Top 1162 Nursing supervisor Jobs in Pennsylvania

Behavioral Health UM Care Manager (RN)
UPMC - Pittsburgh Medical Center —Pittsburgh, PA
- $34.49 - $56.83 an hour
- Full-time
- Remote
- RN License
- Computer literacy
- Mid-level
1d
Supervisor, Clinical Triage (RN) - Access Center, Primary Care (PA & NJ Residents Only)
St. Luke's University Health Network —Allentown, PA
- Full-time
- Remote
- Nursing
- Primary Care
- Research
- Work from home
8d
Clinical Supervisor, Virtual Clinical Operations
Interwell Health —Philadelphia, PA
- Full-time
- RN License
- HIPAA
- Mid-level
14d
Manager, Nursing - Post Anesthesia Care Unit - Full Time
The Guthrie Clinic —Sayre, PA
- Full-time
- Nursing
- 5 years
- Master's degree
Quick Apply
RN Supervisor-PRN $1,500 sign-on bonus!
The Village at Morrisons Cove —Martinsburg, PA
- Up to $40 an hour
- Part-time
- RN License
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
RN Supervisor
Phoebe Ministries —Allentown, PA
- Part-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
6d
Day Shift SLC RN Supervisor
LECOM Institute for Successful Living —Erie, PA
- Part-time
- CPR Certification
- Nursing
- RN License
- 403(b) matching
- AD&D insurance
Quick Apply
8d
Nursing Supervisor RN
Lutheran SeniorLife —Zelienople, PA
- 12 hour shift
- Microsoft Word
- CPR Certification
- Nursing
- Mileage reimbursement
- Paid holidays
House Supervisor (RN) - Night Shift
Lancaster Behavioral Health Hospital —Lancaster, PA
- Overtime
- CPR Certification
- Float pool
- RN License
- Health savings account
- Health insurance
Registered Nurse Supervisor
Athens Health and Rehab —Athens, PA
- Up to $50 an hour
- Overnight shift
- 18 years or older
- Skilled nursing facility
- RN License
- Paid holidays
- Disability insurance
Quick Apply
Interim RN Unit Manager
LeaderStat —Lititz, PA
- Travel nursing
- Nursing
- Skilled nursing facility
- Current TB test
- Health insurance
- Dental insurance
Quick Apply
7d
RN Supervisor
New Eastwood Rehabilitation and Healthcare Center —Easton, PA
- $38 - $60 an hour
- Part-time
- CPR Certification
- Skilled nursing facility
- RN License
- Dental insurance
- Tuition reimbursement
Quick Apply
Nurse Manager - Cancer Institute Inpatient Unit
Penn State Health —Hershey, PA
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Health insurance
RN Supervisor
Graduate Post Acute —Philadelphia, PA
- $38 - $60 an hour
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Dental insurance
- Tuition reimbursement
Quick Apply
Nurse Manager - $15,000 Sign-On Bonus for Full-Time!
Fairmount Behavioral Health System —Philadelphia, PA
- Full-time
- Nursing
- Mid-level
- Administrative experience
- Continuing education credits
- Health insurance
2d
REGISTERED NURSE SUPERVISOR
GARVEY MANOR NURSING HOME —Hollidaysburg, PA
- Part-time
- Background check
- Nursing
- RN License
Quick Apply
RN Relief Supervisor – Night Shift (Skilled Nursing)
Grace Inspired Living —Sellersville, PA
- From $44 an hour
- Part-time
- Skilled nursing facility
- RN License
- Mid-level
- Dental insurance
- Tuition reimbursement
8d
Registered Nurse Supervisor- RN
Somerset Healthcare and Rehabilitation Center —Somerset, PA
- Part-time
- Vital signs
- RN License
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
Nurse Manager (RN)- Night Shift
Lancaster Behavioral Health Hospital —Lancaster, PA
- Overtime
- CPR Certification
- Nursing
- Psychiatry
- Free parking
- Health savings account
Nurse Manager - MICU 1
Penn State Health —Enola, PA
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Health insurance

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nursing supervisor jobs near pennsylvania

Behavioral Health UM Care Manager (RN)

UPMC - Pittsburgh Medical Center -
Pittsburgh, PA

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Job Details

Full-time
$34.49 - $56.83 an hour
1 day ago

Qualifications

Computer operation
Managing patients as a nurse case manager
Utilization management
Resource utilization in healthcare
Computer skills

Full Job Description

UPMC Health Plan is hiring a full-time UM Care Manager to join the UM Clinical Operations team. This role will work remotely, daylight hours EST, Monday through Friday.

The Utilization Management (UM) Care Manager is responsible for utilization review of health plan services and assessment of member's barriers to care, as well as actively working with providers and assessing members to ensure a safe and coordinated discharge from an inpatient setting. Interacts daily with facility clinicians, physicians, and UPMC Health Plan care managers and Medical Directors as part of the member treatment team. Facilitates transitions in care for skilled nursing, rehabilitation, long term acute care, as needed. Coordinates with Health Plan case managers or health management staff members to follow-up after discharge from an inpatient setting. Provides guidance and assistance to providers and members to ensure that health care needs are met through the delivery of covered services in the most appropriate setting and cost - effective manner.

Responsibilities:

Obtain documentation to support requested level of care within the defined health plan regulatory timeframes and provide verbal and/or written notification to providers as applicable. Consult with health plan medical director to discuss medical necessity for requested service.
Document all activities in the Health Plan's care management tracking system following Health Plan and internal department standards and identify trends and opportunities for improvement based on information obtained from interaction with members and providers.
Review and document clinical information from health care providers including clinical history, home environment, support system, available caregiver, cognitive and psychological status. Conduct clinical reviews for authorization requests using established criteria including Interqual, Mahalik, and health plan policy and procedures for inpatient, outpatient, Durable Medical Equipment (DME), Behavioral Health, and Private Duty Nursing.
Participate in health plan interdisciplinary team conferences and collaborative case reviews to discuss complex cases and determine appropriate discharge plan or level of service. Consult with health plan medical director on an as needed basis to discuss medical necessity for requested service.
Work closely with peers and other departments to determine discharge needs including necessary referrals to health plan care management for short- or long-term interventions.
Maintain communication with health care providers regarding health plan determinations.
Identify potential quality of care concerns and never events and refers to health plan quality management department.

Minimum of 2 years of experience in a clinical and/or case management nursing required.
Minimum of 1-year work-related experience in Utilization Management required.
Prior psych experience strongly preferred.

PA RN license strongly preferred.
Strong organizational, task prioritization and problem solving skills.
Ability to construct grammatically correct reviews using standard medical terminology.
Computer proficiency required.

Licensure, Certifications, and Clearances:
Case management certification or approved clinical certification preferred
Registered Nurse (RN)
Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.

UPMC is an Equal Opportunity Employer/Disability/Veteran

Apply Now

Refine Your Search

nursing supervisor jobs in pennsylvania

Behavioral Health UM Care Manager (RN)

Supervisor, Clinical Triage (RN) - Access Center, Primary Care (PA & NJ Residents Only)

Clinical Supervisor, Virtual Clinical Operations

Manager, Nursing - Post Anesthesia Care Unit - Full Time

RN Supervisor-PRN $1,500 sign-on bonus!

RN Supervisor

Day Shift SLC RN Supervisor

Nursing Supervisor RN

House Supervisor (RN) - Night Shift

Registered Nurse Supervisor

Interim RN Unit Manager

RN Supervisor

Nurse Manager - Cancer Institute Inpatient Unit

RN Supervisor

Nurse Manager - $15,000 Sign-On Bonus for Full-Time!

REGISTERED NURSE SUPERVISOR

RN Relief Supervisor – Night Shift (Skilled Nursing)

Registered Nurse Supervisor- RN

Nurse Manager (RN)- Night Shift

Nurse Manager - MICU 1

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