- 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 ... an nurse or a social worker The Registered Nurse or Social Worker Care Manager...discharge interventions accordingly. + Actively addresses and monitors resource utilization and documents delays as appropriate. + Identifies patients… 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
- Geisinger (Lewistown, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... of 2 years-Related work experience (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… 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
- CVS Health (Harrisburg, PA)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
- UPMC (Pittsburgh, PA)
- Are you a registered nurse with a background in utilization management ? UPMC Health Plan is looking for you! We are hiring a full-time Utilization ... Management Care Manager to support the Utilization Management Clinical Operations Department. This position...management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act… 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
- UPMC (West Mifflin, PA)
- UPMC Home Health is Hiring a Full-Time Weekend Registered Nurse ( RN ) Are you a nurse looking for a rewarding career where you can provide direct, ... establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and… more
- Penn State Health (State College, PA)
- …prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Practice Site Manager RN Registered Nurse - Windmere Centre **Location** ... + Five (5) years of related experience required. + Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN … more
- Penn State Health (Lancaster, PA)
- …and executive orders that prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** RN Registered Nurse Practice Site Manager - Lancaster ... required. + Progressive leadership experience required. + Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN… more
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