• Appeals Nurse

    Evolent (Harrisburg, PA)
    …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
    Evolent (12/24/25)
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  • Regional Payer Account Director - Mid Atlantic

    Organon & Co. (Plymouth Meeting, PA)
    …as well as other extended account team members to maximize appropriate utilization of Organon products. Integrates Senior Leadership into the overall business ... regional level, as required. Leads Organon 's efforts to maximize appropriate utilization of its portfolio while bringing resources and solutions to customers that… more
    Organon & Co. (11/25/25)
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  • Application Analyst (Senior, Mid, Associate)

    Penn Medicine (Philadelphia, PA)
    …internal team members, physicians, clinical and practice staff in the utilization of functionality within the application + Promptly identifies, documents, and ... team members, physicians, clinical and practice staff in the utilization of functionality within the application + Promptly identifies,...Health Care Professional Certificate and/or License such as MT, RN , PA, or DPM, a Bachelors degree, and at… more
    Penn Medicine (12/17/25)
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  • Senior Discharge Plan Manager, Casual

    UPMC (Pittsburgh, PA)
    …minimum of 1 shift per pay period or 2 shifts per month. Are you an RN or social worker interested in care management, case management, or care coordination? UPMC is ... and placing a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews discipline recommendations and… more
    UPMC (12/16/25)
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  • Regional Care Manager

    Wellpath (Lemoyne, PA)
    …Graduation from an accredited School of Nursing or Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management ... role** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director, Regional Medical Directors, and Site Leadership to… more
    Wellpath (12/12/25)
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  • Application Analyst (Senior, Mid, Associate)

    Penn Medicine (Philadelphia, PA)
    …internal team members, physicians, clinical and practice staff in the utilization of functionality within the application. + Promptly identifies, documents, and ... team members, physicians, clinical and practice staff in the utilization of functionality within the application. + Promptly identifies,...Health Care Professional Certificate and/or License such as MT, RN , PA, or DPM, a Bachelor's degree, and at… more
    Penn Medicine (11/25/25)
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  • Unit Clerk/Care Partner - 7 Main - Per Diem

    Guthrie (Sayre, PA)
    …the delivery of patient care for population groups under the direction of an RN /LPN including but not limited to the following: + Lifting, turning, and positioning ... equipment. + Recognizes emergency situations and initiates plan of action + Notifies RN /LPN of any changes seen in patient's condition + Complies with policies and… more
    Guthrie (12/30/25)
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  • Patient Care Partner - 6NW - Per Diem

    Guthrie (Sayre, PA)
    …successfully completed a CNA training course, or minimum of 1 year experience in a nurse aide or equivalent role or be currently enrolled in a licensed nurse ... the delivery of patient care for population groups under the direction of an RN /LPN including but not limited to the following: + Lifting, turning, and positioning… more
    Guthrie (12/25/25)
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  • Patient Care Partner-Acute Care Trauma-Full Time…

    Guthrie (Sayre, PA)
    …the delivery of patient care for population groups under the direction of an RN /LPN including but not limited to the following: * *Lifting, turning, and positioning ... * * Recognizes emergency situations and initiates plan of action * *Notifies RN /LPN of any changes seen in patient's condition * *Complies with policies and… more
    Guthrie (12/22/25)
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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 ... to effectively use our biopsy products to drive conversions and increase utilization of all available products. + Build professional relationships with physicians… more
    Hologic (12/16/25)
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