• UM Care Manager ( RN…

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is hiring a full-time Utilization Management ( UM ) Care Manager to join the UM Clinical Operations team. This position will be work from ... will be given to Pennsylvania-based candidates. The Utilization Management ( UM ) Care Manager is responsible...Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Preference… more
    UPMC (12/31/25)
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  • Care Manager RN - Utilization…

    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 (12/18/25)
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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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