Sayre, PA)
- …data analysis and process outcome evaluation. Education, License & Cert: Licensed Registered Nurse . Bachelor's Degree in Nursing or related field required. ... applicant must have a current license as a Professional Registered Nurse in their state of practice...in nursing practice. Preferred experience with PCMH process, care management / utilization review, and payer knowledge. Fast paced… more
- Magellan Health Services (Somerset, PA)
- …Counselor - Care MgmtCare Mgmt, LSW - Licensed Social Worker - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... Strong organization, time management and communication skills.* Knowledge of utilization management procedures, mental health and substance abuse community… more
- Magellan Health Services (Newtown, PA)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... This position is available for remote and candidate needs to be licensed in...time management and communication skills. Knowledge of utilization management procedures, mental health and substance… more
- Guthrie (Sayre, PA)
- …and payer knowledge. Fast paced ambulatory care experience preferred. Education Licensed Registered Nurse with 5 years' experience, preferably in an ... Coordinator/Wellness Nurse -Per Diem will assist in coordinating the medical management of patients, using an outcomes-based approach. In collaboration with other… more
- Sharecare (Harrisburg, PA)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- Prime Therapeutics (Harrisburg, PA)
- …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5...experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing… more
- Penn Medicine (Philadelphia, PA)
- …including accurate timecard review and approval, review and manage all overtime utilization Assists with the implementation of change management strategies ... work? Looking for a FT Associate Clinical Manager Ambulatory RN Location: PAH 7th and Spruce and PPMC 39th...Department: General Internal Medicine Schedule: M-F Day shift, Some Remote work possible after introductory period The Associate Clinical… more
- WellSpan Health (Lewisburg, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education… more
- WellSpan Health (York, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education… more