Utilization Review Nurse Jobs in Pennsylvania
St. Luke's University Health Network
Allentown, PA
Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The RN DRG Downgrades Appeals Review Specialist is responsible for the retrospective clinical review and defense of inpatient DRG downgrades, clinical validation denials, and medical necessity determinations issued by governmental and commercial payers.
Encompass Health Rehabilitation Hospital of Morgantown
Fairhope, PA
Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Picture the impact of providing individualized, compassionate care that guides patients along their path to healing.
Seven Healthcare
$2400
York, PA
Seven Healthcare is seeking an experienced and highly organized Travel Registered Nurse (RN) - Home Health Case Manager for a contract opportunity in York, PA offering $2,400 weekly. With its affordable cost of living, growing job market, and close proximity to major East Coast cities, York offers a great balance between professional growth and quality of life.
Seven Healthcare
$2100
Pleasant View, PA
Seven Healthcare is seeking an experienced and highly organized Travel Registered Nurse (RN) - Home Health Case Manager for a contract opportunity in Pleasant View, TN offering $2,100 weekly. With a 5-star Google rating, recognition as Best Travel Nurse Company 2024 by BluePipes, and 5-star reviews on Vivian, we're a trusted name in healthcare staffing.
Encompass Health Rehabilitation Hospital of Nittany Valley
Pleasant Gap, PA
Whether you're seeking temporary work to accommodate personal commitments, explore different healthcare settings, or gain diverse experience, we have flexible 8-week contract positions available. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
Metro Community Health Center
Pittsburgh, PA
Perform duties including, but not limited to, vital signs, assisting the providers with procedures, providing patient education, conduct in-office testing to include urine pregnancy screen, urine dip, rapid strep, laboratory tests, pregnancy tests, medication refills, fecal occult blood, and HIV screening, lead testing, immunizations and other injections, as required. Utilize decision-making skills and tools to complete tasks including but not limited to, administering or refilling medications and immunizations, performing diagnostic testing, assessing patient/family psychological issues, managing patient telephone triage, and interpreting/recording lab values/diagnostic test results.
Gettysburg Center
$42 - $45
Gettysburg, PA
Responsibilities: Full Time Night Shift PositionThe RN Supervisor supports the Director of Nursing with the delivery of efficient and effective nursing care while achieving positive clinical outcomes, and patient/family and employee satisfaction. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
Quakertown Center
$41 - $44
Quakertown, PA
As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. *Establish realistic, measurable short- and long-term patient goals with interventions put in place as needs arise to minimize rehospitalizations and continued evaluation of outcomes.
Gettysburg Center
$40 - $43
Gettysburg, PA
As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: Full Time 2nd and 3rd Shift Change the lives of our patients/residents and at the same time enjoy the rewards of fully knowing your patients/residents and their families as a Registered Nurse - RN.
Fresenius Medical Care
Philadelphia, PA
Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team. Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers.
Fairlawn Rehabilitation Hospital
East Springfield, MA
Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
Geisinger
Wilkes-Barre, PA
Geisinger values and prioritizes the safety and security of our staff by investing in a Strongline Alert Notification system worn by our staff, robust camera surveillance system, metal detectors at certain locations and security guards/K9 program on campus. Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones .
Geisinger
Wilkes-Barre, PA
Geisinger values and prioritizes the safety and security of our staff by investing in a Strongline Alert Notification system worn by our staff, robust camera surveillance system, metal detectors at certain locations and security guards/K9 program on campus. Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones .
Fresenius Medical Care
Pittsburgh, PA
As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support.
Laurel Center - PA and V2U
$43 - $46
Hamburg, PA
Responsibilities: Full Time Day Shift PositionThe RN Supervisor supports the Director of Nursing with the delivery of efficient and effective nursing care while achieving positive clinical outcomes, and patient/family and employee satisfaction. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
Yale New Haven Health
Prospect Park, PA
Demonstrates Competency In The Care Of The Neuro Patient Demonstrates Skill And Knowledge In Neuro Assessment Demonstrates Skill And Knowledge In The Airway Management Of The Neuro Patient Demonstrates Skill And Understanding In Caring For A Trached Patient Demonstrates Skill And Understanding In Assisting The Physician And Caring For The Patient During Special Neuro Procedures Demonstrates Knowledge And Understanding Of Our 'Tia' Teaching Program Performs Pharynaeal, Endotracheal, Tracheostomy Suctioning According To Established Policy And Procedure: Pharynaeal, Endotracheal, Tracheastomy Demonstrates Skill And Understanding In The Use Of Equipment And Care Of Patient In A Halo Brace Demonstrates Skill And Understanding Of Nursing Responsibilities And Interventions For The Patient On A Ventilator . Develops, Communicates And Documents A Plan Of Care Reflecting Individualized Patient Problems And Interventions To Achieve Desired Outcomes, Involving The Patient, Family And Healthcare Team In This Process.
Prime Staffing
$2600
Philadelphia, PA
Works closely with providers, social workers, and external agencies to ensure timely, efficient, and effective discharge planning and transitions. Description: The RN Case Manager coordinates patient care plans and services across the continuum of care.
Lehigh Valley Health Network
$65000 - $78000
Stroudsburg, PA
Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.
Geisinger
Danville, PA
Designs an individualized plan of care and fosters a team approach by working collaboratively with the patient or member, family, primary care provider, and other members of the health care team to ensure coordination of services. Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones .
Laurel Center - PA and V2U
$40 - $43
Hamburg, PA
As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. *Cancer Coverage*Nursing Tuition Assistance ProgramRestrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.
Fairlawn Rehabilitation Hospital
East Springfield, MA
For new graduates or nurses with less than one year of experience, our 9-month Nurse Residency Program offers structured guidance and added support as you begin your career in rehabilitation nursing. Join a supportive RN cohort with a structured curriculum designed to build confidence, enhance your skills, provide mentorship and set you up for long-term success.
NewYork-Presbyterian
$270000 - $335000
Wilkes Barre, PA
Transform your career as a Certified Registered Nurse Anesthetist (CRNA) at NewYork-Presbyterian/Lower Manhattan Hospital, the singular source of advanced care and caring for the 600,000 New Yorkers who live and work south of 14th Street. Surgeries at NewYork-Presbyterian range from the vital to the complex to the truly ground breaking, with one common thread: an expert CRNA team, driven by a deep seated passion for patients.
NewYork-Presbyterian
$270000 - $335000
Philadelphia, PA
Amazing Patients, Inspiring CareersCertified Registered Nurse Anesthetist - CRNA -NYP/Queens-SIGN ON BONUS AVAILABLEAt New York-Presbyterian Queens Hospital, Certified Registered Nurse Anesthetists (CRNAs) deliver incredible care that is unseen anywhere else in the world. See NewYork-Presbyterian Privacy Policy at https://www.nyp.org/privacy-notice and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewYork-Presbyterian
$270000 - $335000
Pittsburgh, PA
Our CRNA’s have a continued commitment to providing patients with the most integrated and innovative patient care and use their expertise and top technology to consistently achieve surgical success rates and the nation’s lowest mortality rate. Our team of CRNAs at Weill Cornell provide patient-centered anesthesia for all types of surgical procedures, including cardiac, vascular, neurosurgery, pediatrics and obstetrics.
NewYork-Presbyterian
$270000 - $335000
Wilkes Barre, PA
Amazing Patients, Inspiring CareersCertified Registered Nurse Anesthetist - CRNA -NYP/Queens-SIGN ON BONUS AVAILABLEAt New York-Presbyterian Queens Hospital, Certified Registered Nurse Anesthetists (CRNAs) deliver incredible care that is unseen anywhere else in the world. See NewYork-Presbyterian Privacy Policy at https://www.nyp.org/privacy-notice and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewYork-Presbyterian
$270000 - $335000
York, PA
CRNAs will have the option to rotate between New York-Presbyterian Hospital/Columbia University Irving Medical Center and the New York-Presbyterian Hospital /Morgan Stanley Children’s Hospital to work with both adult and pediatric patients. Our team of CRNAs at Columbia University Irving Medical Center provides patient-centered anesthesia for all types of surgical procedures, including cardiac, vascular, neurosurgery, and pediatrics.
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury
New Freedom, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Current BLS, ACLS/ALS, and PALS certifications from the American Heart Association or the American Red Cross, required; ENPC certification from ENA may be substituted for PALS certification; TNCC preferred.
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury
Carlisle, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families .
AccentCare, Inc.
Tunkhannock, PA
We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.
NewYork-Presbyterian
$270000 - $335000
York, PA
Collaborating closely with surgical teams ensures high-quality anesthesia and analgesia services are delivered within an Anesthesia Care Team model for various procedures, including robotic surgery, general surgery, orthopedics, pediatrics, and endoscopic cases. See NewYork-Presbyterian Privacy Policy at https://www.nyp.org/privacy-notice and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury
Carlisle, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families .
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury
Etters, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Current BLS, ACLS/ALS, and PALS certifications from the American Heart Association or the American Red Cross, required; ENPC certification from ENA may be substituted for PALS certification; TNCC preferred.
TalentBurst, Inc.
$1680 - $1700
Gettysburg, PA
Summary: Under the direction of the RN Nursing Supervisor, Unit Manager, ADON or ADON – Unit, or Center Nurse Executive (Nurse Leader), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction. He/she operates within the scope of practice defined by the State Nurse Practice Act and delegates aspects of patient care to LPNs and CNAs consistent with their scope of practice.
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury
Carlisle, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families.
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury
Etters, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Current BLS, ACLS/ALS, and PALS certifications from the American Heart Association or the American Red Cross, required; ENPC certification from ENA may be substituted for PALS certification; TNCC preferred.
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury
Etters, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Current BLS, ACLS/ALS, and PALS certifications from the American Heart Association or the American Red Cross, required; ENPC certification from ENA may be substituted for PALS certification; TNCC preferred.
NewYork-Presbyterian
$270000 - $335000
York Springs, PA
Coordinate all aspects of clinical care to ensure the delivery of high-quality, patient-centered services to our patients, manage staffing needs, provide staff development opportunities, plan activities, recognition, and training sessions to increase engagement and cohesion among a growing team of experienced CRNAs. See NewYork-Presbyterian Privacy Policy at https://www.nyp.org/privacy-notice and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewYork-Presbyterian
$270000 - $335000
Philadelphia, PA
Coordinate all aspects of clinical care to ensure the delivery of high-quality, patient-centered services to our patients, manage staffing needs, provide staff development opportunities, plan activities, recognition, and training sessions to increase engagement and cohesion among a growing team of experienced CRNAs. See NewYork-Presbyterian Privacy Policy at https://www.nyp.org/privacy-notice and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Adelphi Healthcare
$50
Fort Washington, PA
Must provide your own technology (computer, webcam, microphone, speakers, phone, stable internet connection). Proven clinical experience in care coordination or case management (preferred).
Adelphi Healthcare
$24
Pittsburgh, PA
Must provide your own technology (computer, webcam, microphone, speakers, phone, stable internet connection). Proven clinical experience in care coordination or case management (preferred).
Matrix Medical Network
$1800 - $11500
Emporium, PA
Matrix Medical Network pioneered the first national in-home clinical network, and today we’re an independent provider of comprehensive health assessments serving people across the nation. Additional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments.
ChristianaCare Hospitals in Aston and West Grove
Aston, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families .
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury
Etters, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families.
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury
New Freedom, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families.
Geisinger
Danville, PA
Designs an individualized plan of care and fosters a team approach by working collaboratively with the patient or member, family, primary care provider, and other members of the health care team to ensure coordination of services. Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones .
Conemaugh Nason Medical Center
Roaring Spring, PA
Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Conemaugh Nason Medical Center is a 45-bed hospital that has served rural and suburban populations in Roaring Spring, Altoona, and parts of Blair, Bedford, and Huntingdon counties for 121 years.
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury
New Freedom, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families.
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury
New Freedom, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families .
Gettysburg Center
$45 - $48
Gettysburg, PA
As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The primary function of the Nurse Educator is to orient and educate all nursing personnel in the nursing center and to ensure safe effective nursing care according to the federal, state, and facility guidelines, policies and procedures.
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury
Carlisle, PA
Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families .