- Genesis Healthcare (Camp Hill, PA)
- …ADON or ADON - Unit, or Director of Nursing ( Nurse Leader), the Registered Nurse ( RN ) delivers efficient and effective nursing care while achieving ... to achieve patient goals and minimize rehospitalizations; 4.4. Actively participates in Utilization Management or InterdisciplinaryCare Management Meeting to… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... determination of the appropriate courses of action. The SNF Utilization Management Registered Nurse...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- UPMC (Altoona, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across...Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state… more
- UPMC (West Mifflin, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across...**Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state… more
- UPMC (West Mifflin, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... **UPMC Home Health is Hiring Registered Nurses ( RN 's) for the** **Elizabeth...patients' needs. + RN will coordinate case management activities across… more
- Evolent (Harrisburg, PA)
- …with others. **Collaboration Opportunities:** + The Manager, Client Services oversees daily utilization management and directs the medical care of our members ... in a supporting role to the Director, Intake and Utilization Management Operations. + This individual will...of project resources. **Qualifications - Required and Preferred** + RN Licenses (Active and Unrestricted) - Required + Associate's… more
- Trinity Health (Philadelphia, PA)
- …the overall performance of the team including quality patient care, financial performance, utilization management , and compliance with state and federal ... degree preferred. CPR certification. Current valid license to practice as a Registered Nurse in applicable state. Working knowledge in navigating through… more
- Guthrie (Sayre, PA)
- …recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with ... 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
- CenterWell (Harrisburg, PA)
- … RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
- CenterWell (Harrisburg, PA)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous… more