Managed Care Nurse Jobs in Philadelphia (107)

job title, keywords or company
city, state or zip
Registered Nurse, Off – Tour Supervisor
Department of Veterans Affairs, PA-Philadelphia – Map
required. DUTIES: The Nurse Coordinator is a registered professional nurse who is accountable for the… As a registered nurse, the Nurse Coordinator is also…
From: Department of Veterans Affairs

Part-time Home Visit Nurse Practitioner for INSPIRIS (NJ)

(370230)
UnitedHealth Group, NJ-Cherry Hill – Map
the Nurse Practitioner will provide total care for… patient care team. The Nurse Practitioner will communicate and manage the patients' care across all care…
From: UnitedHealth Group


*** Per Diem Nurse Practitioner, Home Assessments, Philadelphia, Delaware, Bucks, Chester, Montgomery Counties

(374969)
UnitedHealth Group, PA-Philadelphia – Map
is available about gaps in care (disease-specific or preventive), Per Diem Nurse Practitioner will educate… Primary Care Provider. Per Diem Nurse Practitioner…
From: UnitedHealth Group

Dir Resident Assessment
Golden Living, PA-Phoenixville – Map
Unit (MCUU) & the Managed Care Unit Participates in… process Initiates analysis of the Medicare, Managed Care and CMI reports to identify trends and perform…
From: Golden Living
Per Diem RN
HealthSpring, PA-Philadelphia – Map
prepared RN. Prior experience in a managed care environment. Wound care, disease management, IV hydration… Care: Provide patient/family education Patient Care…
From: Jobfox
Retrospective Review Nurse
HealthSpring, PA-Philadelphia – Map
for utilization review.Preferred Requirements:  Managed care experience.HealthSpring, Inc. is an EEO/AA… Care: Patient related procedures Patient Care…
From: Jobfox
Nurse Practitioner- Pennsylvania
HealthSpring, PA-Philadelphia – Map
care and ensuring the delivery of uality care and… care plans Case Management: Oversee discharge process Professional Designation (Nursing): N.P. Nurse…
From: Jobfox
Pre-Certification RN
HealthSpring, PA-Philadelphia – Map
of care.  Evaluates cases for quality of care and… a Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), or a Registered Nurse (RN).   At least…
From: Jobfox
Nurse Practitioner – Institutional Products
HealthSpring, PA-Philadelphia – Map
care and ensuring the delivery of quality care and… Case Management: Monitor care paths Case Management: Develop comprehensive care plans Nursing Management…
From: Jobfox
Regional Director, Managed Care – East
Apria Healthcare, PA-Malvern – Map
including nearly 1,000 infusion nurses and pharmacists, are known in the industry for providing a high level of personalized care to thousands of home and…
From: AllHealthCareJobs
Clinical Care Nurse-PerDiem
HealthSpring, PA-Philadelphia – Map
Job Title: Clinical Care Nurse-PerDiem Profession: Medical -> Nursing Clinical Care Nurse-PerDiemTracking… in a managed care environment. Wound care,…
From: Jobfox
SUPERVISOR, COMPLEX NURSE CASE MANAGEMENT
The Judge Group, Inc., PA-Philadelphia – Map
with one of our managed care clients. Job Requirements: MUST have previous case management and supervisory experience in Managed Care/Medicaid. Must have an…
From: JobCircle.com
UTILIZATION REVIEW RN
The Judge Group, Inc., PA-Philadelphia – Map
admission, home care, home care infusion services… services/care. Ensures appropriate allocation of resources to provide quality patient care in the most…
From: JobCircle.com
HEDIS NURSES
The Judge Group, Inc., PA-Philadelphia – Map
Hedis Review experience for a contract assignment with a well- known Managed Care organization. This day-shift opportunity will last approximately 3 months…
From: JobCircle.com
CONCURRENT REVIEW
The Judge Group, Inc., PA-Philadelphia – Map
will have previous managed care experience in a case… transition of care to an alternative setting. Requirements: Current PA Registered Nurse (RN) license…
From: JobCircle.com

OptumRX, Dir. Clinical Account Pharmacy (Telecommuter)

(376044)
UnitedHealth Group, – - Map
to disease state or care management Support personal health support (PHS) nurse teams with pharmacy… At least 7 years of managed care or PBM experience…
From: Indeed.com


OptumRX, Dir. Clinical Account Pharmacy (Telecommuter)

(376044)
Picis Inc, – - Map
to disease state or care management Support personal health support (PHS) nurse teams with pharmacy… At least 7 years of managed care or PBM experience…
From: Indeed.com

Health Services Manager
HealthSpring, PA-Philadelphia – Map
hospitals, health care vendors, social service… areas. At least five years experience in managed care.  For Clinical positions, at least six years of…
From: Jobfox
Pre-Certification LPN- Philly
HealthSpring, PA-Philadelphia – Map
of care. Evaluates cases for quality of care and… as a Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), or a Registered Nurse (RN). At least…
From: Jobfox
RISK ADJUSTMENT QUALITY REVIEW LPN
The Judge Group, Inc., PA-Philadelphia – Map
Risk Adjustment Review Nurse will analyze historical… experience in clinical nursing required 2-3 years managed care experience required 2-3 years experience in…
From: JobCircle.com

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