- UPMC (Pittsburgh, PA)
- …be given to candidates with a Pennsylvania RN license. The Utilization Management ( UM ) Care Manager is responsible for utilization review of health plan ... UPMC Health Plan is hiring a full-time UM Care Manager to...Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act… more
- Highmark Health (Harrisburg, PA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM /CM/QA/Managed Care + Medical/Surgical experience + Utilization Management (… more
- Highmark Health (Harrisburg, PA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + 1 year in advanced...**LICENSES or CERTIFICATIONS** **Required** + Current State of PA RN licensure OR Current multi-state licensure through the enhanced… more