• Utilization Management Nurse

    Humana (Harrisburg, PA)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Utilization Management Nurse

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (10/18/25)
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  • SNF Utilization Management RN…

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Clinical Registered Nurse

    Cognizant (Harrisburg, PA)
    …background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience ... Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (10/07/25)
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  • Consultant, Nurse Disability I

    Lincoln Financial (Harrisburg, PA)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
    Lincoln Financial (10/10/25)
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  • Care Management Nurse - Nights

    WellSpan Health (York, PA)
    …- day shift_** **General Summary** Performs a variety of duties and applies utilization and care management techniques to determine the most efficient use ... address patient care transition needs. Provides leadership in the integration of utilization and care management principles throughout the hospital. **Duties and… more
    WellSpan Health (10/17/25)
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  • Registered Nurse - Case Manager - PRN

    WellSpan Health (Lebanon, PA)
    …**Duties and Responsibilities** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and...or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse more
    WellSpan Health (10/15/25)
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  • Assistant Nurse Manager, Ortho Operating…

    Penn Medicine (Lancaster, PA)
    …10 hour shifts. Summary: + Position Summary: + Under the direction of the Nurse Manager, the Assistant Nurse Manager assesses, plans, implements and evaluates ... to the primary duties listed above: + In collaboration with the Nurse Manager, counsels employees and takes appropriate disciplinary action for infractions of… more
    Penn Medicine (09/19/25)
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  • Case Manager, Registered Nurse - Fully…

    CVS Health (Harrisburg, PA)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse more
    CVS Health (10/18/25)
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  • Registered Nurse (RN), Women and Babies…

    Penn Medicine (Lancaster, PA)
    …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the ... demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to… more
    Penn Medicine (10/11/25)
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  • Registered Nurse (RN), 6 EW Cardiac Tele,…

    Penn Medicine (Lancaster, PA)
    …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is a newly licensed new to practice RN ... safe practice within the organizational professional practice model. The Clinical Nurse 1 New to Practice/Apprentice seeks guidance to integrate concepts, knowledge,… more
    Penn Medicine (09/05/25)
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  • Registered Nurse (RN), Pediatrics,…

    Penn Medicine (Lancaster, PA)
    …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the ... demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to… more
    Penn Medicine (09/04/25)
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  • Care Nurse Coordinator RN - Extended Acute…

    WellSpan Health (Mount Gretna, PA)
    …+ Engages assigned patients using Motivational Interviewing strategies in the active management of their health by encouraging participation in their care and ... planning. Assistance, as needed, with patient understanding of medication management , outpatient follow up treatment, discharge transportation needs, and identifying… more
    WellSpan Health (10/15/25)
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  • R&E Nurse - Med Care Services- Advanced

    Health Advocates Network (Harrisburg, PA)
    …setting, behavioral health setting, drug and alcohol setting, managed care, quality management / utilization review or other related clinical experience; or An ... R&E Nurse - Med Care Services- Advanced **Pay Rate:** $28...(MA), health care services, human services, long term care, utilization review, or knowledge of home care Knowledge of… more
    Health Advocates Network (08/27/25)
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  • Licensed Practical Nurse - Home Health…

    WellSpan Health (Lebanon, PA)
    …the established plan of care, corporate policy and procedures, and the Nurse Practice Act. **Duties and Responsibilities** **Essential Functions:** + Participates in ... the plan of care and assigned by the primary nurse . + Notifies physician and other care agencies of...climate of mutual respect and teamwork among co-workers and management . + Assist in the orientation of new staff.… more
    WellSpan Health (10/14/25)
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  • Registered Nurse - Cardiac ICU - Nights

    WellSpan Health (York, PA)
    management , all components of advanced cardiac life support, pacemaker/ICD management , IABP management , CRRT utilization , and Impella. **General ... clinical standards of the hospital. Acts as a primary nurse for patients on the unit. Coordinates care planning...clinical standards of the hospital. Acts as a primary nurse for patients on the unit. Synthesizes patient data… more
    WellSpan Health (10/17/25)
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  • Licensed Practical Nurse - Outpatient…

    WellSpan Health (Lebanon, PA)
    …in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education ... year Clinical nursing experience. Required **Licenses:** + Licensed Practical Nurse Upon Hire Required or + Licensed Practical ...Nurse Upon Hire Required or + Licensed Practical Nurse Multi State License Upon Hire Required or +… more
    WellSpan Health (09/05/25)
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  • Licensed Practical Nurse Outpatient…

    WellSpan Health (York, PA)
    …in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education ... year Clinical nursing experience. Required **Licenses:** + Licensed Practical Nurse Upon Hire Required or + Licensed Practical ...Nurse Upon Hire Required or + Licensed Practical Nurse Multi State License Upon Hire Required or +… more
    WellSpan Health (10/17/25)
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  • Licensed Practical Nurse - Thomas Hart…

    WellSpan Health (York, PA)
    …in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education ... year Clinical nursing experience. Required **Licenses:** + Licensed Practical Nurse Upon Hire Required or + Licensed Practical ...Nurse Upon Hire Required or + Licensed Practical Nurse Multi State License Upon Hire Required or +… more
    WellSpan Health (10/11/25)
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  • Registered Nurse , RN, Direct Care $7,000…

    Genesis Healthcare (Camp Hill, PA)
    …to achieve patient goals and minimize rehospitalizations; 4.4. Actively participates in Utilization Management or InterdisciplinaryCare Management Meeting to ... Manager, ADON or ADON - Unit, or Director of Nursing ( Nurse Leader), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving… more
    Genesis Healthcare (10/01/25)
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