• Registered Nurse - Surgical ICU…

    WellSpan Health (York, PA)
    …Preferred **Work Experience:** + 2 years of ICU experience required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse ... hemodynamic monitoring, chest tubes, venous thrombolytics, arterial alteplase, ventilator management , arterial lines tracheostomy care (acute and chronic), EEG… more
    WellSpan Health (12/27/25)
    - Related Jobs

  • Patient Flow Coordinator Registered…

    Geisinger (Wilkes-Barre, PA)
    …team leader. + Gives concise, comprehensive report to on-coming Patient Flow Coordinator Registered Nurse or team lead including status of rooms, critical ... of 1 year-Related work experience (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life… more
    Geisinger (11/19/25)
    - Related Jobs

  • Associate Manager, Clinical Health Services

    CVS Health (Harrisburg, PA)
    …years of acute experience as a Registered Nurse - 1+ years of Utilization Management experience - Must have experience using MS Office suites - Must be ... year - Occasional travel less than 5% to complete audits/meetings - Utilization Management is a 24/7 operation and work schedules will include weekends,… more
    CVS Health (01/01/26)
    - Related Jobs

  • RN Case Manager - Emergency Department

    Trinity Health (Philadelphia, PA)
    …required. + Active PA RN License required. + Three (3) years of utilization management or case management experience, including emphasis on discharge ... member of Trinity Health Mid-Atlantic, is seeking an experienced RN Care Manager to join our team in the...planning. + Case Management certification from an accredited organization preferred **We offer… more
    Trinity Health (11/13/25)
    - Related Jobs

  • Payment Integrity Clinician

    Highmark Health (Harrisburg, PA)
    …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
    Highmark Health (11/14/25)
    - Related Jobs

  • Mobile Professional Care Manager - Blair County

    UPMC (Pittsburgh, PA)
    …Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ). Preference will be given to those with ... or human services field and master's degree OR licensed RN (BSN preferred) OR Paramedic/EMT with 6-8 year of...field. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or… more
    UPMC (12/08/25)
    - Related Jobs

  • Mobile Professional Care Manager (Cambria/Somerset…

    UPMC (Pittsburgh, PA)
    …Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ). Preference will be given to LSW, CSW ... or human services field and master's degree OR licensed RN . OR Paramedic/EMT with 6-8 year of experience. Preference...CSW. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or… more
    UPMC (12/08/25)
    - Related Jobs

  • Clinical Care Manager or Senior/Mobile…

    UPMC (Pittsburgh, PA)
    …required (or must be obtained within 2 years of hire to remain in role) + Registered Nurse ( RN ) Licensure, Certifications, and Clearances: + LSW, CSW, LCSW ... Master's degree in social work/human service field OR licensed RN (BSN preferred) OR Paramedic/EMT with 8-10 year of...experience. + 3 years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or… more
    UPMC (12/25/25)
    - Related Jobs

  • Mobile Professional Care Manager - Blair & Cambria…

    UPMC (Pittsburgh, PA)
    …OR Licensed Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ) + Act 33 with renewal + Act 34 ... or human services field and master's degree OR licensed RN (BSN preferred) OR Paramedic/EMT with 6-8 year of...LPC + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or… more
    UPMC (12/08/25)
    - Related Jobs

  • Case Manager PRN

    Select Medical (Harrisburg, PA)
    …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... + Current Licensure in a clinical discipline per state guidelines required. ( Registered Nurse or Social Work (SW) preferred) **Preferred Qualifications** +… more
    Select Medical (12/31/25)
    - Related Jobs