Tuesday, April 21, 2026 In Person Allied Health, Behavioral Health and Nursing Hiring Events

Multiple Locations

11 a.m. – 2 p.m.

Learn more about Nursing and Allied Health opportunities at WellSpan Health.

APR212026 In Person Allied Health, Behavioral Health and Nursing Hiring Events

Multiple Locations

Weekend Option 3 - 50/52 weekends

Day shift: 7am-7pm

Split weekends in the ED and IP Team

General Summary

Performs a variety of duties and applies utilization and care management techniques to determine the most efficient use of resources to support the provision of appropriate, cost effective and quality health care. Works in a team type assignment or Care Coordination Team (CCT) Model (Care Manager and Social Worker teams are assigned to patients by physician practice) to address patient care transition needs. Provides leadership in the integration of utilization and care management principles throughout the hospital.

Duties and Responsibilities

Essential Functions:

Performs initial reviews for medical necessity and appropriateness of setting for the assigned case load.Conducts concurrent reviews to ensure medical necessity for continued hospitalization and initiates problem-solving techniques as needed to prevent over and/or under utilization.Liaisons between third party payers and the treatment team regarding the identified treatment plan in accordance with contractual guidelines or System policy.Assists the patient care team with the identification and coordination of alternative treatment settings which will provide appropriate care, maintain quality of care and reduce cost.Identifies conditions which require care management across the continuum. Collaborates with the members of the patient care team to identify interdisciplinary needs.Makes arrangements for discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients, families and care team as needed.Assists with the collection and analysis of utilization patterns and denied cases.Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager(s).

Common Expectations:

Prepares and maintains appropriate documentation as required.Maintains established policies and procedures, objectives, quality assessment and safety standards.Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Benefits Offered:

Comprehensive health benefitsFlexible spending and health savings accountsRetirement savings planPaid time off (PTO)Short-term disabilityEducation assistanceFinancial education and support, including DailyPayWellness and Wellbeing programsCaregiver support via WellthyChildcare referral service via Wellthy

Qualifications

Minimum Education:

Associates Degree Required

Work Experience:

5 years of RN experience requiredED experience preferredUtilization management, care management, or clinical nursing specialty. Preferred

Licenses:

Licensed Registered Nurse Upon Hire Required orRegistered Nurse Multi State License Upon Hire Required andBasic Life Support Upon Hire Required

Knowledge, Skills, and Abilities:

Excellent interpersonal/communication skills. You’re unique and you belong here.

At WellSpan Health, we are committed to treating all applicants fairly, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email at . We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us.