- Elevance Health (Seven Fields, PA)
- …send you a check, or ask you for payment as part of consideration for employment. ** Utilization Management Rep II** + Job Family: CUS > Care Support + Type: Full ... + Ohio + Missouri + Kentucky + Florida **Description** ** Utilization Management Rep II** **Location: This is...given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +… more
- UPMC (Seven Fields, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to...Nurse performance evaluation. An annual performance rating of 2 .0 or above to maintain the position. A current… more
- UPMC (Seven Fields, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... 8:00 am. No weekends, on-call 4 holidays a year ( 2 winter, 2 summer). **Why choose UPMC...and Clearances:** + Current licensure as a Registered Professional Nurse either in the state where the facility is… more
- UPMC (Pittsburgh, PA)
- Are you a Registered Nurse Leader with Operating Room experience and a proven track record of strategic leadership, a strong commitment to employee development and ... department orientation, and fostering a culture of continuous performance management . This includes completing and delivering employee evaluations, managing daily… more
- UPMC (Pittsburgh, PA)
- …the clinical and financial plan for patients. Care Managers perform overall utilization management , resource management , discharge planning and post-acute ... Care Managers also work with multi-disciplinary team in resource management , discharge planning and care facilitation. **Responsibilities:** + Reviews medical… more
- UPMC (Mckeesport, PA)
- …and placing a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews discipline recommendations and ... Diploma or associate degree in nursing and active Registered Nurse license. At least one year of experience in...year of experience in discharge planning/care coordination required OR 2 ) Bachelor's degree in social work or another health… more