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Keywords: REGISTERED NURSE CARE MANAGER UTILIZATION MANAGEMENT, Location: Pittsburgh, PA

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REGISTERED NURSE CARE MANAGER UTILIZATION MANAGEMENT

as a Registered Nurse in Pennsylvania. Five years of clinical experience as a Registered Nurse in an acute care setting. Two years...Summary Completes all aspects of Utilization Management for assigned patient population by evaluating appropriate...

Company: St. Clair Health
Location: Pittsburgh, PA
Posted Date: 02 Oct 2025

Registered Nurse (RN) Clinical Care Coordinator- Allegheny County

UPMC Your Care is Hiring a Full-Time Registered Nurse for a Nurse Clinical Care Coordinator Position. This position... management, goals of care/advanced directives, healthy lifestyles, closes gaps in care, reduces unnecessary ER utilization...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 27 Sep 2025

Nurse Clinical Care Coord -Allegheny County

UPMC Your Care is Hiring a Full-Time Registered Nurse for a Nurse Clinical Care Coordinator Position. Monday-Thursday... management, goals of care/advanced directives, healthy lifestyles, closes gaps in care, reduces unnecessary ER utilization...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 13 Aug 2025

Registered Nurse / Travel Registered Nurse

), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving positive clinical outcomes... in Utilization Management or Interdisciplinary Care Management Meeting to facilitate appropriate discharge planning...

Posted Date: 02 Oct 2025

Health Care Manager (Remote)

UPMC Health Plan is hiring a full-time Health Care Manager to join the Commercial Clinical Care Management team... as an RN, LSW, LCSW, or LPC. The Health Manager ensures continuity and coordination of care for Health Plan members...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 01 Oct 2025

Clinical Care Manager or Senior/Mobile Professional Care Manager - UPMC Presbyterian

social work, home care, discharge planning, and case management required. For Mobile Care Manager Pennsylvania... of experience. 3 years of experience in behavioral, clinical, utilization management, home care, discharge planning, and/or case...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 26 Sep 2025

Mobile Professional Care Manager - Lawrence County

years of experience in behavioral, clinical, utilization management, home care, discharge planning, and/or case management...UPMC Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Community...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 25 Sep 2025

Professional Care Manager

. The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management..., resource management, discharge planning and post-acute care referrals and authorizations. Works with multi-disciplinary team...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 17 Sep 2025

Clinical Care Manager (RN) - Magee & Mercy Health

you are caring for? UPMC Health Plan is hiring a full-time Clinical Care Manager to support our partnership with various physician..., Monday through Friday with no evenings, weekends, or holidays! The Clinical Care Manager is responsible for care...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 11 Sep 2025

Mobile Professional Care Manager (Allegheny & Westmoreland Counties) - LSW, LPC, CSW

Professional Care Manager position to support the Population Health Case Management department. This is a Monday through Friday..., or CSW Three years of experience in behavioral, clinical, utilization management, home care, discharge planning, and/or case...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 30 Aug 2025

Mobile Professional Care Manager - Blair & Cambria Counties

years of experience in behavioral, clinical, utilization management, home care, discharge planning, and/or case management...UPMC Health Plan is hiring a full-time Mobile Professional Care Manager to join the Community Team. This role will work...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 13 Aug 2025

Clinical Care Manager (RN) - Erie

, healthcare resource utilization, case management interventions. Update the plan of care following review and communicate... required. 1 year of experience in clinical, utilization management, home care, discharge planning, and/or case management...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 13 Aug 2025

Mobile Professional Care Manager (Cambria/Somerset Counties) - LSW, CSW, LPC

Professional Care Manager position to support the Population Health Case Management department. This is a Monday through Friday... in behavioral, clinical, utilization management, home care, discharge planning, and/or case management required. Five years...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 27 Jul 2025

Clinical Care Manager (RN) - Shadyside

, healthcare resource utilization, case management interventions. Update the plan of care following review and communicate... required. 1 year of experience in clinical, utilization management, home care, discharge planning, and/or case management...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 20 Jul 2025

Medical Field Case Manager

), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager..., Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice...

Company: Enlyte
Location: Pittsburgh, PA
Posted Date: 29 Aug 2025
Salary: $70600 - 88000 per year

DRG Specialist II

Professional Coder (CPC) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Doctor of Podiatric Medicine... OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) OR Registered Nurse (RN) Act 34...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 26 Sep 2025

DRG Specialist

critical care in conjunction with an expanded knowledge of DRG's; OR completion of Registered Health Informations... Coder (CPC) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Registered Health Information...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 19 Sep 2025