• Appeals and Utilization Management…

    Trinity Health (Darby, PA)
    …with RN Manager to provide support to the Emergency Department Case Manager , Utilization RNs, and Utilization Management support staff. ... in collaboration with the RN Care Coordination Manager , provides support to the utilization management,...training and audits as required + Assists with appropriate case referral to the Utilization Management Committee… more
    Trinity Health (06/20/24)
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  • RN - Registered Nurse

    Geisinger (Danville, PA)
    …of optimal health, access to services, and appropriate utilization of resources. The RN Case Manager role allows nurses to use their critical thinking ... social workers, physicians, payers, support staff, other practitioners, and the community. RN Case Managers facilitate communication and care coordination along… more
    Geisinger (04/07/24)
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  • Manager HCS Utilization and Product…

    Highmark Health (Pittsburgh, PA)
    …clinical area/function/organization **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Registered Nurse ( RN ) **SKILLS** + Outstanding ... years with utilization review/management + 1 year as a supervisor or manager of Utilization / Case Management with a Managed Care Organization + 1 year in… more
    Highmark Health (06/08/24)
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  • RN , Registered Nurse

    Crossroads Hospice & Palliative Care (Plymouth Meeting, PA)
    …needs and honor their wishes. One of the most important aspects of being a Registered Nurse Case Manager is building trusting relationships with ... Registered Nurse Case Managers... Registered Nurse Case Managers deliver direct care...principles to ensure continuity of care and appropriate resource utilization Registered Nurse Benefits &… more
    Crossroads Hospice & Palliative Care (04/27/24)
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  • RN - Registered Nurse

    Geisinger (State College, PA)
    …essential to the performance of the job related to that position. Position Details As a RN Case Manager you will directly impact your patient's life by ... of 3 years-Related work experience (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
    Geisinger (06/21/24)
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  • Case Manager Registered

    Geisinger (Wilkes-Barre, PA)
    Job Summary The Special Needs Unit RN Case Manager at Geisinger Health Plan assesses, plans, implements, coordinates, monitors and evaluates all options and ... Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
    Geisinger (05/22/24)
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  • Inpatient Case Manager - BSW/MSW…

    Lancaster General Health (Lancaster, PA)
    …requirements being one of the following: ** RN :** - Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing. - Bachelor's degree ... candidates only. **_Penn Medicine Lancaster General Health is recruiting for a full-time Inpatient Case Manager to join a team of dedicated Case Managers… more
    Lancaster General Health (06/22/24)
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  • Registered Nurse or MSW Care…

    St. Luke's University Health Network (Allentown, PA)
    …patient populations across the continuum of care. Also works with the providers, registered nurse care managers, and multi-disciplinary care teams to facilitate ... of Perinatal Social Workers is required. OR: Graduate of professional nursing program. Registered Nurse with current license to practice in the State of… more
    St. Luke's University Health Network (06/10/24)
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  • Inpatient Registered Nurse or Social…

    St. Luke's University Health Network (Bethlehem, PA)
    …regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... populations across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams… more
    St. Luke's University Health Network (06/07/24)
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  • Inpatient Registered Nurse or Social…

    St. Luke's University Health Network (Easton, PA)
    …regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... populations across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams… more
    St. Luke's University Health Network (05/20/24)
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  • Care Manager - Registered

    St. Luke's University Health Network (Bethlehem, PA)
    …low frequencies and to touch as related to telephone and computer keyboard. EDUCATION: Registered Nurse with current license to practice in the State of ... a patient's ability to pay for health care. The RN Care Manager , Per Diem coordinates the...Per Diem coordinates the overall progression of care, resource utilization , and discharge planning for designated patient populations across… more
    St. Luke's University Health Network (04/12/24)
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  • RN Case Manager

    ChenMed (Philadelphia, PA)
    …providers. We're rapidly expanding and we need great people to join our team. The RN Case Manager is responsible for achieving positive patient outcomes and ... post-acute facilities, as well as, their home environments. The RN Case Manager role also...a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in… more
    ChenMed (06/04/24)
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  • PRN Discharge Planning RN Case

    Penn Medicine (Philadelphia, PA)
    …living your life's work? Penn Presbyterian Medical Center is looking for a Discharge Planning RN Case Manager Penn Medicine. At Penn Presbyterian, we provide ... for themselves when they leave. As a Discharge Planning RN - Case Manager , you...Must have good computer skills. Licensure/Certification A Pennsylvania licensed Registered Nurse and BSN required Case more
    Penn Medicine (04/11/24)
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  • Care Manager ( RN ) - Case

    UPMC (Harrisburg, PA)
    …required with 4-6 weeks of hire. UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with ... criteria preferred. **Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state where the facility… more
    UPMC (05/15/24)
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  • Case Manager - RN , Forbes

    Highmark Health (Monroeville, PA)
    …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... + Case Management - American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for Case Manager Certification… more
    Highmark Health (06/14/24)
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  • RN Case Manager Emergency…

    Highmark Health (Pittsburgh, PA)
    …Description :** Date Posted: 20240228 Location: Allegheny General Hospital Department: Case Management, Emergency Department/CDU Status: Full Time Shift: 80 hours ... day/evening with overnight as needed, rotating weekends and holidays Union: Yes ** CASE MANAGEMENT:** The Case Management Department at Allegheny General Hospital… more
    Highmark Health (06/06/24)
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  • RN Case Manager Wilkinsburg…

    Amergis (Monroeville, PA)
    The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... assessments and ongoingreassessments of the patient's status + Documents patient case information within a database system + Performs chart review/audits monthly… more
    Amergis (06/06/24)
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  • Manager , Case Management…

    Prime Healthcare (Bristol, PA)
    …Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The working Manager of Case Management ... Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and … more
    Prime Healthcare (04/27/24)
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  • Clinical Care Manager ( RN )…

    UPMC (Pittsburgh, PA)
    …Insurance + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) + Act 33 with renewal + Act 34 ... Are you an experienced nurse with an extensive background in case...interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan… more
    UPMC (06/14/24)
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  • Clinical Care Manager ( RN )…

    UPMC (Latrobe, PA)
    …Insurance + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) + Act 33 with renewal + Act 34 ... by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of care… more
    UPMC (06/21/24)
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