- WellSpan Health (York, PA)
- Utilization Management Nurse ( RN ) -...administration or management . Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or + ... quality health care. Provides leadership in the integration of utilization management principles throughout the System. Responsible... Registered Nurse Multi State License Upon Hire Required Apply Now… more
- CVS Health (Harrisburg, PA)
- …and deliver solutions to make health care more personal, convenient and affordable. ** Utilization Management is a 24/7 operation and work schedule may include ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...**Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current… more
- CVS Health (Harrisburg, PA)
- …convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate must live in ... 1 per month.** No travel is required. As a Utilization Management Nurse Consultant, you...the coordination and administration of the utilization /benefit management function. **Required Qualifications:** + RN with… more
- Highmark Health (Harrisburg, PA)
- …Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Guardian Life (Harrisburg, PA)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
- Lancaster General Health (Lancaster, PA)
- …hire. + Must meet one of the following criteria: a .Pennsylvania Paramedic certification, b. Registered Nurse /Prehospital Registered Nurse . + Two (2) to ... and forums to identify prevention, education and outreach needs through the utilization of trauma registry data, research, surveys therefore raising the visibility… more
- WellSpan Health (York, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... Licensed Practical Nurse - Internal Medicine Apple Hill York Location:...of patient care between visits. + Assists in the management of patient utilization of health care… more
- Humana (Harrisburg, PA)
- …your skills to make an impact** **Required Qualifications** + Associate degree + Active Registered Nurse , ( RN ), License in your state of residence without ... project management and/or process improvement experience + Minimum 3 years utilization management experience with exposure to grievance and appeals +… more