• RN Registered Nurse Utilization…

    Penn State Health (Hershey, PA)
    …or genetic information._ **Union:** SEIU Healthcare Pennsylvania **Position** RN Registered Nurse Utilization Management Specialist - Utilization Management ... for maintaining compliance with the CMS Conditions of Participation for Utilization Management. **MINIMUM QUALIFICATION(S):** + Bachelors Degree in Nursing or… more
    Penn State Health (08/20/25)
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  • Utilization Management Nurse

    CenterWell (Harrisburg, PA)
    …Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid… more
    CenterWell (08/02/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Harrisburg, PA)
    …a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
    Humana (08/09/25)
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  • Utilization Review Clinician - Behavioral…

    Centene Corporation (Harrisburg, PA)
    …discharge planning + Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members and their families ... regrading BH utilization process + Interacts with BH healthcare providers as...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
    Centene Corporation (08/22/25)
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  • Utilization Review RN Case Manager - Penn…

    Penn Medicine (Philadelphia, PA)
    …quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources, ... community resourcesParticipates and drives accountability in daily interdisciplinary meetings Utilization Management:Adheres to guidelines to satisfy 3rd party payer… more
    Penn Medicine (08/19/25)
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  • Registered Nurse - Case Manager

    WellSpan Health (Ephrata, PA)
    …0800 to 1630 **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources ... address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** + Reviews… more
    WellSpan Health (08/24/25)
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  • Registered Nurse - Case Manager - Day

    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
    WellSpan Health (07/22/25)
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  • Case Management Nurse -RN Weekend Option 3…

    WellSpan Health (York, PA)
    …am to 7 pm **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources ... patient care transition needs. Provides leadership in the integration of utilization and case management principles throughout the hospital. **Duties and… more
    WellSpan Health (08/19/25)
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  • Registered Nurse Supervisor

    Commonwealth of Pennsylvania (PA)
    Registered Nurse Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5035198) Apply  Registered Nurse Supervisor Salary $96,225.00 - ... Lead the way in veteran care! As a Registered Nurse Supervisor at the Pennsylvania Soldiers' and Sailors' Home,...goals. Make assessments and decisions in regard to staff utilization , supplies and equipment needs in accordance with safety… more
    Commonwealth of Pennsylvania (08/25/25)
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  • Nurse Clinical Care Coord -Allegheny County

    UPMC (Pittsburgh, PA)
    **UPMC Your Care is Hiring a Full-Time Registered Nurse for a Nurse Clinical Care Coordinator Position.** **Monday-Thursday 9:30am-8:00pm** **This position ... travels to patients' homes in Allegheny County.** The Nurse Clinical Care Coordinator is responsible for delivering nursing assessments and evaluations within… more
    UPMC (08/13/25)
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