563 utilization jobs at 229 companies in Allentown, PA
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Utilization Review Coordinator
Allentown, Pennsylvania, United States
$20/hr RemoteFull Time
3+ YOEAssociate degree required, 3+ years utilization review or related healthcare experience, intermediate Microsoft Office/Excel skills, knowledge of precertification/appeals and medical records.
Microsoft Excel, Microsoft Word, Microsoft Office
2d
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Utilization Review Nurse
West Chester, Pennsylvania, United States
OnsiteFull Time
3+ YOERequired PA RN license, associate or bachelor's degree in nursing, 3+ years nursing experience, and 1+ year utilization review experience; certified case manager credential required.
InterQual, electronic health record
1w
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Utilization Management Nurse
Philadelphia, Pennsylvania, United States
$92k-$117k/yr OnsiteFull Time
5+ YOEAssess clinical data for medical necessity, coordinate utilization reviews, validate authorizations with payers and physicians; requires RN (PA), 5+ years acute clinical nursing, knowledge of payer processes and portal navigation.
Microsoft Office, InterQual
2mo
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Utilization Review Specialist
Chadds Ford, Pennsylvania, United States
HybridFull Time
1+ YOEBachelor's degree in a related field, 1+ years utilization review/case management or behavioral health revenue cycle experience, strong understanding of medical necessity and authorization processes, attention to detail, and strong communication skills.
EHR
1mo
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Utilization Management Coordinator - Philadelphia
Philadelphia, Pennsylvania, United States
$28-$35/hr OnsiteFull Time
Conduct concurrent utilization reviews for psychiatric and residential drug/alcohol clients using ASAM criteria; coordinate appeals, maintain authorization and denial logs, and communicate with payers and treatment teams.
Microsoft Office
1mo
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Utilization Management Coordinator - Philadelphia
Philadelphia, Pennsylvania, United States
$28-$35/hr OnsiteFull Time
Master's degree or nursing graduate with Pennsylvania licensure; knowledge of ASAM and medical necessity criteria; utilization review experience preferred; Microsoft Office and billing experience; strong communication and documentation skills.
Microsoft Office
1mo
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Manager Utilization Review - FT - Day - Utilization Resource Mgmt Trenton NJ
Trenton, New Jersey, United States
$98k-$128k/yr OnsiteFull Time
4+ YOEBSN required (ADN with additional experience may be considered), active NJ RN, BLS recommended, 4+ years nursing experience with utilization review/case management, strong analytical and leadership skills.
1mo
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Utilization Specialist- OMY
Philadelphia, Pennsylvania, United States
OnsiteFull Time
2+ YOEBachelor's in human services/care management, 2 years mental health or social services experience, familiarity with EHRs, proficient with Microsoft Office, strong communication and analytical skills.
EHR, Microsoft Excel, Microsoft Word, Microsoft PowerPoint
5d
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Manager of Utilization Management
Philadelphia, Pennsylvania, United States
FieldFull Time
5+ YOE2+ MgmtRequires an RN license, 5+ years in discharge planning and care coordination, 2+ years management or 4+ years supervisory experience, clinical leadership, data analysis, and Microsoft Office proficiency.
Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, MCG, InterQual, Electronic Medical Record (EMR)
1mo
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Utilization Review Per Diem Elkins Park
Philadelphia, Pennsylvania, United States
OnsitePart Time
2+ YOEMaster of Social Work and 2 years hospital social work experience required; performs psychosocial assessment, discharge planning, counseling, and multidisciplinary collaboration.
3d
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Business Finance Revenue Cycle Utilization Manager
Chicago or Austin or Atlanta or United States or Denver or Detroit or Philadelphia or Houston or Tampa or Dallas or Charlotte or Raleigh or Louisville
RemoteFull Time
5+ YOE3+ MgmtBachelor's degree or 5+ years relevant experience, prior management experience, 3–5 years managing hourly staff, strong communication and analytical skills, and revenue cycle or healthcare systems experience.
BrainTree, AVATAR, iserve, Salesforce, EMR, SOX 404
1w
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Meter Reader Start
Bethlehem, Pennsylvania, United States
OnsiteFull Time
High school diploma, Pennsylvania driver's license, basic utility and construction skills, computer aptitude, ability to work outdoors in all weather, and ability to lift 50 pounds.
3w
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Delivery Driver
Bath, Pennsylvania, United States
$25-$29/hr FieldFull Time
Valid Class A or B CDL with Hazmat and Tanker endorsements, safe driving record, ability to lift up to 75 lbs and pull up to 125 lbs, willingness to work on-call and follow safety procedures.
2w
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Full-Time Water/Wastewater Operator
Doylestown, Pennsylvania, United States
FieldFull Time
5+ YOEHigh school diploma, minimum 5 years operations/engineering experience; water/wastewater license preferred.
2d
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Operator, Water Treatment
Royersford, Pennsylvania, United States
OnsiteFull Time
1+ YOEHigh school diploma or equivalent, 1–3 years of experience, computer skills with Microsoft Word, Microsoft Excel, SCADA systems, and HachWIMS, valid driver's license, ability to lift 50 pounds, and PA water license within three years.
Microsoft Word, Microsoft Excel, SCADA, HachWIMS
1w
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RN Case Manager - Utilization Review (Temple Hospital Jeanes Campus)
Philadelphia, Pennsylvania, United States
HybridFull Time
2+ YOEActive PA or multi-state RN license, BSN required, minimum 2 years clinical nursing experience preferred; experience with utilization review/InterQual/MCG and Medicare/Medicaid guidelines; strong clinical judgment and communication.
InterQual, MCG
3mo
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Utilization Management Medical Director - Medical Oncology - Remote anywhere in US
Houston or Chicago or Atlanta or Phoenix or Los Angeles or Saint Louis or San Diego or Dallas or Philadelphia or Seattle
$249k-$373k/yr RemoteFull Time
5+ YOEMD or DO with current medical license; Board Certification in Oncology; 5+ years clinical experience in oncology; NCCN guideline experience; able to support utilization review and case/disease management.
3mo
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Product Engineer II – Utility Solutions
Denver or Philadelphia or Redlands or Remote Eligible
$80k-$133k/yr RemoteFull Time
2+ YOE2+ years in utilities/telecommunications with ArcGIS; ArcGIS Utility Networks; GIS workflows; strong communication; Bachelor in geography or related field.
Python, Arcade, ArcGIS Pro
1mo
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ArcGIS Utilities Industry Principal Director
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yr HybridFull Time
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
ArcGIS Utility Network, ArcGIS Enterprise, ArcGIS Pro, Esri
1d
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PHARMACEUTICAL – MECHANICAL UTILITIES ENGINEER
Philadelphia or Raleigh
FieldFull Time
MMR Consulting: Engineering and validation services for the life sciences industry.
5+ YOERequires 5+ years in pharmaceutical or biotech clean-utility commissioning, qualification, or validation; engineering degree preferred; expertise in pharmaceutical water, HVAC, industrial utilities, cGMP, and project leadership.
HVAC, Computer room air conditioning (CRAC), ASTM E-2500, ISPE ICQ, PFDs, P&IDs, DQ, FAT, IQ, OQ, PQ
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