Average salary: $76,493 /yearly

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 ...Utilization Management Nurse Why Choose Jefferson Health Plans? We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children's Health Insurance Program (CHIP) plans that include special benefits to improve the... 
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Health Partners Plans

Philadelphia, PA
1 day ago
 ...Department: Utilization Review Work Hours: Primarily Monday through Friday, extended hours as needed to support organizational operations...  ...and leading the Heritage Valley Health System's Utilization Management, Case Management and Clinical Documentation programs in... 
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Monday to Friday

Heritage Valley Sewickley

Beaver, PA
1 day ago
 ...individuals requiring specialized co-occurring psychiatric and chemical dependency treatment. We are currently seeking a Utilization Management (UM) Coordinator to join our team. Utilization Management (UM) Coordinator Position Fairmount Behavioral Health System... 
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Relief
Local area

UHS

Philadelphia, PA
4 days ago
 ...we've just started. So join us on this mission! Job Description A bit about this role: This position interacts with utilization management, clinical management, pharmacy, network management, data analytics, legal, finance as well as other health plan departments... 
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Devoted Health

Pennsylvania
9 hours ago
 ...Regular Exemption Status: Yes Job Summary: Establishes and leads execution of a strategic plan for the provision of Utilization Management services across the organization, fostering a spirit of innovation in care delivery, maximizing the use of technology where... 
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Geisinger Health

Scranton, PA
9 hours ago
 ...inclusive workplace, and we are looking for talented individuals to join our team. Job Description Summary The Utilities & Facilities/GMP Maintenance Manager is responsible for the corrective and preventative maintenance program at the Horsham facilities including:... 
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Endo International

Horsham, PA
22 hours ago

$60k - $80k

 ...Job Title: RN - Utilization Case Manager Registered Nurse - Geisinger Health Plan Location: Danville, Pennsylvania Job Category: RN - Registered Nurse, Nursing and Nursing Support, Geisinger Health Plan Schedule: Days Work Type: Full time Department... 
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Geisinger

Danville, PA
4 days ago
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 ...Job Description Job Description Contract to Hire position! Job Category Insurance Professional & Clinical Job Title Utilization Management RN Job Description The candidate MUST have Managed Care, audit and oversight experience on utilization management,... 
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Open Systems Technologies

Philadelphia, PA
2 days ago
 ...Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate...  ...required by the payer. Work with physician advisor to better manage denials and downgrades. CONNECTING TO MISSION: All individuals... 
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Holy Redeemer Hospital and Medical Center

Meadowbrook, PA
2 days ago

$80k - $85k

 ...Imagine360 is currently seeking a Utilization Management, RN to join our team ! The RN Utilization Management Nurse is responsible for providing utilization review/notifications and education for individuals under the group health plans administered by imagine360 by utilizing... 
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Imagine360

Pennsylvania
1 day ago
 ...I. Job Purpose and Core Tasks The Customer Success Utilization Manager plays a critical role in managing overall success, effectiveness, and adoption of the technologies installed (hardware and software of Operation Room/Video installation projects) within their respective... 
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Karl Storz GmbH & Co. KG

Pennsylvania
2 days ago
 ...America (VNA) offers a full spectrum of water, waste and energy management services, including water, and wastewater treatment,...  ...Operations personnel, managing and coordinating program activities utilizing a cross functional team approach. The candidate works to ensure... 
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Veolia

Harrisburg, PA
4 days ago
$5,000 SIGN ON BONUS Utilization management (UM ) isthe evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions ofthe applicable health benefits plan. Prior authorization... 
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Meadville Medical Center

Meadville, PA
2 days ago
 ...personal, convenient and affordable. Position Summary * Utilizes clinical experience and skills in a collaborative process to assess...  ...coordination and administration of the utilization/benefit management function. * Typical office working environment with... 
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CVS Health

Home, PA
5 hours agonew
 ...regardless of a patient's ability to pay for health care. The Utilization Review Nurse will be responsible for substantiating medical...  ...Utilize established processes with the Physician Advisors to manage second level and peer to peer reviews. Ensure patient status... 
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St. Luke's University Health Network

Bethlehem, PA
3 days ago
 ...regardless of a patient's ability to pay for health care. The Utilization Review Assistant is responsible for taking the data provided...  ...Nurses to ensure understanding of all individual patient cases. Manages telephones, emails, faxes and handles inquiries appropriately.... 

St. Luke's University Health Network

Bethlehem, PA
3 days ago
 ...regardless of a patient's ability to pay for health care. The Utility Worker will wash all pots, pans, and utensils; assist in the...  ...line , coffee and soup station All other duties assigned by manager PHYSICAL AND SENSORY REQUIREMENTS: Walking for up to 4-7... 
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St. Luke's University Health Network

Coaldale, PA
9 hours ago
**Utility Worker** **Job Reference Number:** 18752 **Employment Type:** Part-Time **,** Onsite **Segment:** Education **Brand:...  ...with our corporate office or one of our brand segments. **Disclaimer:** This job description can be revised by management as needed.... 
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Part time

Elior North America

Hamburg, PA
16 hours ago
Utility Foresters needed! Take ownership of your future. Grow your career in a dynamic industry! Our client has a unique culture that...  ...do: Successfully contribute to all aspects of vegetation management planning and analysis. Utilize innovative technology and practices... 
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Local area
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Quality Support Services

Philadelphia, PA
3 days ago
 ...Job Description Job Description Role & Responsibilities As the Utilities and Energy Management Analyst your responsibilities will include: Analyze utilities reimbursements, expenses, and consumption to identify trends and areas of improvement. Review and investigate... 
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Berger Rental Communities

Wayne, PA
3 days ago