• UM Care Manager ( RN

    UPMC (Pittsburgh, PA)
    …Friday. Preference will be given to candidates located in Pennsylvania. The Utilization Management ( UM ) Care Manager is responsible for utilization review of ... for you! We are hiring a full-time Utilization Management Care Manager to support the Utilization Management...Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act… more
    UPMC (12/12/25)
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  • Care Manager RN (Delaware)

    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 **LICENSES or CERTIFICATIONS** **Required** + Current State… more
    Highmark Health (12/12/25)
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  • Care Manager Behavioral Health

    Highmark Health (Harrisburg, PA)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of… more
    Highmark Health (12/03/25)
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  • Supervisor Home Modification Specialist

    AmeriHealth Caritas (Philadelphia, PA)
    …; **Education/ Experience:;** + Bachelor's degree or equivalent relevant experience + Unrestricted Registered Nurse ( RN ) or Physical Therapist (PT) + Valid ... Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care ,… more
    AmeriHealth Caritas (11/13/25)
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  • Transplant Care Nurse (Remote)

    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
    Highmark Health (12/04/25)
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