- AristaCare (Philadelphia, PA)
- …under the scope of the State's Nurse Practice Act of Registered Nurse licensure. The Unit Manager - RN coordinates resource utilization , timely and ... RN is reasonable to oversee the care management of a population of patients within an assigned... compliance . Requirements; + Must possess, a valid LPN/ Registered Nurse license in the state of… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages ... and third party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization changes,… more
- Penn Medicine (Philadelphia, PA)
- …health system organization **Credentials:** + Basic Cardiac Life Support (Required) + Registered Nurse - PA (Required) **Education or Equivalent Experience:** + ... overtime utilization + Assists with the implementation of change management strategies within the practice in alignment with department, entity/Penn Medicine… more
- Community Health Systems (Scranton, PA)
- …platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** The Supervisor, House - RN provides critical leadership during assigned shifts to oversee hospital operations and ensure the delivery of safe,… more
- Fresenius Medical Center (Philadelphia, PA)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... core values and customer service philosophy. Adheres to the Organization Compliance Program, including following all regulatory and Organization policy requirements.… more
- Guthrie (Sayre, PA)
- …role related to professional specialty. Education, License & Cert: + Licensed as a Registered Nurse in the State of Pennsylvania/New York. + Certification within ... with designated hours of accountability exercising independent judgment. Ensures compliance with entity/department goals and clinical resource utilization .… more
- Highmark Health (Jefferson Hills, PA)
- …effective resource utilization . Serves as key team members in the management of readmissions, length of stay, ED utilization , and patient/family ... Incumbents will utilize nationally recognized standards of practice for case management by collaborating with providers, clinical teams, health plans, and external… more
- UPMC (Pittsburgh, PA)
- …and technology. C. Maintains overall responsibility for all aspects of contract management including quality assurance, utilization review, ROI and other areas ... UPMC Hillman Cancer Center is currently hiring a Regional Operations Manager, ONC ( RN ) to support their world class Medial Oncology/Infusion community network. This … more
- Amergis (Pittsburgh, PA)
- …coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical ... for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in...of services + Follows State/County mandated guidelines for the nurse case management programs + Participates in… more
- Highmark Health (Pittsburgh, PA)
- …the enhanced Nurse Licensure Compact (eNLC). + Nationally recognized Case Management Certification within 5 years of start date. + Critical thinking and problem ... Description :** Date Posted: 20250509 Location: Allegheny General Hospital Department: Case Management , Inpatient Status: Full Time Shift: 80 hours every two weeks… more