• Utilization Management Nurse

    CVS Health (Harrisburg, PA)
    …Must have active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include ... med surg or specialty area + Managed Care experience preferred, especially Utilization Management + Preference for those residing in ET and CT zones… more
    CVS Health (01/03/26)
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  • Utilization Management Clinician…

    CVS Health (Harrisburg, PA)
    …or more years BH clinical Experience** + **1 or more years Utilization Management Experience** + **Work at Home role. Can live Anywhere USA** + ... residence (LMSW, LCSW, LISW, LPC, or comparable) or Registered Nurse licensure with psychiatric specialty, certification, or experience in.... No weekends or holidays. + 1+ years of utilization review/ utilization management required. +… more
    CVS Health (01/03/26)
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  • SNF Utilization Management RN…

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (12/12/25)
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  • Utilization Review Clinician - ABA

    Centene Corporation (Harrisburg, PA)
    …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... a fresh perspective on workplace flexibility. **THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING PENNSYLVANIA HEALTH & WELLNESS MEDICAID CHIP PROGRAM.** **THE WORK… more
    Centene Corporation (01/06/26)
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  • Home Health Admissions Nurse

    UPMC (Seven Fields, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... Home Health is Hiring a Full-Time Admissions Registered Nurse (RN) in the McKnight, Allison Park, Etna, Glenshaw...patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to… more
    UPMC (12/12/25)
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  • Home Health Professional Staff Nurse

    UPMC (Coudersport, 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 a Registered Nurse...patients' needs. *RN will coordinate case management activities across a multi-disciplinary health care team to… more
    UPMC (12/12/25)
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  • Licensed Practical Nurse - Home

    WellSpan Health (Gettysburg, PA)
    …**General Summary** Provides comprehensive family-oriented nursing services to individuals in the home setting by use of the nursing process in accordance with ... the established plan of care, corporate policy and procedures, and the Nurse Practice Act. **Duties and Responsibilities** **Essential Functions:** + Participates in… more
    WellSpan Health (01/06/26)
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  • Registered Nurse Home Health

    UPMC (State College, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... : 'block__field--edit'}" id="descriptionInt-container" html: $component.getFieldValue($data)" id="descriptionInt-value" formfieldid="descriptionInt"GROWING OUR UPMC HOME HEALTH TEAM FOR RN OPENINGS IN CENTRE AND… more
    UPMC (12/12/25)
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  • Home Health Weekend Nurse - Beaver…

    UPMC (Seven Fields, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... Home Health is hiring a full-time weekend nurse to support Beaver and Allegheny County. This is...patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to… more
    UPMC (12/13/25)
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  • Professional Staff Nurse - Home

    UPMC (Seven Fields, 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 a full-time RN for the Ob/Peds team supporting Butler County! Are you a nurse looking for a rewarding career where you can provide… more
    UPMC (12/13/25)
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