- Highmark Health (Monroeville, PA)
- …and third party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization changes, ... relationships across the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages… more
- CenterWell (Lancaster, PA)
- …driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- Magellan Health Services (Newtown, PA)
- …Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided...Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt… more
- Penn Medicine (Radnor, PA)
- …overtime utilization . + Assists with the implementation of change management strategies within the practice, in alignment with department, entity/Penn Medicine ... Manager Athletic Trainer **or** Associate Clinical Manager Licensed Practical Nurse (LPN) **Department:** MSKR and Neuroscience Shared Services **Location:** Penn… more
- UPMC (Munhall, PA)
- …of health insurance experience required. + 1 year of experience in clinical, utilization management , home care, discharge planning, and/or case management ... by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of care… more
- UPMC (Coudersport, PA)
- A Licensed Practical Nurse (LPN) administers nursing care to designated patients under the direction and supervision of a registered nurse . Performs a variety of ... reactions, treatments and changes in the patient's condition to the Registered Nurse . + Assists doctor with examinations, treatments, special tests and procedures as… more
- UPMC (Pittsburgh, PA)
- Are you an experienced Pediatric nurse with case management experience? We have a unique opportunity that may be a perfect fit for you! UPMC Health Plan is ... interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan...and Clearances:** + CCM is a bonus. + Registered Nurse (RN) + Act 34 *Current licensure either in… more
- Penn Medicine (Philadelphia, PA)
- …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... candidate for this position must be a seasoned med/surg nurse with a minimum of 5 years' experience in... with a minimum of 5 years' experience in Utilization review and 3 years of experience in the… more
- St. Luke's University Health Network (Bethlehem, PA)
- …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. . Facilitates communication among all ... continuum of care. The SW CM also works with the providers, registered nurse care managers, and multi-disciplinary care teams to facilitate the achievement of… more
- University of Pennsylvania (Philadelphia, PA)
- …and ultrasound. Job Description Job Responsibilities We are seeking a skilled and dedicated nurse to join our team as an Operating Room and Imaging Nurse . ... and medical terminology to support the surgical team. + Act as a circulating nurse and/or scrub nurse during surgeries, providing valuable assistance to the… more