3,786 Results for

Utilization Review Nurse Jobs in Pennsylvania

Jobs

Allentown, PA21 days ago

Part-time

The CDI 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. 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.

Greensburg, PA8 days ago

To qualify as a Registered Nurse Case Manager (RNCM) position with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position . We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace.

Bedford, PA8 days ago

As a Registered Nurse (RN) you will: Provide in-home direct patient care according to the provider’s prescribed plan of care (and nursing scope of practice) while closely monitoring progress/recovery.   . At Interim HealthCare Home Care, we know that your loved ones deserve the very best – that’s why we attend to each individual’s needs in the comfort and dignity of their home.

Roaring Spring, PA7 days ago

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.

Wilkes-Barre, PA8 days ago

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 .

Wilkes-Barre, PA8 days ago

Erie, PA8 days ago

As a Registered Nurse (RN), you will: Provide in-home direct patient care according to the provider's prescribed plan of care (and nursing scope of practice) while closely monitoring progress/recovery. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace.

Swarthmore, PA8 days ago

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. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!

New!

Elizabethtown, PA1 day ago

$100,000–$110,000

Bring your organizational skills and knowledge of at-home care and join the AccentCare team today in this Home Health Clinical Manager job. Makes patient and personnel assignments assuring that assigned staff have demonstrated competence in the required tasks/services.

New!

Marysville, PA1 day ago

$90,000–$105,000

What You Need to Know: The Patient Care Manager plays a critical role in supporting both patients and the caregiving team, ensuring that every person receives compassionate, high‑quality home health services. By guiding and empowering clinical staff, the Patient Care Manager helps create a supportive environment where employees can grow, collaborate, and deliver their very best work, ultimately enriching the care experience for every patient.

Wayne, PA8 days ago

$48–$48

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 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.

Gettysburg, PA8 days ago

$42–$45

Millersville, PA8 days ago

As a Full-Time RN, you will play an integral role in delivering high-quality patient care, collaborating with interdisciplinary teams, and making a lasting difference in the lives of patients and communities we serve. 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.

New!

New Freedom, PA5 days ago

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 .

Carlisle, PA8 days ago

New!

Altoona, PA1 day ago

$33.05–$35.15 Per Hour

Standing and walking distances constantly throughout the campus would be required during the shift in evaluating residents and supporting line staff and (at applicable facilities) respond to emergency needs of the Retirement Community. Evaluates and is alert to the physical and psychological needs of the residents and responds in accordance with proper nursing techniques and protocol.

Lemoyne, PA8 days ago

$64.53–$67.47

Keywords: Registered Nurse, RN, RN Per Diem, Certified Home Health, OASIS, HomeCare HomeBase, Side Hustle, Flexible Hours, Per Diem, Competitive Pay, PRN. One-To-One Support & Clinical Mentorship: You work hard to care for so many, our team is dedicated to making sure that your questions are answered and that you feel supported day in and day out.

Philadelphia, PA8 days ago

Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and modality specific training requirements for new employees.

Langhorne, PA8 days ago

$40–$43

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.

Hamburg, PA8 days ago

$43–$46

Erie, PA8 days ago

To qualify for a Hospice Weekend On-Call Registered Nurse (RN) with us, you will need:Education: Associate degree in Nursing (ADN) or Associate of Applied Science in Nursing (AAS) required; Bachelor of Science in Nursing (BSN) preferred . As a Hospice Weekend On-Call Registered Nurse (RN), you will:Oversee the implementation and ongoing assessment of the patient's plan of care alongside the spiritual care coordinator, social worker, hospice aide and medical director.

Johnstown, PA8 days ago

We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. As a Registered Nurse (RN) Supervisor, you will: Provide supervision, guidance, and evaluations to all assigned private duty and home care staff .

Erie, PA8 days ago

Wyncote, PA8 days ago

$40–$43

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.

Pottstown, PA8 days ago

$41–$44

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.

Norristown, PA8 days ago

$45–$47

A minimum of three years full-time or equivalent clinical experience is required and a minimum of two years of clinical experience in long-term care nursing with one year in a management/administrative or supervisory capacity is preferred. 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.

Wilkes-Barre, PA8 days ago

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 . Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care; Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.

New!

Philadelphia, PA6 days ago

Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as indicated. Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, Supervisors and the company at the facility and area level.

West Grove, PA8 days ago

Hamburg, PA8 days ago

$40–$43

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.

Langhorne, PA8 days ago

$45–$48

New!

Philadelphia, PA2 days ago

$111,140–$158,771

The Nurse Practitioner (NP) acts as part of the clinical operations team and is responsible for providing direct patient care in ChenMed/Jencare medical centers, nursing homes, skilled nursing facilities (SNF) and home settings depending on the nature of the assignment or providing assessments to members in SNF and home settings. Plans patient care based on in-depth knowledge of the specific patient population and/ or protocol, anticipating and identifying physiological and/ or psychological problems commonly encountered including the consideration of the patient’s cultural background, level of understanding, personality and support systems.

Scranton, PA8 days ago

Quakertown, PA8 days ago

$38–$44

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.

New!

Fort Washington, PA4 days ago

Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.

Scranton, PA8 days ago

Wilkes-Barre, PA8 days ago

West Grove, PA8 days ago

New!

Philadelphia, PA4 days ago

Johnstown, PA7 days ago

$20,000–$20,000

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 Memorial Medical Center is a 420-bed behavioral health, rehabilitation, and transitional care hospital that has been offering exceptional care to the Johnstown community for over 135 years.

New!

Norristown, PA4 days ago

New!

Philadelphia, PA4 days ago

Johnstown, PA11 days ago

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 Memorial Medical Center is a 420 Bed, Level 1 Trauma Center, located in Johnstown, PA, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast.

Johnstown, PA11 days ago

$20,000–$20,000

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 Memorial Medical Center is a 420 Bed, Level 1 Trauma Center, located in Johnstown, PA, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast.

Shillington, PA8 days ago

$40–$43

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.

Pittsburgh, PA17 days ago

New!

Philadelphia, PA4 days ago

Stand out to leading employers.

Upload your resume and let employers find you for new Utilization Review Nurse job openings. Plus, receive relevant job matches delivered straight to your inbox.

Create A Free Account

Utilization Review Nurse Jobs in Pennsylvania

CDI RN DRG Downgrades Appeals Review Specialist St. Luke's Health Network, Inc.

RN Case Manager - Home Health Interim HealthCare

Registered Nurse Interim HealthCare

Registered Nurse (RN) - Medical-Surgical Conemaugh Nason Medical Center

RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Geisinger

RN - Graduate Registered Nurse (Geisinger South Wilkes-Barre) Geisinger

1st Shift Registered Nurse - Flexible Schedule Interim HealthCare

Registered Nurse Encompass Health Rehabilitation Hospital of Concordville

Clinical Manager / Registered Nurse, Home Health $10,000 Bonus AccentCare, Inc.

Registered Nurse / Patient Care Manager, Home Health AccentCare, Inc.

Registered Nurse Supervisor, RN Wayne Center

Registered Nurse Supervisor, RN Gettysburg Center

Registered Nurse Encompass Health Rehabilitation Hospital of Mechanicsburg

IP/Telemetry Registered Nurse/ICU/PCU WellSpan Hospitals in Carlisle, Newberry & Shrewsbury

PCU/Telemetry/Step-Down Registered Nurse WellSpan Hospitals in Carlisle, Newberry & Shrewsbury

RN - Registered Nurse - Evening Shift Homewood Living Ministries

Registered Nurse (RN) - Certified Home Health - earn $61.87 per point connectRN

Acute Inpatient Registered Nurse - RN Fresenius Medical Care

Registered Nurse, RN Crestview Center - PA

Registered Nurse Supervisor, RN Laurel Center - PA and V2U

Hospice Weekend On-Call Registered Nurse (RN) Interim HealthCare

RN Supervisor - Home Care (Part-time) Interim HealthCare

3rd Shift RN - Flexible Schedule Interim HealthCare

Registered Nurse, RN Hillcrest Center

Registered Nurse, RN Sanatoga Center

Registered Nurse Supervisor, RN Norriton Sq Nrsg and Rehab Ctr

RN - Registered Nurse, Experienced and Graduate Nurses (Geisinger Wyoming Valley and Geisinger South Wilkes Barre, Wilkes-Barre) Geisinger

Acute Inpatient Registered Nurse - RN - Dialysis Fresenius Medical Care

Progressive Care Unit (PCU) Registered Nurse ChristianaCare Hospitals in Aston and West Grove

Registered Nurse, RN Laurel Center - PA and V2U

Registered Nurse Supervisor, RN Crestview Center - PA

Nurse Practitioner ChenMed

RN - Registered Nurse, Experienced and Graduate Nurses (Geisinger Community Medical Center, Scranton) Geisinger

Registered Nurse, RN Quakertown Center

Registered Nurse - Divisional Float Resource (Full Time, Nights) Northeast-Jefferson Jefferson Health

RN - Registered Nurse - Critical Care Float - GCMC Geisinger

RN - Registered Nurse - Critical Care Float - GWV Geisinger

ER Registered Nurse ChristianaCare Hospitals in Aston and West Grove

Registered Nurse - Cardiothoracic Surgery OR (Per Diem) - Torresdale Jefferson Health

Registered Nurse (RN) - Progressive Care (PCU) Conemaugh Memorial Medical Center

Registered Nurse - FT Nights - ICU Jefferson Health

Registered Nurse - Operating Room (PT - Evening) - Jefferson Torresdale Jefferson Health

Registered Nurse (RN) - Float Pool Conemaugh Memorial Medical Center

Registered Nurse (RN) - Emergency Services Conemaugh Memorial Medical Center

Registered Nurse, RN Mifflin Center

ER Registered Nurse (PRN/Casual - Days/Swing) AHN Neighborhood Hospital

Registered Nurse - OR - Part Time, Night - Jefferson Torresdale Jefferson Health

Similar Job Searches