- Trinity Health (Philadelphia, PA)
- …overall performance of the team including quality patient care, financial performance, utilization management , and compliance with state and federal regulations. ... degree preferred. CPR certification. Current valid license to practice as a Registered Nurse in applicable state. Working knowledge in navigating through… more
- Guthrie (Sayre, PA)
- …data analysis and process outcome evaluation. Education, License & Cert: Licensed Registered Nurse . Bachelor's Degree in Nursing or related field required. ... applicant must have a current license as a Professional Registered Nurse in their state of practice...in nursing practice. Preferred experience with PCMH process, care management / utilization review, and payer knowledge. Fast paced… more
- ChenMed (Philadelphia, PA)
- …RN with bachelor's degree in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required + Compact ... the remaining hours. The Acute Care Manager, Complex Care ( RN ) is responsible for achieving positive patient outcomes, managing...required + A minimum of one (1) year of utilization review and/or case management , home health,… more
- CenterWell (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
- 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
- Guthrie (Sayre, PA)
- …New York and Pennsylvania. The applicant must have a current license as a Professional Registered Nurse in their state of practice prior to the position's start ... leadership and autonomy in nursing practice. Preferred experience with care management / utilization review, and payer knowledge. Fast paced ambulatory care… more
- Guthrie (Sayre, PA)
- …and payer knowledge. Fast paced ambulatory care experience preferred. Education Licensed Registered Nurse with 5 years' experience, preferably in an ... Coordinator/Wellness Nurse -Per Diem will assist in coordinating the medical management of patients, using an outcomes-based approach. In collaboration with other… more
- UPMC (Pittsburgh, PA)
- …(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 (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 (Dubois, PA)
- …Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ) *Current licensure either in the state ... or human services field and master's degree OR licensed RN OR Paramedic/EMT with 6-8 year of experience. +...LPC. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or… more