• Professional Staff Nurse , HH/Hspc

    UPMC (Williamsport, PA)
    **UPMC Home Health is Hiring a Registered Nurse ( RN ) for** **The Williamsport and surrounding areas** Are you a nurse looking for a rewarding career ... establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and… more
    UPMC (08/19/25)
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  • Professional Staff Nurse - Home Health West…

    UPMC (Seven Fields, PA)
    …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act ... establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and… more
    UPMC (08/14/25)
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  • Professional Staff Nurse - Home Health…

    UPMC (Seven Fields, PA)
    …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act ... establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and… more
    UPMC (08/09/25)
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  • Senior Clinical Policy Research Professional

    Humana (Harrisburg, PA)
    …in Nursing (BSN) or Bachelor's degree in any field or equivalent experience + Active unrestricted Registered Nurse ( RN ) license + 5 years or more of prior ... and Medicaid LOB - Medicare Clinical Criteria Review (MCCR), Utilization Management Committee (UMC), Medical Coverage Policy...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (08/15/25)
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  • Licensed Practical Nurse - Thomas Hart…

    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 ... of patient care between visits. + Assists in the management of patient utilization of health care...identified. + WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for… more
    WellSpan Health (08/08/25)
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  • Licensed Practical Nurse (Outpatient)…

    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 ... of patient care between visits. + Assists in the management of patient utilization of health care...identified. + WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for… more
    WellSpan Health (06/14/25)
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  • Manager, Clinical Care Coordination and Discharge…

    UPMC (Mechanicsburg, PA)
    …Licensed Social Worker (LSW) OR Other Healthcare Professional Licenses for Discharge Planning OR Registered Nurse ( RN ) *Current licensure either in the state ... one year experience in leadership required.KNOWLEDGE AND SKILLS:Expertise in care management , discharge planning and utilization review processes. Ability to… more
    UPMC (06/06/25)
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  • National Director, Care Integration Strategy…

    CenterWell (Harrisburg, PA)
    …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring...highest need and complexity patients with care and case management services. The Director is response for the strategic… more
    CenterWell (08/15/25)
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  • Pediatrician / Family Practice

    KidsPeace Childrens Hospital (Schnecksville, PA)
    …as necessary collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and ... maintenance of program specific medical policies, procedures and protocols in compliance with KidsPeace standards, as well as all pertinent licensing requirements… more
    KidsPeace Childrens Hospital (07/09/25)
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  • Home Therapy Strategic Clinical Quality Manager:…

    Fresenius Medical Center (Philadelphia, PA)
    …may be required. **SUPERVISION:** None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Nurse required + Certification in Nephrology Nursing or quality ... Education, Clinical Services, Nutritional Services, Social Work Services Regulatory and Compliance to take the appropriate steps to facilitate achievement of quality… more
    Fresenius Medical Center (08/11/25)
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