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RN - Utilization & Case Management (Evening Shift
Job in
Scranton, Lackawanna County, Pennsylvania, 18512, USA
Listed on 2026-08-17
Listing for:
Jefferson Health Northeast
Full Time
position Listed on 2026-08-17
Job specializations:
-
Healthcare
Healthcare Management
Job Description & How to Apply Below
Jefferson Health Northeast is seeking a healthcare professional to perform utilization management and denial/appeal activities for inpatient care from a hospital setting. You will collaborate with the Case Management team and Physician Advisor to ensure appropriate patient status and timely appeals.
The role requires applying acuity criteria, documenting findings, and coordinating with payors to meet protocols and timelines while maintaining open communication with the care team.
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