52 nurse case manager jobs at 22 companies in Baldwin, PA
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Case Manager Nurse
Morgantown, West Virginia, United States
OnsiteFull Time
WVU Medicine: Provides comprehensive healthcare services and academic medical research.
3+ YOECurrent RN license (state or eNLC), minimum 3 years clinical experience, BSN preferred, knowledge of utilization/denial management, discharge planning, and care coordination.
Paramount Senior Living: Provides comprehensive senior living and skilled nursing care services.
Active Pennsylvania RN license, documentation into Brighttree within 24 hours, Oasis experience preferred, reliable transportation and proof of insurance, home care nursing experience preferred.
Independence Health System: Operates hospitals and provides medical services in Western Pennsylvania
2+ YOEGraduate of accredited nursing program, current PA RN license, 2+ years recent clinical/ED or case management experience, strong communication and critical thinking, knowledge of payor benefits, Microsoft Office proficiency.
Independence Health System: Operates community hospitals and outpatient clinics in Western Pennsylvania.
2+ YOEGraduate of accredited nursing program; current PA RN license; 2+ years recent clinical experience (ED/case management preferred); knowledge of payor benefits; Microsoft Office proficiency; strong communication and critical thinking.
RN license, accredited nursing education, driver's license, reliable transportation, and ability to travel. Medical case management or clinical experience preferred; CCM or related certification preferred.
Prime Healthcare: Operates acute care hospitals and outpatient medical facilities nationwide.
5+ YOECurrent state RN license, minimum 5 years post-grad nursing experience, BCLS required, home health preferred; CCM and knowledge of Milliman/InterQual preferred; basic-intermediate computer skills.
Prime Healthcare Services: Operates a nationwide network of acute care hospitals.
5+ YOEActive state RN license, minimum 5 years post‑graduation nursing experience, BLS/BCLS required or preferred, home health and acute care experience preferred, CCM within 1 year preferred, knowledge of Milliman/InterQual, basic-intermediate computer skills.
Highmark Health: Provides health insurance and integrated medical care services.
3+ YOEBachelor’s in Nursing or equivalent, 3 years clinical nursing, PA RN licensure or multi-state licensure, Case Management certification within 5 years, CPR, background clearances.
The Health Plan: Provides managed care health insurance and benefit administration services.
5+ YOE2+ MgmtRegistered nurse with 5+ years clinical experience, 2+ years management, active OH or WV multistate RN license, BSN (or obtain within 2 years), managed care experience, CCM preferred, strong communication and leadership skills.
Abby Care: Trains and pays family members to provide home care.
2+ YOEActive PA or compact RN license, Associate's or BSN in Nursing, minimum 2 years clinical RN experience, reliable transportation and valid driver's license, flexible schedule with on-call and weekend rotations, strong documentation and communication skills.
ForzaCare: Clinical case management and return-to-work services for injured workers.
Active PA RN or PA Compact RN licensure or Certified Rehabilitation Counselor required; CCM/CIRS preferred; prior workers' compensation case management preferred; valid driver’s license, reliable transportation, and auto insurance required.
Suncrest Hospice: Provides professional hospice and palliative care services.
Active RN licensure in state of practice, ability to work independently, collaborate with interdisciplinary team, drive reliably, document in EMR, and provide hospice assessments and nursing care.
Addus HomeCareNASDAQ: ADUS: Provides comprehensive in-home personal care and support services.
Graduate of an accredited registered nursing program with an active RN license, current CPR and First Aid certification, quality assurance knowledge, driver's license, and proof of insurance.
Angels of Care Pediatric Home Health: Provides home-based medical care for children with complex needs.
Active RN required; graduate of an accredited school of nursing; pediatric, home health, or office experience preferred; mentoring and case-management skills for supervisory duties.