- Fresenius Medical Center (Baden, PA)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Penn Medicine (Lancaster, PA)
- … Nursing . + Bachelor's degree in Nursing BSN . + Knowledge of utilization review or managed care. + Care management experience in a managed care setting. ... the following: + RN: Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing...nursing or social work or other relevant Case Management addictions medicine experience. + Excellent verbal and written… more
- 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
- United Therapeutics (Harrisburg, PA)
- …and development of clinical content + Demonstrated high competency in clinical management , conversations, patient management , and clinical/ nursing processes ... develop and maintain key external relationships within regions + Strong project management skills + Demonstrates expertise in nursing / nursing leadership/… more
- Gentiva (Canonsburg, PA)
- …**Registered Nurse / RN Requirements:** **Education:** + Associates/Bachelor's degree Nursing **Experience:** + 2 years of prior skilled Registered Nurse ... + Always maintains patient confidentiality + Good problem-solving skills + Good time management skills **We Offer** **As a Registered Nurse / RN, you… more
- LifePoint Health (Johnstown, PA)
- … management program.Ensure staff competencies in all areas of care management to include utilization review, transition/discharge planning, social work ... Development and Growth Opportunities . And much more Position Summary: Provide Case Management leadership and management for hospitals within a market of… more
- Guthrie (Sayre, PA)
- …State of Pennsylvania/New York. Certification within area of expertise or practice preferred ( Nursing Management , CCRN, CEN, etc.) BSN required within 3 years of ... hire. Experience: Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: 1. RESOURCE UTILIZATION : Considers… more
- Penn Medicine (Philadelphia, PA)
- …+ Registered Nurse - PA (Required) + 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) ... + Nursing Equivalent Experience: * And 5+ years Prior experience as a nurse case manager with knowledge of utilization review and third-party payors. We… more
- UPMC (Mckeesport, PA)
- …managing departmental operations required. + Knowledge and Skills:Expertise in care management , discharge planning and utilization review processes. + Ability ... to UPMC. Key Responsibilities: + Ensure licensing for McKeesport's hospital-based Withdrawal Management and Rehab program + Lead and support the Clinical Care… more
- Highmark Health (Natrona Heights, PA)
- …OVERVIEW:** Provides operational and strategic leadership for Hospital/facility Care Management Department. Collaborates with nursing and clinical leaders ... and structure to achieve sustainable length of stay, resource utilization , and clinical outcomes for patients over time.Responsible for...Transition Management + 1 year in a management or leadership capacity + Registered Nurse … more