Utilization Management RN

Job DescriptionJob DescriptionContract to Hire position!Job Category Insurance Professional & ClinicalJob Title Utilization Management RNJob DescriptionThe candidate MUST have Managed Care, audit and oversight experience on utilization management, and case management and must have unrestricted RN license to practice either in NJ or PA.. The candidate MUST...

Job DescriptionJob DescriptionContract to Hire position!Job Category Insurance Professional & ClinicalJob Title Utilization Management RNJob DescriptionThe candidate MUST have Managed Care, audit and oversight experience on utilization management, and case management and must have unrestricted RN license to practice either in NJ or PA.. The candidate MUST...

Location: Philadelphia PA 19103Duration: 6 month contract to hireSchedule: Fully Onsite Mon-Fri, 8AM-5PM or 9AM-6PMHourly Pay: $40-45/hrInterview Process: 2 rounds Must HavesActive NJ or PA RN license 2+ years of experience working in Utilization Review or Utilization Management with commercial payers or Medicare/Medicaid Experience/knowledge of NCQA, CMS...

Location: Philadelphia PA 19103Duration: 6 month contract to hireSchedule: Fully Onsite Mon-Fri, 8AM-5PM or 9AM-6PMHourly Pay: $40-45/hrInterview Process: 2 rounds Must HavesActive NJ or PA RN license 2+ years of experience working in Utilization Review or Utilization Management with commercial payers or Medicare/Medicaid Experience/knowledge of NCQA, CMS...

Location: Philadelphia PA 19103Duration: 6 month contract to hireSchedule: Fully Onsite Mon-Fri, 8AM-5PM or 9AM-6PMHourly Pay: $40-45/hrInterview Process: 2 rounds Must HavesActive NJ or PA RN license 2+ years of experience working in Utilization Review or Utilization Management with commercial payers or Medicare/Medicaid Experience/knowledge of NCQA, CMS...

Utilization Management NurseWhy 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 health and wellness of our members. We are committed to creating a community where everyone...

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 health and wellness of our members. We are committed to creating a community where everyone...

Under the direction of the Energy Engineering Manager the Utility Engineer is responsible for supporting the management and use of data and information systems such as the Supervisory Control and Data Acquisition (SCADA) and Web. CTRL energy reportin Utility, Engineer, Engineering Manager, Monitoring, Communications, Operations, Technology, Healthcare

Job DescriptionMedical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Philadelphia, Pennsylvania.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, daysEmployment Type: Travel We’re seeking talented healthcare professionals whose...

Utilization Management NurseWhy 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 health and wellness of our members. We are committed to creating a community where everyone...

This is managerial level work directing a major segment of the public affairs program for the City’s water utility. Employees in this class directs the planning, development and implementation of programs in the area of specialization designed to inform and serve water and wastewater customers and the general public and to increase the Water Department’s...

Care Management Coordinator RN (remote) - 240335 DESCRIPTION/RESPONSIBILITIES: Job Summary The Care Management Coordinator primary responsibility is to evaluate a member's clinical condition through the review of medical records (including medical history and treatment records) to determine the medical necessity for patient's services based on advanced...

Job DescriptionJob DescriptionThis is a remote position.As an RN Care Manager, you will engage with members either face-to-face in community settings or telephonically to conduct comprehensive assessments and collaboratively develop care plans. Your role involves utilizing motivational interviewing, active listening, and problem-solving skills to support...

Job DescriptionJob DescriptionPosition: Dishwasher/UtilitiesReports to: Executive StewardDuties:Wash dishes, glassware, flatware, pots and pans using dishwasher or by hand.Maintain dish room storage areas. Restack glassware, plates, or silverware as needed.Perform routine cleaning of dish machine at scheduled times and/or as needed.Maintain kitchen work...

We're unique. You should be, too.We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?We're different than most primary care providers. We're rapidly expanding and we need great people to join...

Registered Nurse Case ManagerVNA/PHMC is proud to be a leader in public health. PHMC requires that all employees are fully vaccinated with the Covid-19 vaccine before the first day of employment. The Visiting Nurse Association of Greater Philadelphia is a leading provider of home health, hospice, and palliative care services in Philadelphia and designated...

RN Care Manager - Philadelphia, PAWhat We Strive For Strive Health is built for purpose - to transform a broken kidney care system. We are fundamentally changing the lives of people with kidney disease through early identification, engagement and comprehensive coordinated care. Strive's model is driven by a high-touch care team that integrates with local...

Job DescriptionJob DescriptionJOB DESCRIPTION: Construction Project Manager LOCATION: Philadelphia, PABASIC FUNCTION:As Project Manager you will be responsible for the management and oversight of corporate capital projects including design and engineering, construction, Information Technology, project team selection, budget development and budget management,...

Job DescriptionJob DescriptionThe ideal candidate will be constantly assessing the systems in place to ensure that they are both safe and operating efficiently. This candidate will be comfortable managing a team and conducting analysis in order to highlight areas for improvement. This candidate should also be comfortable ensuring necessary utilities are...

Registered Nurse Case Manager-Home HealthPosition Summary: Responsible for providing nursing care in the patients' home educating the patient and families on their disease process, medications, and treatments. Providing ongoing assessment, monitoring and treatment to patients in the privacy of their homes. Essential Functions: * Demonstrates knowledge of...