367 utilization jobs at 179 companies in Lancaster, PA
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Utilization Management Nurse
Wilmington, Delaware, United States
HybridFull Time
Nemours Children's Health: Pediatric health system providing clinical care, research, and education.
5+ YOEBSN and active DE RN license required, 5+ years related experience, conducts concurrent utilization reviews, ensures regulatory compliance and coordinates interdisciplinary care using EMR.
Diversified Treatment Alternative Centers: A provider of behavioral health services focused on quality care, compliance, and growth.
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.
LifeBridge Health: Provides hospital and comprehensive healthcare services in Maryland
Active RN license, utilization review and medical necessity knowledge, experience in utilization/case/care management, EHR proficiency, strong assessment, documentation, and communication skills.
Electronic Health Records (EHR), InterQual, MCG, utilization management software
ChristianaCare: Provides hospital care and outpatient medical services.
3+ YOEDE or compact RN license, Bachelor’s in Nursing required, minimum 3 years acute care RN and 3 years utilization management, denial management and insurer experience, 8 CEUs/year in utilization/case management.
Brookfield RenewableNYSE: BEP: Operates and develops utility-scale renewable power generation assets.
5+ YOE5+ years control room or power plant operations experience; ability to read electrical/hydraulic/mechanical prints; clear communication; MS Office proficiency; ability to lead teams and work independently.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Teams
Requires extensive knowledge of underground utility locating/marking, operating locating equipment, excavation of utilities, and interpreting roadway and utility construction plans.
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
1+ YOEAS in nursing with RN license; 3 years clinical nursing or 1 year utilization/medical management experience; current unrestricted RN license; familiarity with utilization management and ICD-10 preferred.
Akron or Holmdel or Morristown or Reading or Charleston or Williamsport or Cumberland
OnsiteFull Time
FirstEnergyNYSE: FE: Provides electric power distribution and transmission services to customers.
10+ YOE5+ MgmtBachelor's degree or equivalent,10+ years utility training/workforce development experience,5+ years people leadership,experience with progression schools,ADDIE/SAT,OSHA training and apprenticeship programs.
Dunwoody Village: Continuing care retirement community providing senior living and healthcare services.
Full-time kitchen utility role; weekend/holiday rotation; 12pm-8pm or 2pm-10pm shifts; responsibilities include cleaning kitchen and dish areas; background check and drug screen required.
Army National Guard: A reserve component of the United States military.
Military enlistment required; high school diploma/GED; ages 17–35; must pass physical and meet citizenship and moral standards; trained to inspect, maintain, and repair electrical and utilities equipment.
GSKLondon Stock Exchange: GSK: Develops and manufactures innovative vaccines and specialty medicines.
1+ YOEHigh school or trade school background, 1+ year mechanical/industrial technician experience, ability to troubleshoot and maintain utilities, basic Microsoft skills, rotating shifts and on-call availability, ability to lift up to 50 lbs.
Microsoft Suite, Microsoft Outlook, Intranet, SCADA, HMI, PLC, VFD, CMMS, SAP
Quanta ServicesNYSE: PWR: Infrastructure solutions for electric, energy, and communications industries.
2+ YOE2+ years project management in utility/heavy construction, experience with natural gas/utility projects preferred; strong budgeting, forecasting, contract and change order management; proficient in Microsoft Office and scheduling tools; willing to travel (~80%).
Microsoft Word, Microsoft Excel, Microsoft Project, Primavera P6
Asplundh: Provider of vegetation management and utility infrastructure construction services.
5+ YOE5+ years in protective relaying for utility substations; 5kV–500kV protection systems; NET A Level III/IV preferred; OSHA 10/30; valid driver’s license.
Protective relays, Microprocessor-based relays, Relay test platforms, AC/DC schematics, Protection diagrams, Wiring and logic drawings
Pixelle Specialty Solutions: Manufacturer of specialty paper solutions for industrial markets.
Coordinate maintenance planning and scheduling for pulpmill, woodyard, and utilities; manufacturing experience preferred; bachelor’s in mechanical engineering or technology preferred; MS Office, MS Project, and SAP proficiency; strong communication and leadership.