- CVS Health (Harrisburg, PA)
- …Please replace this section with the Job Summary **Required Qualifications** Please replace this section with the Required Job Qualifications **Preferred ... Qualifications** Please replace this section with the Preferred Job Qualifications **Education** Please replace this section with the Education Requirements **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this… more
- Cognizant (Harrisburg, PA)
- …background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management experience with managed health care plan + 3 years' experience in ... to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Commonwealth of Pennsylvania (PA)
- …care. + C. I have professional experience performing this Work Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance ... facility. + C. I have experience performing this Work Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance nurse , or… more
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management, and… more
- Penn Medicine (Lancaster, PA)
- …Lancaster General Health is looking for an experienced RN to join our Utilization Management Specialist team! In this critical role, you'll advocate for patients by ... thrive under pressure, we'd love to hear from you!_ **Summary** : The Utilization Management Specialist - Admissions is responsible for evaluating medical records to… more
- WellSpan Health (York, PA)
- …**_Occasional Weekend_** **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use ... patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** **Essential… more
- WellSpan Health (Lebanon, PA)
- …Weekend rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of ... address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** + Reviews… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5178822) Apply Registered Nurse Supervisor Salary $96,225.00 - ... Military and Veterans Affairs (DMVA) is seeking a Registered Nurse Supervisor to deliver amazing care to our residents...goals. Make assessments and decisions in regard to staff utilization , supplies and equipment needs in accordance with safety… more
- St. Luke's University Health Network (Bethlehem, PA)
- …we serve, regardless of a patient's ability to pay for health care. This can be an nurse or a social worker The Registered Nurse or Social Worker Care Manager is ... across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams to facilitate the… more