Top 19 Utilization review nurse Jobs in West Chester Pa

Nurse Care Manager
Meta Care Inc., —Philadelphia, PA
- From $70,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Mileage reimbursement
- Disability insurance
Quick Apply
12d
Care Manager (Registered Nurse/RN)
Hickory House Nursing Home —Honey Brook, PA
- Full-time
- Nursing
- RN License
- Customer service
Quick Apply
Registered Nurse Assessment Coordinator (RNAC)
GHR Healthcare —Honey Brook, PA
- $105,000 - $110,000 a year
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Telephonic Case Manager I
CorVel Corporation —Norristown, PA
- $63,739 - $95,264 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
7d
Utilization Review Analyst
EAGLEVILLE HOSPITAL —Eagleville, PA
- $50,000 - $57,000 a year
- Hospital
- Mid-level
- Office
Quick Apply
Utilization Management Nurse
Nemours —Wilmington, DE
- Full-time
- Nursing
- RN License
- 5 years
Travel RN - Case Management/Utilization Review - Case Management
American Traveler —Paoli, PA
- $2,382 a week
- Weekends as needed
- Acute care
- RN License
- BLS Certification
Quick Apply
3d
RN Case Manager Per Diem - (Temple University Hospital)
Temple University Health System —Philadelphia, PA
- Per diem
- Nursing
- RN License
- Hospital
Care Manager
GSPP Rehabilitation —Philadelphia, PA
- 8 hour shift
- Nursing
- RN License
- Licensed Clinical Social Worker
Psychiatric Mental Health Nurse Practitioner
The Volpicelli Center, Inc. —Plymouth Meeting, PA
- $60 - $75 an hour
- Part-time
- Hybrid work
- Background check
- Vital signs
- Psychiatry
- Professional development assistance
- Flexible schedule
Quick Apply
4d
Claims Nurse (Utilization Management / Claims Review) Must have CALIFORNIA license
Dragonfly Global —United States
- $100,000 - $105,000 a year
- Full-time
- Remote
- LVN
- RN License
- Mid-level
- Travel reimbursement
- Health savings account
Quick Apply
Remote Utilization Review RN or LVN (Inpatient/SNF Team.) Must have CA license.
Dragonfly Global —United States
- $48.00 - $50.48 an hour
- Full-time
- Remote
- Spanish
- Nursing
- Microsoft Excel
- Paid holidays
- Disability insurance
Quick Apply
Medicaid Medical Review RN (Medical Reviewer III)
CoventBridge Group —United States
- $65,000 - $70,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Paid holidays
- Disability insurance
11d

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Registered Nurse Assessment Coordinator (RNAC)
Fox Subacute - Philadelphia —Philadelphia, PA
Monitor case mix to help ensure the facility receives appropriate reimbursement for services provided. In this role, you will oversee the Resident Assessment…
$50 an hour
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Registered Nurse Assessment Coordinator (RNAC)
GHR Healthcare —Honey Brook, PA
Active Pennsylvania Registered Nurse (RN) license. Coordinate and complete MDS assessments in accordance with federal and state regulations.
$105,000 - $110,000 a year
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Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per…
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Nurse - Skilled/Purchased Care Coordinator
US Veterans Health Administration —Columbus, OH
Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the…
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3d

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utilization review nurse jobs near west chester pa

Nurse Care Manager

Meta Care Inc.,
Philadelphia, PA

Quick Apply

Job Details

Full-time
From $70,000 a year
12 days ago

Benefits

Mileage reimbursement
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
Employee discount
Life insurance
Paid sick time

Qualifications

Care plan evaluation
Nursing
Teamwork
Inpatient experience
RN License
HIPAA
Patient advocacy
Utilization management
Attention to detail
Home health safety assessments

Full Job Description

Company Overview
Meta Care Inc. is dedicated to making patients the top priority in the healthcare delivery system! Driven by passionate entrepreneurs, we focus on enhancing patient health and well-being across the nation. We provide personalized care and support, valuing every team member’s contribution to our mission.

Job Summary
We are seeking a dynamic and compassionate Nurse Care Manager to join our dedicated healthcare team. In this vital role, you will coordinate our clergy member's care across various settings, ensuring seamless transitions and optimal health outcomes. Your expertise in acute, post-acute, outpatient, and inpatient care will drive personalized patient assessments, discharge planning, and utilization management. If you thrive in fast-paced environments and are committed to elevating patient service, this opportunity is for you!

CLERGY CARE — ARCHDIOCESE OF PHILADELPHIA, PA www.clergy-care.com

Healthcare Advocate for Catholic Clergy
RN or LPN preferred — active license not required
Full-Time | Philadelphia, PA | Active License NOT Required | Mission-DrivenAre you a nurse who is tired of the bedside — but not tired of caring? If you have given years to shift work, hospital floors, and high-volume patient loads and are looking for something slower, more personal, and deeply meaningful — this is that role.

THE MISSION
Caring for those who care for others!
Priests, deacons, and religious have spent their lives in service to others. Now it is their turn to be cared for — and you will be the one to do it. As a Healthcare Advocate with Clergy Care, you will serve as a trusted companion and guide for the clergy of the Archdiocese of Philadelphia, helping them navigate a healthcare system that can be overwhelming, confusing, and impersonal.
This is not a bedside role. There are no night shifts, no patient ratios, no charting marathons. What there is: real relationships, genuine purpose, and the chance to make a meaningful difference in the lives of people who have dedicated themselves to God and community.

Our mission is simple: Right Care. Right Place. Right Time.

“If you have ever wished you could just sit with a patient longer, follow up after discharge, or actually know the person behind the chart — this role gives you that. Every day.”

THE LICENSE QUESTION Your active license is NOT required. RNs and LPNs with lapsed or inactive licenses are warmly encouraged to apply. CNAs and Medical Assistants with 3+ years of healthcare experience are also welcome.
WHAT YOU WILL DO Your day-to-day
You will be the single, dedicated point of contact for clergy members in your care. You will know their names, their history, their preferences — and they will know yours. Your work spans four core areas:
RELATIONSHIP BUILDING & OUTREACH

Build trusted, personal relationships with clergy through regular outreach and on-site visits
Serve as a primary point of contact for healthcare navigation, benefits questions, and wellness needs
Proactively identify unmet needs and connect members with services before problems escalate
Provide health education and preventive wellness resources tailored to each member

CARE COORDINATION & NAVIGATION

Coordinate medical, dental, and specialist appointments for seamless care experiences
Assist members in navigating provider networks, benefits, and pre-authorization processes
Connect members with community resources including transportation, home care, and support services
Coordinate third-party services such as DME, home health, and specialty providers

ADVOCACY & HOSPITAL SUPPORT

Conduct on-site hospital visits and serve as a personal advocate during hospitalizations
Provide post-discharge follow-up and care coordination to prevent readmissions
Visit members in assisted living facilities, skilled nursing facilities, and retirement homes
Conduct home safety assessments and arrange modifications or meal services when needed
Assist with remote monitoring tools including glucometers, blood pressure cuffs, and alert systems

TEAM COLLABORATION

Collaborate closely with our broader support team: pharmacists, nutritionists, and social workers
Partner with Archdiocesan leadership and affiliated ministries to ensure coordinated, comprehensive care
Maintain accurate, timely documentation in accordance with HIPAA and PHI guidelines

WHO WE ARE LOOKING FOR The right person for this role
You do not need to be currently licensed. You do need to be the kind of person who genuinely loves people, listens well, and finds deep satisfaction in being the one someone can count on.

RN or LPN background strongly preferred (active license not required)
Exceptional communication and listening skills with ability to offer calm, compassionate support
Highly organized, detail-oriented, and comfortable working independently
Humble, service-oriented, and genuinely motivated by helping others
Comfortable with light technology including Microsoft Office and remote monitoring tools
Able to travel locally to member locations, facilities, and events
A connection to or respect for the Catholic faith and its communities is a meaningful plus

Join us at Meta Care Inc., where your expertise will directly impact patient lives! We’re committed to fostering a supportive environment that values your skills in managing complex cases across diverse healthcare settings while promoting professional growth. Apply today to be part of a team dedicated to transforming healthcare delivery through personalized patient-centered care!

Pay: From $70,000.00 per year

Benefits:

401(k)
Dental insurance
Disability insurance
Employee assistance program
Employee discount
Health insurance
Life insurance
Mileage reimbursement
Paid sick time
Paid time off
Vision insurance

Application Question(s):

Mission Alignment: Since this is a Mission-driven Role with the Catholic Archdiocese of Philadelphia. Our organization deeply values our Catholic ethos and our active outreach alongside local clergy."

How have you demonstrated these values in your previous roles?

Work Location: In person

Quick Apply

Refine Your Search

utilization review nurse jobs in west chester pa

Nurse Care Manager

Care Manager (Registered Nurse/RN)

Registered Nurse Assessment Coordinator (RNAC)

Telephonic Case Manager I

Utilization Review Analyst

Utilization Management Nurse

Travel RN - Case Management/Utilization Review - Case Management

RN Case Manager Per Diem - (Temple University Hospital)

Care Manager

Psychiatric Mental Health Nurse Practitioner

Claims Nurse (Utilization Management / Claims Review) Must have CALIFORNIA license

Remote Utilization Review RN or LVN (Inpatient/SNF Team.) Must have CA license.

Medicaid Medical Review RN (Medical Reviewer III)

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