PA UTILIZATION MANAGEMENT RN jobs in PHILADELPHIA PA, United Kingdom

and continued stay of patients in conformance with the established criteria set forth in the hospital's utilization management.... (Required) License/Certifications RN-LIC - PA Registered Nurse License (Required) CCM - Certified Case Manager (Preferred) _ Shift...

Superbeo

Join GHR Healthcare: Seeking a Dynamic Behavioral Health Care Management Coordinator! (Remote - Must reside in PA, NJ... regulations. * Qualifications Education LCSW, LMFT, LPC, or Active PA Licensed RN (BSN Preferred) Experience...

GHR Healthcare

for an assigned unit-based patient population. The Case Manager promotes quality of care, supports effective resource utilization... for improvement. This position reports to the Manager, Care Manager, with oversight by the Director. Case Management is collaborative...

Superbeo

by timely, accurate data entry. ยง Performs additional duties assigned. Qualifications Education Active PA Licensed RN... care setting. Prior discharge planning and/or utilization management experience is desirable. Medical management...

Independence Blue Cross

or at provider sites. This role supports the Southeastern PA market (SEPA) and will require local travel. This job is directly... and is strategically focused on those data gaps that will result in the greatest ROI for the Organization. Further, in a matrix management...

Highmark Health

RN Case Manager I - Special Needs & Ambulatory Dept Philadelphia PA Full-time Industry: Healthcare / Health... professionals. The Case Manager performs daily utilization review and conveys pertinent telephonic information to third party payers...

Prominent Career Solutions, LLC

RN Case Manager-Philadelphia PA Overview Our client is a 188-bed facility that provides exceptional care... and other healthcare professionals. The Case Manager performs daily utilization review and conveys pertinent telephonic information...

Prominent Career Solutions, LLC