- St. Luke's University Health Network (Sellersville, PA)
- …including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. . Facilitates communication among all ... we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the… more
- Geisinger (Danville, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... Experience Minimum of 2 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life… more
- Guthrie (Troy, PA)
- …recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with ... degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant...admissions and short procedures by translating clinical information to Utilization Management requirements using pre ‐ determined… more
- WellSpan Health (Lewisburg, PA)
- …principles. **Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and..., or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or +… more
- UPMC (Pittsburgh, PA)
- UPMC Home Health is Hiring a Full-Time Registered Nurse ( RN ) for the Uniontown and Surrounding Areas Are you a nurse looking for a rewarding career where ... establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and… more
- Penn State Health (Hershey, PA)
- …in a complex academic medical center environment. This executive role oversees Care Management , Care Coordination, Utilization Management , Social Work, and ... community-based care management programs + Leadership of utilization management , length-of-stay optimization, and payer alignment...in Health related or Business field required. + Current RN licensure required. + Minimum of 10 years of… more
- St. Luke's University Health Network (Easton, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the ... the continuum of care. Also works with the providers, registered nurse care managers, social workers, and...including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director. + Facilitates… more
- Trinity Health (Newtown Square, PA)
- …at this location will be three to six months, then will be remote._** The Registered Nurse working in the THMA Centralized Bed Planning/Transfer Center must work ... Rotating Shift **Description:** Trinity Health Mid-Atlantic looking for an Nurse - Admission/Placement * Centralized Bed Planning to join...+ 2-4 years previous experience required + Knowledge of utilization management ie acuity. + Ability to… more
- UPMC (West Mifflin, PA)
- UPMC Home Health is Hiring a Casual Registered Nurse ( RN ) for the McKeesport, Clairton and Surrounding Areas Are you a nurse looking for a rewarding ... establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and… more
- UPMC (West Mifflin, 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 Registered Nurses ( RN 's) for the** **Elizabeth...patients' needs. + RN will coordinate case management activities across… more
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