- Magellan Health Services (Newtown, PA)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,...time management and communication skills. Knowledge of utilization management procedures, mental health and substance… more
- Healthfirst (PA)
- The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, ... case management as assigned. The Case Manager, Utilization Management is also responsible for efficient...necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or… more
- Veterans Affairs, Veterans Health Administration (Aspinwall, PA)
- Summary The Outpatient Adult Day Health Care (ADHC) Registered Nurse delivers fundamental knowledge-based care to assigned clients while developing technical ... of the The Outpatient Adult Day Health Care (ADHC) Registered Nurse include but are not limited...Significant amounts of time standing assisting assigned patients - Utilization of safe patient handling and mobility protocols VA… more
- ChenMed (Philadelphia, PA)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic emergency triage ... issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. The incumbent in this role… more
- UPMC (Harrisburg, PA)
- …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act ... Registered Nurse Home Health Harrisburg Are...plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians'… more
- UPMC (Pittsburgh, PA)
- **UPMC Family Hospice is Hiring a** **Casual Registered Nurse ( RN )** **for Cole and the Wellsboro area** Are you a nurse seeking a fulfilling career that ... establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and… more
- Penn Medicine (Philadelphia, PA)
- …(Outlook, Canopy, CERME, ECIN, shared drive, Internet) + Credentials: Registered Nurse - PA (Required) PA RN Licensure required. Education or Equivalent ... fearful you will miss patient contact? If so, our nurse case manager role at Penn Medicine is the...being a strong patient advocate. The case manager conducts utilization management activities, communication with insurers, team,… more
- Penn Medicine (Philadelphia, PA)
- …assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet) Credentials: + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management … more
- Veterans Affairs, Veterans Health Administration (Butler, PA)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... Work Schedule: Monday- Friday; 7:30am- 4:00pm Preferred Experience: Case Management Experience, 5 years + RN Experience...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Intermountain Health (Harrisburg, PA)
- …/Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Preferred Qualifications + Bachelor's ... cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care.… more