• 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… 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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  • Home Health Professional Staff Nurse

    UPMC (Coudersport, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... UPMC Home Health is hiring a Registered Nurse...patients' needs. *RN will coordinate case management activities across a multi-disciplinary health care team to… more
    UPMC (09/13/25)
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  • Registered Nurse Home Health

    UPMC (Somerset, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... GROWING OUR UPMC HOME HEALTH TEAM FOR RN OPENINGS IN SOMERSET AREA! Are you a nurse looking for a rewarding career where you can provide direct, one-on-one… more
    UPMC (10/09/25)
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  • Home Health Registerd Nurse -Tioga…

    UPMC (Wellsboro, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... Home Health is Hiring a Full-Time Registered Nurse (RN) for the Tioga County and Surrounding Areas...patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to… more
    UPMC (10/14/25)
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  • Home Health Professional Staff Nurse

    UPMC (Pittsburgh, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... **UPMC Home Health is hiring a Registered Nurse...patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to… more
    UPMC (10/07/25)
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  • Home Health Registered Nurse

    UPMC (Pittsburgh, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... Home Health is Hiring a Full-Time Registered Nurse (RN) for the Uniontown and Surrounding Areas Are...patients' needs. + RN will coordinate case management activities across a multi-disciplinary health care team to… more
    UPMC (09/25/25)
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  • Home Health Nurse Bethel Park…

    UPMC (Seven Fields, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... UPMC Home Health is hiring a casual RN supporting...Upper St. Claire, and surrounding areas. Are you a nurse looking for a rewarding career where you can… more
    UPMC (07/30/25)
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  • Registered Nurse - Home Health 7-7…

    WellSpan Health (Gettysburg, PA)
    …plan of care, the patient's diagnosis, corporate policy and procedures and the Nurse Practice Act. Carries primary care management functions for assigned ... Eligible **General Summary** Provides professional nursing services to individuals in the home through a process of nursing assessment, planning, care and evaluation… more
    WellSpan Health (10/03/25)
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  • Licensed Practical Nurse - Home

    WellSpan Health (Lebanon, PA)
    …**General Summary** Provides comprehensive family-oriented nursing services to individuals in the home setting by use of the nursing process in accordance with ... the established plan of care, corporate policy and procedures, and the Nurse Practice Act. **Duties and Responsibilities** **Essential Functions:** + Participates in… more
    WellSpan Health (10/14/25)
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  • Professional Staff Nurse - Home

    UPMC (Seven Fields, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... UPMC Home Health is hiring a full-time RN for...Bellevue, Observatory Hill, and surrounding areas. Are you a nurse looking for a rewarding career where you can… more
    UPMC (10/16/25)
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  • Professional Staff Nurse - Home

    UPMC (Seven Fields, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... UPMC Home Health is hiring a full-time RN for the...career ladder for nursing that starts with Professional Staff Nurse and leads to Expert Nurse and beyond.… more
    UPMC (09/17/25)
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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...develops a discharge plan, and coordinates discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients,… more
    WellSpan Health (10/15/25)
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  • Registered Nurse Supervisor

    Commonwealth of Pennsylvania (PA)
    Registered Nurse Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5106369) Apply  Registered Nurse Supervisor Salary $96,225.00 - ... Code 00134180 Bureau / Division Pennsylvania Soldiers' and Sailors' Home Worksite Address 560 East Third Street City Erie,...Military and Veterans Affairs (DMVA) is seeking a Registered Nurse Supervisor to deliver amazing care to our residents… more
    Commonwealth of Pennsylvania (10/18/25)
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  • Weekend Nurse Clinical Care Coord…

    UPMC (Pittsburgh, PA)
    …year of health insurance experience preferred. + 1 year of experience in clinical, utilization management , home care, discharge planning, and/or case ... UPMC Your Care is Hiring a Full-Time Registered Nurse for a Nurse Clinical Care...and social history, current medications, geriatric syndromes, healthcare resource utilization , and case management interventions. Updates the… more
    UPMC (10/11/25)
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  • Registered Nurse - Community Living Center

    Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
    Summary The Community Living Center Registered Nurse delivers fundamental knowledge-based care to assigned clients while developing technical skills. Assesses, ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers… more
    Veterans Affairs, Veterans Health Administration (10/18/25)
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  • Inpatient Registered Nurse or Social Worker…

    St. Luke's University Health Network (Quakertown, PA)
    …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among all ... 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 discharge… more
    St. Luke's University Health Network (10/17/25)
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  • Inpatient Registered Nurse (RN) or Social…

    St. Luke's University Health Network (Lehighton, PA)
    …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. . Facilitates communication among all ... 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 discharge… more
    St. Luke's University Health Network (10/17/25)
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