RN Case Manager - Utilization Review (Temple Hospital Jeanes Campus)
Philadelphia, Pennsylvania, United States · Hybrid
Mid level
Utilizing InterQual and other appropriate criteria, responsible for reviewing all admissions and continued stay of patients in conformance with the established criteria set forth in the hospital's utilization management …
Skills: Utilization Review, Case Management, Clinical Nursing, Acute Care, InterQual
Philadelphia, Pennsylvania, United States · On-site
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Assesses, plans, implements and evaluates care needed by Wound Care and hyperbaric patients. Maintains knowledge about principles, theories, current best practices and techniques for wound nursing care. He/She will colla…
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MEDICAL LAB TECHNICIAN (PT; OVERNIGHT) - Temple Women & Families
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Performs a wide variety of laboratory procedures using both manual and automated methods. Is expected to show a considerable degree of independent judgement regarding the performance and reporting of results. Actively pa…
MEDICAL LAB TECHNICIAN (PT; OVERNIGHT) - Temple Women & Families
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Performs a wide variety of laboratory procedures using both manual and automated methods. Is expected to show a considerable degree of independent judgement regarding the performance and reporting of results. Actively pa…
RADIATION THERAPIST (PT; 20hrs/wk) - Temple Health/Fox Chase Cancer Center
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Nursing Assistant, 3C Med Surg, Full Time, 7pm-7:30am, Jeanes Campus
Philadelphia, Pennsylvania, United States · On-site
Entry level
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MEDICAL LAB TECHNICIAN (PT; OVERNIGHT) - Temple Women & Families
Philadelphia, Pennsylvania, United States · On-site
Entry level
Performs a wide variety of laboratory procedures using both manual and automated methods. Is expected to show a considerable degree of independent judgement regarding the performance and reporting of results. Actively pa…
RN Case Manager - Utilization Review (Temple Hospital Jeanes Campus)
Philadelphia, Pennsylvania, United States · Hybrid
Mid level
Utilizing InterQual and other appropriate criteria, responsible for reviewing all admissions and continued stay of patients in conformance with the established criteria set forth in the hospital's utilization management …
Skills: Utilization Review, Case Management, Clinical Nursing, Acute Care, InterQual
Philadelphia, Pennsylvania, United States · On-site
Entry level
Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing practice. …
Skills: Nursing, Patient Assessment, Clinical Care, Nursing Process, Basic Life Support
Philadelphia, Pennsylvania, United States · On-site
Entry level
Provides direct and indirect patient care duties under the guidance and direction of the Registered Nurse. Responsible for implementing components of the plan of care based on physical, psychosocial and spiritual needs. …
Nursing Assistant, Telemetry, Per diem, Jeanes Campus
Philadelphia, Pennsylvania, United States · On-site
Entry level
Assists the RN by performing patient care activities delegated to the unlicensed nursing support staff as well as additional specific functions for which he/she has been prepared. Incorporates the concepts of the Hospita…
Skills: Patient Care, Telemetry, Basic Life Support, Nursing Support, Customer Service
OUTPATIENT PHARMACIST (FT; 40hrs/wk) - Temple Health/Fox Chase Cancer Center
Philadelphia, Pennsylvania, United States · On-site
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Responsible for evaluating prescriptions and dispensing medication in our specialty and conventional outpatient retail pharmacy. Advise physicians, physician extenders, and patients on the selection, dosage, interactions…
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Philadelphia, Pennsylvania, United States · On-site
Entry level
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Philadelphia, Pennsylvania, United States · On-site
Mid level
Serves as the single point of contact to internal and external customers to ensure easy and seamless access to physicians, employees, patients, programs and services. Handles complex scheduling requests through various c…
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Philadelphia, Pennsylvania, United States · On-site
Mid level
Assesses, plans, implements and evaluates care needed by Wound Care and hyperbaric patients. Maintains knowledge about principles, theories, current best practices and techniques for wound nursing care. He/She will colla…
Skills: Wound Care, Hyperbaric Medicine, Patient Assessment, Care Planning, Clinical Nursing
RADIATION THERAPIST (PT; 20hrs/wk) - Temple Health/Fox Chase Cancer Center
Philadelphia, Pennsylvania, United States · On-site
Entry level
The Radiation Therapist administers radiation therapy treatments as prescribed by the Radiation Oncologists. Performs all other duties as required to assure accuracy and quality of treatments delivered. Education Other G…
Skills: Radiation Therapy, Patient Care, Quality Assurance, Clinical Procedures
RN Case Manager - Utilization Review (Temple Hospital Jeanes Campus)
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Full-time
bachelor degree
Posted 7d ago
~40 hrs/week
Responsibilities
The RN Case Manager is responsible for reviewing patient admissions and continued stays to ensure medical necessity and compliance with established criteria. They identify the appropriate level of care for patients to optimize quality of care and efficient utilization of health services.
Requirements
Candidates must hold a Bachelor's Degree in Nursing (BSN) and a valid Pennsylvania or Multi-State Compact RN license. At least 2 years of clinical nursing experience in an acute care setting is required, with preference given to those with utilization review or case management experience.
Full job description
Utilizing InterQual and other appropriate criteria, responsible for reviewing all admissions and continued stay of patients in conformance with the established criteria set forth in the hospital's utilization management and quality assurance plan. Will determine the medical necessity for admission and continued stays for patients within department's scope of service and to meet the hospital's objectives for assuring a high quality of patient care as well as assuring the effective and efficient utilization of available health services. Identifies appropriate level of care for inpatients and outpatients requiring overnight care.
Education Other Graduate of an accredited school of nursing Required Bachelor's Degree BSN Required
Experience 2 years experience in clinical nursing preferably in acute care Preferred General Experience in utilization review, case management, PreCertification, or discharge planning Preferred General Experience and knowledge of Medicare, Medicaid, and commercial insurance guidelines Preferred General Experience and knowledge of MCG and InterQual criteria tools Preferred
Licenses PA Registered Nurse License Required or Multi State Compact RN License Required
This position follows a hybrid schedule of 8:00 AM to 4:30 PM and includes a rotating requirement to work every third weekend.
One of the nation’s premier academic medical institutions. Leader in medical education, research and clinical care.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
1892
Headquarters
Philadelphia, Pennsylvania
LinkedIn followers
54,651
At Temple Health, more is how excellence is defined.
Temple Health is a Philadelphia-based academic health system redefining what’s possible in advanced patient care. Through clinical innovation, pioneering research, and world-class education, Temple is transforming complex medical challenges into real-world solutions—delivering more answers, more options, and more possibilities for patients.
Powered by more than 1,700 physicians, researchers and scientists across Temple University Hospital, the Lewis Katz School of Medicine and Fox Chase Cancer Center, Temple accelerates the translation of scientific discovery into practical therapies, united by a shared commitment to advancing medicine and expanding what patients can expect from their care.
Temple’s depth of expertise enables outcomes once thought impossible—more specialized expertise, more innovation, and more opportunities to expect what’s next in medicine.
It Takes Temple Health.
Offices: 3401 N Broad St, Philadelphia, Pennsylvania 19140, US · 7600 Central Ave, Philadelphia, Pennsylvania 19111, US · 100 E Lehigh Ave, Philadelphia, Pennsylvania 19125, US · 8835 Germantown Ave, Philadelphia, Pennsylvania 19118, US · 450 Cresson Blvd, Oaks Corporate Center, Suite 200, Phoenixville, Pennsylvania 19460, US
One of the nation’s premier academic medical institutions. Leader in medical education, research and clinical care.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
1892
Headquarters
Philadelphia, Pennsylvania
LinkedIn followers
54,651
At Temple Health, more is how excellence is defined.
Temple Health is a Philadelphia-based academic health system redefining what’s possible in advanced patient care. Through clinical innovation, pioneering research, and world-class education, Temple is transforming complex medical challenges into real-world solutions—delivering more answers, more options, and more possibilities for patients.
Powered by more than 1,700 physicians, researchers and scientists across Temple University Hospital, the Lewis Katz School of Medicine and Fox Chase Cancer Center, Temple accelerates the translation of scientific discovery into practical therapies, united by a shared commitment to advancing medicine and expanding what patients can expect from their care.
Temple’s depth of expertise enables outcomes once thought impossible—more specialized expertise, more innovation, and more opportunities to expect what’s next in medicine.
It Takes Temple Health.
Offices: 3401 N Broad St, Philadelphia, Pennsylvania 19140, US · 7600 Central Ave, Philadelphia, Pennsylvania 19111, US · 100 E Lehigh Ave, Philadelphia, Pennsylvania 19125, US · 8835 Germantown Ave, Philadelphia, Pennsylvania 19118, US · 450 Cresson Blvd, Oaks Corporate Center, Suite 200, Phoenixville, Pennsylvania 19460, US