Current jobs related to Utilization Management Nurse - Philadelphia, Pennsylvania - Insight Global

• 

  Healthcare Utilization Management Nurse

  4 weeks ago

  ---

  Philadelphia, Pennsylvania, United States IntePros Full time

  Job Title: Utilization Review NursePosition Type: Part-Time (Every other weekend - Saturday and Sunday, totaling 30 hours per month)Training Requirement: Candidates must be available M-F during typical business hours for a 4-week training period.Job Overview: The Utilization Review Nurse plays a crucial role in assessing patients' clinical situations by...

• 

  Registered Nurse for Utilization Management

  3 weeks ago

  ---

  Philadelphia, Pennsylvania, United States Thomas Jefferson Univ Full time

  Reference #: Position Overview: The Utilization Management Registered Nurse (RN) is responsible for executing utilization management tasks, utilizing medical necessity guidelines to assess the suitable patient status. This role involves managing denial and appeal processes for inpatient hospital services. Cases will be escalated to the Physician Advisor in...

• 

  RN for Utilization Management

  4 weeks ago

  ---

  Philadelphia, Pennsylvania, United States Thomas Jefferson Univ Full time

  Reference #: Job Overview: The Utilization Management Registered Nurse is responsible for executing utilization management duties, utilizing medical necessity guidelines to assess the appropriate patient classification. This role includes managing denial and appeal processes for inpatient hospital services. Cases are referred to the Physician Advisor in...

• 

  RN for Utilization Management

  3 weeks ago

  ---

  Philadelphia, Pennsylvania, United States Thomas Jefferson Univ Full time

  Reference #: Job Overview: The Utilization Management Registered Nurse is responsible for executing utilization management tasks, utilizing medical necessity standards to assess suitable patient status. This role includes managing denial and appeal processes for inpatient hospital services and coordinating with the Physician Advisor according to departmental...

• 

  Clinical Utilization Coordinator

  3 weeks ago

  ---

  Philadelphia, Pennsylvania, United States Health Partners Plans Full time

  Join Health Partners Plans as a Clinical Utilization CoordinatorAbout Us:Health Partners Plans is a recognized not-for-profit health maintenance organization dedicated to providing Medicaid, Medicare, and Children's Health Insurance Program (CHIP) plans. We focus on enhancing the health and wellness of our members while fostering a diverse and inclusive...

• 

  Utility Engineer

  5 days ago

  ---

  Philadelphia, Pennsylvania, United States University of Pennsylvania Full time

  Job SummaryWe are seeking a highly skilled Utility Engineer to join our team at the University of Pennsylvania. As a key member of our Facilities and Real Estate Services department, you will be responsible for managing and analyzing utility data, ensuring accurate billing and budgeting, and implementing energy conservation efforts.Key ResponsibilitiesManage...

• 

  Travel Nurse RN Case Manager

  2 days ago

  ---

  Philadelphia, Pennsylvania, United States TotalMed Case Management Staffing Full time

  Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join their team in Philadelphia, Pennsylvania.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelShift: 8 hours, daysHours per Week: 40Duration: 13 weeksWe are looking for a dedicated and...

• 

  Clinical Utilization Review Specialist

  4 weeks ago

  ---

  Philadelphia, Pennsylvania, United States IntePros Full time

  Job Title: Utilization Review NursePosition Type: Part-Time (Every other weekend - Saturday and Sunday, totaling 30 hours per month)Training Requirement: Candidates must be available M-F during typical business hours for a 4-week training period.Job Overview: The Utilization Review Nurse plays a crucial role in assessing the clinical status of members by...

• 

  Clinical Resource Coordinator

  4 days ago

  ---

  Philadelphia, Pennsylvania, United States Pennsylvania Medicine Full time

  Job SummaryPenn Medicine is committed to delivering exceptional patient care, advancing medical research, and educating future healthcare professionals. As a Clinical Resource Coordinator, you will play a vital role in our mission by coordinating care, managing resources, and ensuring timely transitions for our patients.Key ResponsibilitiesMonitor and manage...

• 

  Clinical Care Manager

  2 weeks ago

  ---

  Philadelphia, Pennsylvania, United States Community Behavioral Health. Full time

  Job SummaryCommunity Behavioral Health is seeking a highly skilled Clinical Care Manager to join our team. As a Clinical Care Manager, you will play a critical role in ensuring that our members receive timely access to quality, medically necessary behavioral health services.Key ResponsibilitiesUtilization Management: Conduct utilization review activities,...

• 

  Lead Project Engineer

  4 weeks ago

  ---

  Philadelphia, Pennsylvania, United States Insight Global Full time

  Insight Global is in search of a Senior Project Engineer with a focus on Utility Coordination for our esteemed Transportation client.In this capacity, you will take charge of overseeing utility coordination for significant improvement projects.Key Responsibilities:Work closely with the Project Manager to establish project scope, objectives, and...

• 

  Nurse Care Manager

  6 hours ago

  ---

  Philadelphia, Pennsylvania, United States Public Health Management Corporation Full time

  Job Overview:Public Health Management Corporation is seeking a skilled Registered Nurse to provide nursing care services and care management for women with children at Interim House West.Responsibilities:* Provide professional nursing services, including case management, health education, counseling, and supportive care to participants and their children.*...

• 

  Nurse Care Manager

  1 week ago

  ---

  Philadelphia, Pennsylvania, United States Public Health Management Corporation Full time

  Job OverviewPublic Health Management Corporation (PHMC) is seeking a skilled Nurse Care Manager to provide high-quality nursing care services and care management for women with children at Interim House West.ResponsibilitiesProvide professional nursing services, including case management, health education, counseling, and supportive care to participants and...

• 

  Nurse Care Manager

  7 days ago

  ---

  Philadelphia, Pennsylvania, United States Public Health Management Corporation Full time

  Job OverviewPublic Health Management Corporation is seeking a skilled Registered Nurse to provide nursing care services and care management for women with children at Interim House West.ResponsibilitiesProvide professional nursing services, including case management, health education, counseling, and supportive care to participants and their...

• 

  Clinical Care Manager

  7 days ago

  ---

  Philadelphia, Pennsylvania, United States Community Behavioral Health Full time

  Job SummaryThe Clinical Care Manager is a critical role within our organization, responsible for ensuring that our members receive timely access to quality, medically necessary behavioral health services. As a Clinical Care Manager, you will be the primary point of contact for members, providers, and other stakeholders, working collaboratively to develop and...

• 

  Water Utility Director

  2 weeks ago

  ---

  Philadelphia, Pennsylvania, United States City of Philadelphia Full time

  Job SummaryWe are seeking a highly skilled and experienced Water Utility Director to join our team at the City of Philadelphia. As a key member of our organization, you will be responsible for directing the operations of our water treatment plant systems and ensuring that treatment processes comply with legal and environmental standards.Key...

• 

  Utility Industry Consultant

  2 weeks ago

  ---

  Philadelphia, Pennsylvania, United States Guidehouse Full time

  About the RoleGuidehouse is seeking a highly skilled and experienced Senior Research Analyst to join our Energy, Sustainability & Infrastructure practice. As a key member of our team, you will play a lead role in growing our utility and DER industry profile, while acting as a primary research point of contact for US utility key account teams.Key...

• 

  Travel Nurse Case Manager

  6 days ago

  ---

  Philadelphia, Pennsylvania, United States TotalMed Case Management Staffing Full time

  Job Title: Travel Nurse Case ManagerTotalMed Case Management Staffing is seeking a skilled travel nurse to fill a case management position in a dynamic healthcare setting.Job Description & RequirementsSpecialty: Case ManagementDiscipline: Registered NurseEmployment Type: TravelShift: 8 hours, daysHours per Week: 40Duration: 13 weeksWe are looking for a...

• 

  Water Utility Director

  2 weeks ago

  ---

  Philadelphia, Pennsylvania, United States City of Philadelphia Full time

  Job SummaryWe are seeking a highly experienced and skilled Water Utility Director to join our team at the City of Philadelphia. As a key member of our organization, you will be responsible for directing the operations of our water treatment plant systems and ensuring that treatment processes comply with legal and environmental standards.Key...

• 

  Nurse Practitioner

  22 hours ago

  ---

  Philadelphia, Pennsylvania, United States Public Health Management Corporation Full time

  Job SummaryWe are seeking a highly skilled and compassionate Registered Nurse to join our team at Serenity Court, a homeless medical respite program. As a key member of our healthcare team, you will provide primary and urgent care services to adults, utilizing your expertise to ensure the best possible outcomes for our patients.Key ResponsibilitiesProvide...