• Registered Nurse (RN) Clinical Care…

    UPMC (Pittsburgh, PA)
    **UPMC Your Care is Hiring a Full-Time Registered Nurse for a Nurse Clinical Care Coordinator Position.** **This position travels to patients' homes in ... Allegheny County.** The Nurse Clinical Care Coordinator is responsible for...assessments that include a clinical assessment and treatment, a review of the medical, functional, behavioral, pharmaceutical, and social… more
    UPMC (08/02/25)
    - Related Jobs
  • Trauma Nurse /Injury Prevention…

    UPMC (Pittsburgh, PA)
    UPMC Presbyterian is looking to hire a Trauma Nurse /Injury Prevention Coordinator to support their Trauma Services department. This position supports the UPMC ... week + 1 weekend per month required Purpose: UPMC is looking for a professional nurse possessing a high degree of competence and expertise in trauma nursing care and… more
    UPMC (09/20/25)
    - Related Jobs
  • SNF Utilization Management RN - Compact Rqd

    Humana (Harrisburg, PA)
    … or discharge planner in an acute care setting + Previous experience in utilization management/ utilization review for a health plan or acute care ... our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
    Humana (09/12/25)
    - Related Jobs
  • RN Care Coordinator - Strategic Insurance…

    Guthrie (Towanda, PA)
    …and autonomy in nursing practice. Preferred experience with PCMH process, care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... Up To $25,000 Sign On Bonus For Qualified RNs! Position Summary: Care Coordinator in Primary Care will serve as a practice support in the Patient Centered Medical… more
    Guthrie (08/12/25)
    - Related Jobs
  • PRN Clin Resource Coordinator WEEKDAYS

    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
    Penn Medicine (08/07/25)
    - Related Jobs
  • Clinical Resource Coordinator 20 hours per…

    Penn Medicine (Philadelphia, PA)
    …be a seasoned med/surg nurse with a minimum of 5 years' experience in Utilization review and 3 years of experience in the Transfer Center. Summary: + ... quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources,… more
    Penn Medicine (08/07/25)
    - Related Jobs
  • RN Palliative Care Coordinator - AGH - Full…

    Highmark Health (Pittsburgh, PA)
    …that supports excellence of care and achievement of optimal resource utilization . **ESSENTIAL RESPONSIBILITIES** + Assumes role in assessment of patient physical, ... interventions and outcomes.Interviews and collects patient specified data and chart review related to readmission. + Knowledgeable of and complies with accreditation… more
    Highmark Health (08/23/25)
    - Related Jobs
  • Correctional Registered Nurse - Short-Term

    Health Advocates Network (Camp Hill, PA)
    …to 6-months. Role Description Resource performs as a charge nurse , staff nurse or an assessment coordinator providing nursing care and treatment services in ... shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional… more
    Health Advocates Network (09/23/25)
    - Related Jobs
  • Clinical Manager, RN

    Erickson Living (Warminster, PA)
    …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee ... indicators/benchmarking such as Falls, Pressure Ulcers, Medication Errors, Restraint Utilization , Re-hospitalization, Anti-psychotic utilization , ADL splits/documentation, etc.… more
    Erickson Living (09/10/25)
    - Related Jobs
  • Case Manager, Behavioral Health (Per Diem)

    St. Luke's University Health Network (Allentown, PA)
    utilization management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to communicate ... the age of the patient treated. + Performs admission review on all inpatients. Attends daily patient rounds and...Work or Counseling or related field. EDUCATION: Registered Professional Nurse with a current license to practice in the… more
    St. Luke's University Health Network (09/01/25)
    - Related Jobs