utilization management rn jobs in Philadelphia

Innova Solutions has a client that is immediately hiring for a Utilization Management RN Position type: Part Time – Contract to hire Duration: 03 Months Location: Philadelphia, PA As a Utilization Management RN, you will: Perform telephonic utilization management for inpatient admissions. Using the medical software criteria, establish the need for...

Utilization Management RNWe’re actively seeking qualified candidates for a Utilization Management Coordinator / RN opportunity supporting inpatient utilization management and care coordination. This position is remote; however, candidates must reside in Pennsylvania, New Jersey, or Delaware to be eligible for potential conversion.Position OverviewThe...

Company DescriptionHealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail...

DescriptionMalvern Treatment Centers is currently seeking a full time Utilization Management Coordinator for our location in Philadelphia! This position is a full time, benefit eligible position and reports to our brand new location at 3905 W. Ford Road Philadelphia, PA 19131. Position Summary: To conduct continued stay reviews of medical record...

Overview We invite you to bring your experience and passion for Water, Wastewater, and Stormwater industries coupled with an understanding of applying geospatial technology to become an integral part of Esri’s Water Utility account team. We’re looking for an individual who is customer oriented and a collaborative team player who enjoys identifying and...

Role: Registered Nurse (RN) in Utilization Management, working remotely with afternoon/evening shifts in a 24/7 operation. Responsibilities • Review clinical information and apply evidence-based criteria for coverage decisions • Assess, coordinate, monitor, and evaluate healthcare services across care settings • Collaborate with providers and care...

UTILITY MECHANIC - PROPERTY MANAGEMENT   Philadelphia, PA   Elliott-Lewis Corporation has grown and we are looking to hire for several newly created positions in our organization.  We have multiple openings for BOTH inexperienced and also seasoned Utility Mechanics here in Center City, Philadelphia for well-known clients.  These new positions each have...

DescriptionMalvern Health is currently seeking a full time Utilization Review Manager at our new state of the art building located at 3905 Ford Road. The Utilization Review Manager has supervisory responsibilities over a growing Utilization Review department and works closely with the Clinical team at Malvern. The Utilization Review Manager is a full time,...

Project Manager (Project Management) Company Description   Doral Renewables is a Philadelphia-based renewable energy developer, owner and operator, operating all over the United States. It has solar and storage development portfolio of over 13 GWac, including 450 MW under construction, and is operating in 18 states and across 10 electricity markets. Doral...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Utilization Management Audit & Compliance Analyst based in the United States.This role serves as a subject matter expert for external customer audits, regulatory inquiries, and utilization management oversight activities....

Overview We invite you to bring your experience and passion for the infrastructure industry coupled with an understanding of applying geospatial technology to become an integral part of Esri’s Infrastructure account team. We’re looking for an individual who is customer oriented and a collaborative team player who enjoys identifying and implementing...

About the Role:The Storeroom/Utility/C+B Utility position is essential for maintaining the operational efficiency of Middle Child. This role involves managing inventory, ensuring that all supplies are organized and readily available for staff use, and supporting the overall cleanliness and functionality of the store. The successful candidate will play a key...

Care Pavilion Nursing and Rehab Nestled in the heart of Philadelphia, Pennsylvania, Care Pavilion is a premier subacute care center dedicated to delivering exceptional outcomes and personalized care to our residents. We are seeking a compassionate and experienced RN Unit Manager to join our team. About the Role: As a RN Unit Manager at Care Pavilion, you...

A Client Innova Solutions Is Immediately Hiring for Utilization Management RN Position type: Part Time – Contract Duration: 03 Months Location: Philadelphia, PA As a Utilization Management RN you will: Utilizes resources such as; InterQual, Care Management Policy, Medical Policy and Electronic Desk References to determine the medical appropriateness of...

Job Description Job Description Clinical Manager (Registered Nurse), Habilitation (I/DD) Services BAYADA Home Health Care is seeking a Registered Nurse (RN) to join our Philadelphia, PA Habilitation (I/DD) office as a Clinical Manager. This office provides high-quality, person-centered services to individuals of all ages throughout Philadelphia and the...

Are you an experienced RN ready to step away from direct field visits and into a pivotal leadership role? Our client is seeking a Patient Care Manager (PCM) to lead their clinical team in Philadelphia. As the "heartbeat" of the office, you will oversee the coordination of care, ensure strict regulatory compliance, and mentor a multidisciplinary team of...

Role Overview Seeking a full-time Hospice RN Case Manager to provide skilled nursing assessments, care planning, and support to patients with a focus on comfort and quality of life. Responsibilities include managing a patient caseload, documenting in EMR, coordinating with physicians and staff, educating caregivers, supervising nursing assistants, and...

DescriptionUtility Worker Job Description for Catering Events Job Title: Utility Worker - Catering Events Department: Operations Reports To: Event Manager and Events Director Position Summary: The Utility Worker for Catering Events is a key support role responsible for assisting with the setup, maintenance, and cleanup of catering events. This role requires...

Pyramid Consulting is seeking a travel nurse RN Utilization Review for a travel nursing job in Philadelphia, Pennsylvania.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 10/26/2026Duration: 13 weeks37.5 hours per weekShift: 8 hours, daysEmployment Type: TravelJob Title: Care Management Coordinator/ RNLocation: Remote...

Jefferson Health seeks an experienced RN Manager to lead operations of our Cancer Center in Philadelphia. In this role, you will oversee oncology nursing teams, ensure safe, evidence-based care, and optimize patient flow and experience. Responsibilities include staff scheduling, coaching, and evaluation; collaboration with physicians and interdisciplinary...