Utilization Management Nurse Specialist
1 week ago
We are seeking a skilled and detail-oriented Utilization Management Nurse to join our team at Jefferson Health Plans.
Key Responsibilities- Ensure cost-effective and quality utilization management in acute care settings for pediatric and adult populations.
- Review clinical information from facilities and communicate UM determinations in a timely manner.
- Perform concurrent review and admission review on hospital admissions using InterQual criteria guidelines.
- Track assigned cases for timely reviews and updates, and make decisions as reflected in case documentation.
- Collaborate with providers, members, and interdepartmentally to ensure effective utilization management.
- Licensed Registered Nurse with an active license to practice professional nursing in Pennsylvania.
- 2 years of medical/surgical, utilization review, and emergency room experience.
- BSN preferred.
- Thorough understanding of managed care systems and utilization review criteria.
- Recent experience in a hospital, insurance company, or independent review company in utilization, quality review, or case management.
- Competitive compensation packages, including 401(k) savings plan with company match and profit sharing.
- Flextime and work-at-home options.
- Benefits and wellness program, including generous time off.
- Opportunities for professional growth and development.
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Utilization Management Nurse
3 weeks ago
Lancaster, Pennsylvania, United States Jefferson Health Plans Full timeAbout the RoleWe are seeking a highly skilled and experienced Utilization Management Nurse to join our team at Jefferson Health Plans. As a Utilization Management Nurse, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesConduct thorough reviews of medical records to determine the...
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**Utility Maintenance Specialist**
3 weeks ago
Lancaster, Pennsylvania, United States Government Jobs Full timeJob Summary:We are seeking a skilled Utility Maintenance Specialist to join our team at Government Jobs. As a key member of our operations team, you will be responsible for the maintenance and operation of various equipment, including mowers, small dump trucks, tractors, and heavy equipment.Key Responsibilities:Operate and maintain a variety of equipment,...
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Utility Assistance Specialist
3 weeks ago
Lancaster, Pennsylvania, United States Community Action Partnership of Lancaster County inc Full timeJob Description**Job Summary:**We are seeking a highly skilled and detail-oriented Utility Assistance Specialist to join our team at Community Action Partnership of Lancaster County inc. As a key member of our Outreach/Utility Assistance Program, you will be responsible for determining eligibility for utility assistance programs, providing exceptional...
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Travel Nurse RN Case Manager
2 days ago
Lancaster, Pennsylvania, United States TotalMed Case Management Staffing Full timeTravel Nurse RN Case Management Job OpportunityTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join our team for a travel nursing assignment in California.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelShift: 8 hours, daysHours per Week: 40Duration: 13 weeksWe are looking for a dedicated and...
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SAP Utilities Configuration Specialist
1 week ago
Lancaster, Pennsylvania, United States UGI Utilities, Inc Full timeJob SummaryThis position is a hybrid role based in the Denver, PA office, requiring in-office work on Tuesdays, Wednesdays, and Thursdays. As a Functional Analyst, you will be responsible for translating business requirements into SAP IS-U FICA components of the SAP Configuration IMG.Key ResponsibilitiesCollaborate on all phases of the systems development...
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Travel Nurse RN Specialist
1 week ago
Lancaster, Pennsylvania, United States GHR Healthcare Full timeJob Title: Travel Nurse RN SpecialistJob Summary:GHR Healthcare is seeking a skilled Travel Nurse RN Specialist to join our team in a Telemetry role. As a Travel Nurse RN Specialist, you will have the opportunity to work in a dynamic and challenging environment, providing high-quality patient care and contributing to the success of our healthcare...
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Load Management Specialist
4 weeks ago
Lancaster, Pennsylvania, United States High Transit LLC Full timePosition: Load Management SpecialistOverview: High Transit LLC is dedicated to facilitating the transportation of oversized and overweight cargo for various sectors including civil construction, manufacturing, and heavy equipment. We are currently in search of a Load Management Specialist to enhance our operational efficiency.Key Responsibilities:Assist the...
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SAP Utilities Configuration Specialist
1 week ago
Lancaster, Pennsylvania, United States UGI Utilities, Inc Full timeJob SummaryThis position is a hybrid role based in the Denver, PA office, requiring in-office work on Tuesdays, Wednesdays, and Thursdays. As a Functional Analyst, you will be responsible for translating business requirements into SAP IS-U FICA components of the SAP Configuration IMG.Key ResponsibilitiesCollaborate on all phases of the systems development...
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Clinical Nurse Specialist
3 weeks ago
Lancaster, Pennsylvania, United States Lancaster General Health Full timePosition OverviewPenn Medicine LGHP OB/GYN is in search of a dedicated Clinical Nurse Specialist to enhance our OB/GYN services. Our department is committed to delivering exceptional, comprehensive care that spans from preconception through childbirth and gynecological health, addressing all facets of women's wellness. New hires will be welcomed into a...
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Pediatric Nurse Specialist
2 weeks ago
Lancaster, Pennsylvania, United States Maxim Healthcare Services Full timeAbout the RoleWe are seeking a skilled and compassionate Pediatric Nurse Specialist to join our team at Maxim Healthcare Services.Key ResponsibilitiesUtilize the nursing process to assess, plan, implement, and evaluate patient care on each assignment.Provide skilled nursing care/services in accordance with prescribed orders.Assess signs and symptoms...
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Nurse Practitioner
3 weeks ago
Lancaster, Pennsylvania, United States Penn Medicine Lancaster General Health Full timeJob SummaryPenn Medicine Lancaster General Health is seeking a skilled Nurse Practitioner to join our team as a Weight Management Specialist. This is an exciting opportunity to work with a dynamic team of healthcare professionals who are dedicated to providing high-quality patient care.Key ResponsibilitiesProvide comprehensive nursing services to patients...
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Clinical Nurse Specialist
4 weeks ago
Lancaster, Pennsylvania, United States Lancaster General Health Full timePosition Overview:As a vital member of the healthcare team, the Clinical Nurse Specialist plays a crucial role in delivering high-quality patient care. This position is integral to the operational success of our healthcare facility, ensuring adherence to the highest standards of nursing practice.Location:Women and Babies HospitalWork Schedule:32 hours per...
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SAP Utilities Configuration Specialist
1 week ago
Lancaster, Pennsylvania, United States UGI Utilities, Inc Full timeJob SummaryThis position is a hybrid role based in the Denver, PA office, requiring on-site work on Tuesdays, Wednesdays, and Thursdays. As a Functional Analyst, you will be responsible for translating business requirements into SAP IS-U FICA components of the SAP Configuration IMG.Key ResponsibilitiesCollaborate with business unit analysts, EBT resources,...
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SAP Utilities Configuration Specialist
1 week ago
Lancaster, Pennsylvania, United States UGI Utilities, Inc Full timeJob SummaryThis role is a hybrid position based in the Denver, PA office, requiring on-site work on Tuesdays, Wednesdays, and Thursdays. As a Functional Analyst, you will be responsible for translating business requirements into SAP IS-U FICA components of the SAP Configuration IMG.Key ResponsibilitiesCollaborate with business unit analysts, EBT resources,...
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Pediatric Nurse Specialist
7 days ago
Lancaster, Pennsylvania, United States Elderwood Full timePediatric Specialty CareWe are committed to delivering exceptional care to medically fragile and technology-dependent children. Our team of pediatric care specialists works collaboratively to provide a nurturing and supportive environment that enables children with special needs to reach their full potential.Job SummaryThe Registered Nurse (RN) will play a...
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Nurse Practitioner
1 week ago
Lancaster, Pennsylvania, United States Lancaster General Health Full timeJob SummaryWe are seeking a skilled Nurse Practitioner to join our team at Lancaster General Health. As a Weight Management Specialist, you will play a critical role in providing high-quality patient care and promoting healthy lifestyles.Key ResponsibilitiesProvide comprehensive patient assessments and develop personalized care plans to address weight...
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Plumbing Specialist
2 weeks ago
Lancaster, Pennsylvania, United States Nandail Property Management Full timeJob OverviewNandail Property Management is a leading provider of property management and facility maintenance solutions for residential and commercial properties. We are seeking a skilled Plumbing Specialist to join our team.Key ResponsibilitiesTroubleshoot, install, repair, and maintain plumbing systems in multi-family residential environments.Perform...
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Nurse Care Specialist
2 days ago
Lancaster, Pennsylvania, United States Maxim Healthcare Service Full timeAbout the RoleWe are seeking a skilled Registered Nurse to join our team at Maxim Healthcare Services. As a Nurse Care Specialist, you will work with Pediatric and Adult patients in their own homes, providing high-quality care and support.ResponsibilitiesUtilize the nursing process to plan, implement, and evaluate patient/client care and/or services provided...
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SAP Utilities Configuration Specialist
1 week ago
Lancaster, Pennsylvania, United States UGI Utilities, Inc Full timeJob SummaryThis position is a hybrid role based in the Denver, PA office, requiring in-office work on Tuesdays, Wednesdays, and Thursdays. As a Functional Analyst, you will be responsible for translating business requirements into SAP IS-U FICA components of the SAP Configuration IMG.Key ResponsibilitiesCollaborate on all phases of the systems development...
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Diagnostic Imaging Specialist
1 week ago
Lancaster, Pennsylvania, United States Wellspring Nurse Source Full timeTravel CT Technologist OpportunityWellspring Nurse Source is seeking a skilled CT Technologist for a travel assignment in a dynamic healthcare setting.Job Details:Specialty: Computed Tomography (CT) TechnologistDiscipline: Allied Health ProfessionalShift: 12 hours, nightsEmployment Type: TravelAbout the Role:As a CT Technologist with Wellspring Nurse Source,...