- Penn Medicine (Philadelphia, PA)
- …the 12 hour shifts but are fearful you will miss patient contact? If so, our nurse case manager role at Penn Medicine is the perfect transition career for you, and ... will bring you joy and fulfillment. The HUP Nurse Case Manager position creates an exciting opportunity for experienced nurses to expand their knowledge and apply it… more
- Humana (Harrisburg, PA)
- …for evolving Humana's Utilization Management of medical review by physician or nurse , with a focus on our 5+ million Medicare members. You will also facilitate ... The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team to… more
- Gentiva (Canonsburg, PA)
- …need with dignity, grace, and love. **We are looking for a Full Time Registered Nurse for our Canonsburg, PA palliative care branch.** **This is a FT After Hours/On ... video, and in person interventions afterhours. **As a Registered Nurse / RN, you will:** + Be able to... practitioner, or PCP + Assist in overseeing the utilization of medications, DME and supplies related to the… more
- Highmark Health (Monroeville, PA)
- …outcomes, engages patients/caregivers in their healthcare, and supports effective resource utilization . Serves as key team members in the management of readmissions, ... length of stay, ED utilization , and patient/family satisfaction. **ESSENTIAL RESPONSIBILITIES:** + Contributes to or completes comprehensive assessment of patients… more
- Magellan Health Services (Newtown, PA)
- …collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or ... outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination....Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt… more
- Penn Medicine (Radnor, PA)
- …Manager Athletic Trainer **or** Associate Clinical Manager Licensed Practical Nurse (LPN) **Department:** MSKR and Neuroscience Shared Services **Location:** Penn ... Manager Athletic Trainer or Associate Clinical Manager Licensed Practical Nurse LPN candidates. **ASSOCIATE CLINICAL MANAGER - ATHLETIC TRAINER APPLICANTS:**… more
- St. Luke's University Health Network (Bethlehem, PA)
- …of a patient's ability to pay for health care. This Weekend registered Nurse works collaboratively with other members of the interdisciplinary team to assure ... to agency standards for the provision of quality care, appropriate service utilization , and compliance with third party payor requirements for reimbursement. +… more
- Select Medical (Mckeesport, PA)
- …(PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state ... what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan...**Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current… more
- CenterWell (Lancaster, PA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts ... identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles. + Responsible for review...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- Select Medical (York, PA)
- …On Bonus** _Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per ... by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial… more