• Home Health Registered Nurse Part…

    UPMC (West Mifflin, PA)
    management (UM) professionals to meet physicians' orders and patients' needs. + RN will coordinate case management activities across a multi-disciplinary ... **UPMC Home Health is hiring a Part-Time RN ** **to cover Fayette County and part of...**Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state… more
    UPMC (07/08/25)
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  • Home Health Registered Nurse

    UPMC (West Mifflin, PA)
    management (UM) professionals to meet physicians' orders and patients' needs. + RN will coordinate case management activities across a multi-disciplinary ... **UPMC Home Health is Hiring Registered Nurses ( RN 's) for the** **Elizabeth...**Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state… more
    UPMC (06/29/25)
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  • Inpatient Case Manager RN or BSW,…

    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 ... + Helps in identification of best methods to transmit case management plan to all points of...Bachelor's degree in Nursing BSN . + Knowledge of utilization review or managed care. + Care management more
    Penn Medicine (08/07/25)
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  • Denials Management Specialist ( RN

    St. Luke's University Health Network (Allentown, PA)
    …an acute care hospital setting required. + Prefer minimum of 2-5 years' experience in case management and/or utilization management . + Prefer financial ... for Medical Necessity and Late-Pick-Up/Notification that are entered by Case Management and Business Office. + Monitors...an accredited, professional nursing program. + Must have current RN license to practice in the state of Pennsylvania… more
    St. Luke's University Health Network (05/14/25)
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  • RN , Case Manager (Part time),…

    Highmark Health (Monroeville, PA)
    …also building relationships across the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care ... Fingerprinting Criminal Background Clearance Certificate **Preferred** + Nationally recognized Case Management Certification + Transition planning and… more
    Highmark Health (08/12/25)
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  • RN Pre Certification Case Manager

    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...5+ years Prior experience as a nurse case manager with knowledge of utilization review… more
    Penn Medicine (08/07/25)
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  • Discharge Planning RN Case Manager…

    Penn Medicine (Philadelphia, PA)
    …assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet) Credentials: + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management more
    Penn Medicine (08/07/25)
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  • RN , Case Manager, (Evenings),…

    Highmark Health (Monroeville, PA)
    …health continuum. Incumbents will utilize nationally recognized standards of practice for case management by collaborating with providers, clinical teams, health ... Fingerprinting Criminal Background Clearance Certificate **Preferred** + Nationally recognized Case Management Certification + Transition planning and… more
    Highmark Health (08/12/25)
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  • Case Manager ( RN / RT / SW / LPN )

    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)...documentation. You will report directly to the Director of Case Management and provide social work services,… more
    Select Medical (07/12/25)
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  • Case Manager / PRN ( RN / RT / SW…

    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 ... documentation. You will report directly to the Director of Case Management and provide social work services,...**Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
    Select Medical (07/19/25)
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