• RN Pre Certification Case Manager

    Penn Medicine (Philadelphia, PA)
    … Nurse - PA (Required) + 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) + Pennsylvania ... each day. Are you living your life's work? Job Title: RN Pre Certification Case Manager Department: Business...5+ years Prior experience as a nurse case manager with knowledge of utilization review… more
    Penn Medicine (08/07/25)
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  • Case Manager, RN - ED (Full Time),…

    Highmark Health (Erie, PA)
    …health continuum. Incumbents will utilize nationally recognized standards of practice for case management by collaborating with providers, clinical teams, health ... Fingerprinting Criminal Background Clearance Certificate **Preferred** + Nationally recognized Case Management Certification + Transition planning and… more
    Highmark Health (09/11/25)
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  • Case Manager / PRN ( RN / RT / SW…

    Select Medical (Mckeesport, PA)
    …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... documentation. You will report directly to the Director of Case Management and provide social work services,...**Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
    Select Medical (10/01/25)
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  • RN Acute Case Manager $55/hr

    Amergis (Pittsburgh, PA)
    …patient regarding accessibility of services + Follows State/County mandated guidelines for the nurse case management programs + Participates in outreach ... Salary: $2326 / Week The RN Case Manager is responsible for...in state practicing + At least one year of Case Management experience preferred + Complies with… more
    Amergis (08/16/25)
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  • RN Case Manager Inpatient, Allegheny…

    Highmark Health (Pittsburgh, PA)
    …licensure through the enhanced Nurse Licensure Compact (eNLC). + Nationally recognized Case Management Certification within 5 years of start date. + Critical ... **Job Description :** Date Posted: 20250509 Location: Allegheny General Hospital Department: Case Management , Inpatient Status: Full Time Shift: 80 hours every… more
    Highmark Health (08/16/25)
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  • Denials Management Specialist ( RN…

    St. Luke's University Health Network (Allentown, PA)
    …an acute care hospital setting required. + Prefer minimum of 2-5 years' experience in case management and/or utilization management . + Prefer financial ... for Medical Necessity and Late-Pick-Up/Notification that are entered by Case Management and Business Office. + Monitors...an accredited, professional nursing program. + Must have current RN license to practice in the state of Pennsylvania… more
    St. Luke's University Health Network (08/13/25)
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  • UM Care Manager ( RN ) - PA Candidates…

    UPMC (Pittsburgh, PA)
    Are you a registered nurse with a background in utilization management ? Are you interested in the opportunity to work from home? UPMC Health Plan is ... looking for you! We are hiring a full-time Utilization Management Care Manager to support the...management certification or approved clinical certification preferred + Registered Nurse ( RN ) *Current licensure… more
    UPMC (09/27/25)
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  • RN Clinical Manager

    CenterWell (Lancaster, PA)
    …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... of care analysis to determine efficiency, the efficacy of case management system as well as any...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (09/19/25)
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  • Home Health RN

    UPMC (Harrisburg, PA)
    … management (UM) professionals to meet physicians' orders and patients' needs. + RN will coordinate case management activities across a multi-disciplinary ... + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act 33 +… more
    UPMC (08/14/25)
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  • Staff RN - 3 Main Acute Care- (7p-7a)

    UPMC (Coudersport, PA)
    …Educates patients in pain management and its impact on patient outcome.t. A Registered Nurse who has taken a basic arrhythmia class and completed the ... thoracentesis, lumbar tap, etc. + h.Participates in the economical utilization of supplies and ensures that equipment is maintained...Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) + Act… more
    UPMC (09/10/25)
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