1mo
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Utilization Specialist
Danville, Pennsylvania, United States
OnsiteFull Time
2+ YOEHigh school diploma required; clinical experience required or 2+ years with the population. Preferred degree in social work/behavioral health/nursing. Preferred experience in utilization management; CPR and de-escalation/restraint training required.
15h
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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
1mo
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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
3w
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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
3w
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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
4w
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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
4w
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Utilization Review Nurse RN - PRN
Baltimore or District of Columbia or Maryland or Pennsylvania or Virginia or West Virginia
$50/hr OnsitePart Time
2+ YOECurrent Maryland RN or compact multistate license, ADN required (BSN preferred), BLS as applicable, minimum 2 years acute inpatient ED utilization review experience, residency in DC/MD/PA/VA/WV required.
3mo
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Utilization Review Analyst
Eagleville, Pennsylvania, United States
$50-$57/yr OnsiteFull Time
3+ YOE3+ years UR or case management experience in Substance Use / Behavioral Health; good communication; ability to work independently; MS Office experience; knowledge of pre-certification, DSM V, private care managers, and county referrals.
Microsoft Office
1w
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Utilization Review Representative
Kingston, Pennsylvania, United States
$25-$35/hr OnsiteFull Time
1+ YOEAssociate degree in nursing or healthcare, 1+ years healthcare experience, knowledge of clinical guidelines and reimbursement, RN/LPN preferred, EHR proficiency, strong analytic and communication skills.
EHR
3mo
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Utilization Management Program Manager-RN
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
5+ YOEUnencumbered Oregon RN within 90 days, 1 year clinical nursing plus 4 years health-plan utilization management, experience with managed care, data analysis, quality management, and electronic documentation.
Microsoft Office, EPIC, Clinical Care Advanced
1d
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Utilization Management Nurse Consultant
Pennsylvania, United States
$29-$62/hr RemoteFull Time
2+ YOEActive unrestricted RN license in state of residence,Associate Degree in Nursing required,2+ years adult acute/critical care experience,EMR/computer proficiency,strong assessment and communication skills,willingness to work evenings/weekends/holidays.
2w
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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.
5d
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Utilization Management Behavioral Health Professional
Virginia or Texas or Tennessee or South Carolina or Pennsylvania or West Virginia or New York or Wisconsin or North Carolina or New Jersey or Massachusetts or Louisiana or Michigan or Kentucky or Maryland or Kansas or Indiana or Illinois or Georgia or Florida or Arkansas or Alabama or Vermont or Rhode Island or Maine or Delaware or Connecticut
$65k-$89k/yr RemoteFull Time
1+ YOERequires behavioral health clinical licensure (RN/LCSW/LPC/LMFT/LCP/clinical psychologist), 1+ year post-degree clinical and 1+ year managed care experience, Microsoft Office proficiency, and remote work capabilities.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, HireVue
3w
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Medical Director, Utilization Management
Pittsburgh, Pennsylvania, United States
RemoteFull Time
10+ YOEMD or DO with PA medical license, minimum ~10 years clinical experience, managed care experience preferred, BLS/CPR/other certifications as applicable, strong quality improvement and utilization management experience.
1w
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RN I- Utilization Management
Hopewell or Newark or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$71k-$94k/yr RemoteFull Time
2+ YOEAssociate/bachelor/diploma in nursing, active unrestricted NJ RN license, minimum 2 years clinical experience, knowledge of utilization/case management, proficiency with MS Office and Windows, strong analytical and communication skills.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Windows, intranet, internet
1w
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Product Manager - Utilization Management
Pennsylvania, United States
$86k-$139k/yr HybridFull Time
3+ YOE3 years product experience including software lifecycle, 1 year advanced domain experience, bachelor's in science/technology/math or equivalent, utilization management and healthcare experience, stakeholder management, analytics and presentation skills.
1w
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Lab Technician (20063)
Pittsburgh, Pennsylvania, United States
$48/hr OnsiteFull Time
3+ YOE3+ years maintaining and repairing electrical and electronic instruments, relays, meters and test equipment; high school diploma with technical training; must pass CAST and hold a valid driver's license.
PC, cathode ray oscilloscopes, surge generator, hand held programmers, computer terminal
5d
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Operations Supervisor
Conestoga, Pennsylvania, United States
$120k-$135k/yr OnsiteFull Time
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
1w
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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.
6d
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Water Treatment Plant - Water Production Manager
Pittsburgh, Pennsylvania, United States
$84k-$101k/yr OnsiteFull Time
5+ YOE2+ MgmtBachelor's degree or equivalent, 5+ years water treatment experience with 2 years supervisory experience; PA Class A water plant operator certificate (or obtain within 6 months); Class C driver\u000as license; OSHA and safety knowledge; proficiency with SCADA and Microsoft Office.
SCADA, Microsoft Office
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