- Battelle Memorial Institute (Harrisburg, PA)
- …planning to optimize care delivery and outcomes. Additionally, the Nurse Case Manager facilitates referrals, collaborates with healthcare providers, and ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team...+ Current, full, active, and unrestricted license as a Registered Nurse in any US State, the… more
- Highmark Health (Harrisburg, PA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care + Medical/Surgical experience + Utilization Management (UM) or (UR)… more
- Geisinger (Lewistown, PA)
- …of 2 years-Related work experience (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... AM to 4:30 PM. Flexibility is needed to provide care at the right time. You'll occasionally cover weekends...life and pet and legal insurance Position Details The RN Hospital Case Manager assesses, plans, implements,… more
- CVS Health (Harrisburg, PA)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- WellSpan Health (Chambersburg, PA)
- … Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... . + Facilitates and coordinates the progression of patient care to optimize throughput and the utilization ... of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient,… more
- WellSpan Health (Lewisburg, PA)
- … Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... . + Facilitates and coordinates the progression of patient care to optimize throughput and the utilization ... of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient,… more
- Wellpath (Lemoyne, PA)
- …care support. **How you make a difference** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director, Regional Medical ... from an accredited School of Nursing or Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management and… more
- WellSpan Health (Lewisburg, PA)
- …practice experience. Required + Lean Daily Management experience. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... Monday - Friday Day Shift **General Summary** Supports efforts to implement care delivery systems that are safe, timely, effective, equitable, efficient and patient… more
- UPMC (Harrisburg, PA)
- …OR Licensed Social Worker (LSW) OR Other Healthcare Professional Licenses for Discharge Planning OR Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with ... UPMC is hiring a Discharge Plan Manager for our Case Management department in Harrisburg!...1) Diploma or associate degree in nursing and active Registered Nurse license. At least one year… more
- Select Medical (Harrisburg, PA)
- …+ Current Licensure in a clinical discipline per state guidelines required. ( Registered Nurse or Social Work (SW) preferred) **Preferred Qualifications** + ... Rehabiliation Hospital** **A UPMC partnership with Select Medical** **Position:** Case Manager , Discharge Planner( RN , LPN, MSW, Allied Health Professional)… more
- CVS Health (Harrisburg, PA)
- …in state of residence - 3+ years of acute experience as a Registered Nurse - 1+ years of Utilization Management experience - Must have experience using MS ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- WellSpan Health (Chambersburg, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... between visits. + Assists in the management of patient utilization of health care system and provides...HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment… more
- Humana (Harrisburg, PA)
- …contract. We are not able to hire candidates that are currently living in Puerto Rico. + Registered Nurse with current in-state RN license + At least 3 years ... Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves...Management. Coordinate cases with and refer to tier III Care Manager and Disease Management Programs as… more
- WellSpan Health (Selinsgrove, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... between visits. + Assists in the management of patient utilization of health care system and provides...HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment… more
- WellSpan Health (Chambersburg, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... between visits. + Assists in the management of patient utilization of health care system and provides...HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment… more
- WellSpan Health (Northumberland, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... between visits. + Assists in the management of patient utilization of health care system and provides...HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment… more
