Utilization review nurse jobs in Pittsburgh, PA - 187 jobs

Job Title: UM Coordinator PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. ESSENTIAL FUNCTIONS: 35% Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation. 35% Reviews authorization requests for initial determination and/or triages for clinical review and resolution. 20% Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems. 10% Assists with reporting, data tracking, gathering, organization and dissemination of information such as Continuity of Care process and tracking of Peer to Peer reviews. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education Level: High School Diploma Experience: 3 years experience in health care claims/service areas or office support. Preferred Qualifications Two years experience in health care/managed care setting or previous work experience within division Knowledge of CPT and ICD-10 coding. Knowledge, Skills and Abilities (KSAs) Ability to effectively participate in a multi-disciplinary team including internal and external participants., Proficient Excellent communication, organizational and customer service skills. , Proficient Knowledge of basic medical terminology and concepts used in managed care., Proficient Knowledge of standardized processes and procedures for evaluating medical support operations business practices., Proficient Excellent independent judgment and decision-making skills, consistently demonstrating tact and diplomacy. , Proficient Ability to pay attention to the minute details of a project or task, Proficient Experienced in the use of web-based technology and Microsoft Office applications such as Word, Excel, and Power Point, Proficient The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

We are seeking a Bilingual Telephonic Nurse Case Manager with MD or PA compact RN license to work Monday - Friday, 8 AM to 5 PM. Bilingual (Spanish speaking) is strongly preferred. Candidates with additional RN licensure from NY and PA will also be given preference. The Telephonic Case Manager provides remote medical case management services to injured individuals, many of whom were industrially injured. A Telephonic Case Manager assists consumers in their recovery so that they may return to the highest level of function as possible. Medical services are coordinated and assessed frequently, vocational options are explored with the injured worker and their employers, and pre-injury employment or alternate employment is secured. The Telephonic Case Manager works with all parties to the claim including: the injured person, the claim's examiner, employer, attorneys (plaintiff and defense) and medical providers. Qualifications: Unrestricted compact RN required Additional RN license from NY and MA preferred Bilingual (Spanish speaking) required CCM strongly preferred WCCM strongly preferred Worker's compensation case management experience preferred ICU/ER experience experience will be considered Case Managers may also need regional or national certifications and must adhere to the standards of practice outlined by the specific national certifying body or the jurisdictionally accepted standards of practice. Professional licenses or certifications required to meet qualifications for this position must be current, unrestricted and allow for practice within a state or territory of the United States.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with clinical editing, policy and coding standards. **Fundamental Components:** Reviews documentation and evaluates potential correct coding issues based on multiple clinical policies. Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation. Data gathering requires navigation through multiple system applications. Staff may be required to contact internal Aetna departments to obtain additional information. Evaluates documentation/information to determine compliance with clinical policy, regulatory, and accreditation guidelines. Accurately applies review requirements to assure case is reviewed by a practitioner with clinical expertise for the issue at hand. Commands a comprehensive knowledge of complex delegation arrangements, contracts (member and provider), clinical criteria, benefit plan structure, regulatory requirements, company policy and other processes which are required to support the review of the clinical documentation/information. Pro-actively and consistently applies the regulatory and accreditation standards to assure that activities are reviewed and processed within guidelines. Condenses complex information into a clear and precise clinical picture while working independently. Reports audit or clinical findings to appropriate staff or others in order to ensure appropriate outcome and/or follow-up for improvement as indicated. **Required Qualifications** + 3-5 years of direct care clinical experience as an RN required. + Active and unrestricted RN licensure required in candidate's state of residence. + 2 years' experience with MS Office suite applications including Excel. Strong computer skills utilizing multiple systems and applications at the same time. + Must have critical thinking skills. **Preferred Qualifications** + Experience with ICD-10, CPT coding + Experience with QNXT + Experience with QuickBase. + Experience with Cotiviti Editing/CXT **Education** + Registered Nurse with compact license + Associates Degree required, Bachelors preferred **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,095.00 - $155,538.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Requirements RN licensure CPR certified Preferred Requirements 2 years nursing experience Critical Care experience Other Requirements Pass PA Criminal Background Check Obtain PA Child Abuse and FBI Fingerprinting Clearances Pass Drug Screen TB Test Work Conditions Extended care facility treating those with substance use disorders. Able to lift upwards of 20 lbs. GRC is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact.

University of Pittsburgh Physicians is hiring a full-time OP Nurse Coordinator I to join their Pediatric Heart Institute team at UPMC Children's Hospital of Pittsburgh - located at the main Children's Hospital in Lawrenceville Schedule/Shifts: Monday-Friday, daylight hours 5 days a week 8 hour days, no nights, weekends, holidays or on-call shifts! Position Specifics: Potential to work 4 10-hour shifts and 1-to-2-day work-from-home day, after orientation/training period is completed. What Can UPMC Do for You? * A career path that provides you with the right experience to be successful in the position you want to obtain now and, in the future * Health and welfare benefits like medical, vision, dental, and life and disability, and an exceptional retirement program * Work life balance to help manage other important aspects of your life such as: PTO, wellness programs, paid parental leave * Competitive pay for the work that you do * Sign-on Bonus available (if applicable) This position will be a RN Coordinator within the Heart Institute supporting the outpatient pediatric cardiology and cardiac surgery services at CHP Main Campus. This position will be dedicated to the DaSilva Center and assist with their outside referrals and second opinions related to Ebstein's Anomaly (EA). Any cardiology background would be a plus. This person should have a positive attitude and possess excellent communication skills. This person will have constant interaction with patients and families both in person and on the phone, so communication skills and positive attitude is essential. They are essentially going to be the main contact for all patients referred into this program around the county. Responsibilities: * Demonstrates accountability for professional development that improves the quality of professional practice and the quality of patient care. Actively participates in practice-based shared governance, goal setting and supports the change and transition process to improve quality of care and the practice environment. Serves as a highly engaged and full partner on the care team and responds willingly to care team member needs for assistance and partnership. Participates in work that improves patient care and the professional practice environment.Adapts to change and demonstrates flexibility with the change process.Provides oversight and supervision to the overall practice environment, assisting all other disciplines and directing clinical/administrative activity as need arises. Demonstrates leadership capabilities with new nursing staff, patient information coordinators, medical assistants and office assistant staff in the daily management of the patient process. * Formulates goals and a plan of care for patients that involves the patient as partner and considers the individual needs of the patient in a holistic manner. Triages patient situations and coordinates care with physician.Assist physician with all aspects of patient care including assessment, evaluation and education.Provides care for patients in a global, holistic method-responsibility for the patient is viewed in a continual manner, not simply at the time of office/procedural visit.Accountable for outpatient treatment follow up necessary for patient to maintain health in between outpatient visits.Serves as primary nursing resource to patient caseload.Facilitates necessary services outside of the healthcare facility, interacts with homecare and other support services. * Develops and maintains productive working relationships internally and externally by demonstrating accountability for actions, enthusiasm, motivation and commitment to patients and colleagues. Demonstrates an understanding of cultural differences and holds peers accountable for healthy relationships. Maintains a conscious balance between work and personal life. Models safe work hours, time management and healthy lifestyle. Communicates with peers and management any safety hazards identified in the workplace.Assists the departmental manager (Practice Coordinator or Practice Manager) in patient care planning, operations and innovations. * Actively participates in department or practice-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management. Takes personal responsibility in improving patient satisfaction with the quality of care and service. Utilizes research and evidence-based practice to support improvement in clinical care: identifies research issues or articles related to clinical specialty or areas of interest Actively assists and participates in all preparation and maintenance activities for regulatory agency reviews and quality audits.Becomes the patient advocate and voice to the physicians and physician extenders within the practice. * Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families.Ability to work productively and effectively within a complex environment, handle multiple/changing priorities and specialized equipment.Good clinical judgment with critical thinking, analytical and problem solving abilities required as related to various aspects of patient care.Critical thinking skills necessary to exercise and to lead others in application of the nursing process.Communication skills that designate the Professional Nurse Coordinator as the voice/advocate for the patient.Mobility and visual manual dexterity. Physical stamina for frequent walking, standing, lifting and positioning of patients. * Demonstrates critical thinking in the identification of clinical, social, safety, psychological and spiritual issues for the patient care within an episode of care. Practices solid communication skills, and is able to articulate and translate the patient's condition to other care providers and to negotiate and make recommendations for changes in patient care and office practices. Patient documentation is comprehensive and promotes communication between caregivers. Incorporates national professional organization as well as business unit and health system's goals to improve patient safety, quality and satisfaction.Creates a caring and compassionate patient focused experience by building healing relationships with patients, families and colleagues. * Demonstrates knowledge of adult learning principles (and/or teaching children if applicable) and applies in teaching of patients, families, students and new staff. Provides detailed and appropriate teaching to patients and families to effectively guide them through the episode of care both in the office setting and via phone/written communication when at home. Serves as the primary nursing liaison for the development of a total care plan to patient and family.Supports the development of students, new staff and colleagues May serve as a preceptor for newly acquired staff. May be responsible for coordination of staff training and educational activities. Functions as the senior nursing level assisting in the professional development and maturity of new staff members and ancillary support. Creates an environment of open dialogue, inquiry and continuous development by asking for feedback and improving practice. Qualifications: * Minimum 3 years nursing experience * BSN preferred * Pediatric experience preferred * Cardiology/Cardiac surgery experience preferred * The individual must be able to demonstrate the knowledge and skills necessary to provide care and/or interact appropriately to the ages of the patients served by his/her assigned unit as specified below. They must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patients status and interpret the appropriate information needed to identify each patients requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures. Licensure, Certifications, and Clearances: * Current licensure as a Registered Professional Nurse in practicing state. * Registered Nurse (RN) * CPR Certification: UPMC approved national certification preferred. CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire * Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) * Act 33 with renewal * Act 34 with renewal * Act 73 FBI Clearance with renewal * 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

University of Pittsburgh Physicians Department of Neurological Surgery is hiring a full-time Outpatient Nurse Coordinator I to join their team at Presbyterian Hospital ( _200 Lothrop Street, Suite B400, Pittsburgh, PA 15213_ ). In this position, you will work Monday-Friday from 8:00am-4:30pm. This role provides opportunity to work from home 1 day per week after successfully completing an orientation period/6 month of employment. Are you ready to make a meaningful impact in one of the most dynamic and innovative Neurosurgery Departments in the country? We're seeking a dedicated and compassionate Registered Nurse to join our outpatient care team. This role offers a unique opportunity to contribute to groundbreaking research, support patient-focused initiatives, and gain valuable experience in coordinating care and facilitating support groups. Purpose: The Outpatient Nurse Coordinator plays a vital role in delivering high-quality, holistic care to patients across the continuum of outpatient services. This position requires independent clinical judgment, strong communication skills, and a commitment to patient advocacy. You'll collaborate closely with physicians, families, and community resources to ensure patients receive comprehensive support both during and between visits. Key Responsibilities: + Patient-Centered Care: + Develop individualized care plans in partnership with patients and families. + Triage patient needs and coordinate care with physicians and external services. + Serve as the primary nursing resource for a designated patient caseload. + Provide education and guidance to patients and families throughout their care journey. + Clinical Leadership: + Supervise and support nursing staff, medical assistants, and office personnel. + Lead daily clinical and administrative operations within the practice. + Mentor new staff and contribute to their professional development. + Professional Practice: + Engage in continuous learning and shared governance initiatives. + Participate in quality improvement efforts and regulatory preparation. + Apply evidence-based practices to enhance patient outcomes and satisfaction. + Collaboration & Communication: + Foster positive relationships with interdisciplinary teams and external partners. + Advocate for patients and communicate effectively across all levels of care. + Maintain thorough and accurate documentation to support care coordination. + Education & Teaching: + Provide patient and family education using adult learning principles. + Support training and educational activities for staff and students. + Serve as a preceptor and role model for clinical excellence. + Minimum 3 years nursing experience + BSN preferred **Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse in practicing state. + CPR Certification UPMC approved national certification preferred. + CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse (RN) + Act 34 *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**

Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. • Health, dental, vision, life, disability benefits and 401k • Tax free stipends when applicable • Gym discounts • Weekly pay • $750.00 referral bonus Please apply or contract us at: *********************** or ************

You're more valuable than ever - And that's just how we'll make you feel. You're more valuable than ever - And that's just how we'll make you feel. Sign-On Bonus of up to $15,000 Join Our UPMC-GoHealth Team! We are seeking experienced Physician Assistants and Nurse Practitioners to join UPMC-GoHealth Urgent Care in the greater Pittsburgh area, and locations across Pennsylvania and West Virginia. At GoHealth Urgent Care, we go above and beyond for our patients, communities, and team members to ensure effortless, personal, and connected experiences. Partnering with UPMC Health System, one of the most respected healthcare networks in the country, we've built a substantial network of urgent care centers across Pennsylvania and West Virginia. What We Offer: Clinical Excellence: Be challenged with clinical complexity and a wide variety of concerns. Engage in the shared decision-making and problem-solving that enlivens your work. Enjoy the flow of seeing patients at regular intervals with scheduling programs that promote wellness, efficiency, and safe care. Our state-of-the-art centers are equipped with advanced technology, including an integrated EPIC EMR, POC testing, and on-site X-ray to maximize your efficiency and clinical success. Work in one of the cleanest, quietest, and well-maintained healthcare settings in the nation. Be the professional you envision. Collaborate with an on-site Rad Tech and Medical Assistants as a clinical team leader. Share your experience and training with other clinicians and staff. Scheduling flexibility to accommodate vacations and wellness days Monday through Friday. Weekend shifts and limited on-call availability are required. Each team member is assigned a primary anchor/home center, with secondary centers nearby. Minimum Qualifications: Comfortable with minor procedures (sutures, casts, splints, etc.), and preliminary reads on EKGs and X-rays required. Experience treating patients ages 6 months and up in an acute care setting required. Physician Assistants: Master's degree and NCCPA Certification is required. Nurse Practitioners: Master's degree and ANCC or AANP Certification is required. Preferred Qualifications: One (1) year of full-time experience in Emergency Medicine or two (2) years of Urgent Care setting experience. Will consider 2 years of Family Medicine experience. Apply Now and Take Your Career to the Next Level! If you are a dynamic, flexible, and experienced clinician ready to make a difference, we would love to hear from you. Do not miss this opportunity to join our collaborative team and practice urgent care medicine with the support of a fast-growing healthcare network. Eligible individuals may be entitled to a Sign On Bonus. Apply now and unlock your full potential! Sign On Bonus available to eligible candidates upon hire; subject to program terms #INDPR Set up email alerts as new job postings become available that meet your interest! All qualified persons are granted an equal opportunity for employment without regard to race, color, religion, sex, sexual orientation and gender identity or expression, age, national origin, citizenship status, disability, genetic information, medical condition, family care leave status, pregnancy or pregnancy-related condition, otherwise qualified disabled or veteran status. The company will comply with all fair employment laws in each of the jurisdictions where we conduct business. For applicants in California, please review our California Consumer Privacy Statement here. *****************************************

Job DescriptionBenefits: Employee discounts Wellness resources Benefits/Perks A competitive salary Flexible Schedules Casual Dress-code Fun, wellness-focused work environment Company Overview Restore Hyper Wellness is the leading retail provider of alternative health and wellness modalities in the United States. Our goal is to make Hyper Wellness widely accessible, affordable, and fun. This means helping people from all walks of life feel better and perform at a higher level so they can do more of what they love in life. Inc. 5000 ranked Restore as the #113 Fastest Growing Company in America, the #17 Fastest Growing Company in Texas, and the #1 Hottest Franchise in America. Job Summary Do you have a passion for nursing but are tired of the hectic, high-stress environment of a clinic or ER? This is your chance to take your career in an exciting, new direction. Restore is seeking an outgoing, experienced Nurse to join our team of wellness professionals on a mission to help people feel better so they can do more of what they love. Were the antithesis of a traditional medical office or clinic, offering innovative wellness services in a fun, comfortable environment. Our nurses have described working for Restore as the most fun you can have at a nursing job while still helping people in a meaningful way. This is your opportunity to take an active role in assisting individuals on their health and wellness journey and leading a team of nurses to support the Restore mission. Responsibilities Medical Operations & Clinical Duties Administer IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and antioxidants. Educate clients on the qualities and benefits of our IV Drip and Intramuscular (IM) Shot ingredients. Administer Hyperbaric Oxygen Therapy sessions. Utilize blood test offerings to help clients optimize their wellness. Promote memberships and medical services based on client needs. Document client visits via electronic medical records. Address and answer client questions using the Restore Nursing Reference Guide under the supervision of the Medical Director and network of licensed Advanced Practice Providers. Communicate to the medical compliance team any issues or adverse effects clients experience. Provide therapeutic communication along with exceptional customer service Assist staff with store services. Assist with off-site nursing events and special projects. This position reports to the Lead Nurse. Maintain a safe and clean working environment. Qualifications Youre a licensed Registered Nurse (RN). You have at least two years of experience as a nurse in an acute care setting (ER, ICU, Med-Surg, or similar). You are BLS (Basic Life Support) certified You have at least one year of experience administering injections. Youre comfortable using electronic medical records to document client details. You maintain a non-judgemental outlook and have a demonstrated ability to work with a diverse clientele. Your verbal and written communication skills are on point. You value ethics and integrity. You embrace a team environment and also excel at working independently. Youre willing to adhere to all policies and procedures and understand the importance of maintaining medical compliance.

Benefits: Employee discounts Wellness resources Benefits/Perks A competitive salary Flexible Schedules Casual Dress-code Fun, wellness-focused work environment Company OverviewRestore Hyper Wellness is the leading retail provider of alternative health and wellness modalities in the United States. Our goal is to make Hyper Wellness widely accessible, affordable, and fun. This means helping people from all walks of life feel better and perform at a higher level so they can do more of what they love in life. Inc. 5000 ranked Restore as the #113 Fastest Growing Company in America, the #17 Fastest Growing Company in Texas, and the #1 Hottest Franchise in America. Job SummaryDo you have a passion for nursing but are tired of the hectic, high-stress environment of a clinic or ER? This is your chance to take your career in an exciting, new direction. Restore is seeking an outgoing, experienced Nurse to join our team of wellness professionals on a mission to help people feel better so they can do more of what they love. We're the antithesis of a traditional medical office or clinic, offering innovative wellness services in a fun, comfortable environment. Our nurses have described working for Restore as “the most fun you can have at a nursing job while still helping people in a meaningful way.” This is your opportunity to take an active role in assisting individuals on their health and wellness journey and leading a team of nurses to support the Restore mission. Responsibilities Medical Operations & Clinical Duties Administer IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and antioxidants. Educate clients on the qualities and benefits of our IV Drip and Intramuscular (IM) Shot ingredients. Administer Hyperbaric Oxygen Therapy sessions. Utilize blood test offerings to help clients optimize their wellness. Promote memberships and medical services based on client needs. Document client visits via electronic medical records. Address and answer client questions using the Restore Nursing Reference Guide under the supervision of the Medical Director and network of licensed Advanced Practice Providers. Communicate to the medical compliance team any issues or adverse effects clients experience. Provide therapeutic communication along with exceptional customer service Assist staff with store services. Assist with off-site nursing events and special projects. This position reports to the Lead Nurse. Maintain a safe and clean working environment. Qualifications You're a licensed Registered Nurse (RN). You have at least two years of experience as a nurse in an acute care setting (ER, ICU, Med-Surg, or similar). You are BLS (Basic Life Support) certified You have at least one year of experience administering injections. You're comfortable using electronic medical records to document client details. You maintain a non-judgemental outlook and have a demonstrated ability to work with a diverse clientele. Your verbal and written communication skills are on point. You value ethics and integrity. You embrace a team environment and also excel at working independently. You're willing to adhere to all policies and procedures and understand the importance of maintaining medical compliance. Compensation: $30.00 per hour Restore Hyper Wellness is the award-winning industry leader and creator of an innovative new category of care-Hyper Wellness . Restore delivers expert guidance and the most extensive array of cutting-edge modalities available under one roof. With over 100+ locations nationwide and a fast-growing retail footprint, Restore is making true health more accessible than ever before. Restore is one of America's fastest-growing companies right now, and for good reason. Inc. 5000 just named Restore the #1 hottest franchise in America, and #113th company in America. We are on a blazing mission to restore people's health and wellness so that they can do more of what they love every day. Our daily metric? How many people we helped that day. That's why it is paramount that we attract people who are as passionate about helping people as we are. Join us on our mission to help people feel better so they can do more of what they love. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Restore Hyper Wellness.

As the Operations & Engagement Coordinator, you are the "engine room" of our regional W2 division. Your mission is twofold: ensure every single shift requested by our anchor healthcare partner is filled with our high-quality professional, and ensure those professionals feel supported, motivated, and empowered to make NurseDash their long-term professional home. You don't just "post shifts"; you manage a community. You will be responsible for the daily logistics that drive our financial performance and ensure our clinicians are getting the most value out of their W2 benefits. COMPENSATION & BENEFITS • Base Salary: $49,000 - $60,000 (commensurate with experience). • Performance Incentives: Up to $12,000 in annual bonuses tied to fulfillment, retention, and reliability targets (paid quarterly). • Health & Wellness: Comprehensive Medical, Dental, and Vision insurance. • Time Off: 14 days of PTO per year to ensure you stay refreshed and at your best. • Work Style: Market-based remote/hybrid model with a monthly technology stipend. KEY RESPONSIBILITIES 1. Strategic Scheduling & Fulfillment • Own the master schedule for our W2 cohort across a premier regional facility network. • Achieve a 100% Fill Rate by proactively matching worker preferences with facility needs. • Implement the "Anchor Shift" strategy to ensure stable staffing and benefit eligibility for our core team. 2. Worker Success & Community • Act as the primary daily advocate for our W2 employees. • Conduct "Stay Interviews" to gather feedback and ensure our team is satisfied with their professional growth. • Drive adoption of W2-specific perks, ensuring our team feels the full value of their employment. 3. Operational Excellence • Foster a culture of reliability to maintain an ultra-low cancellation rate ( • Collaborate with Finance to ensure hours worked are accurately captured for our weekly payroll. • Protect unit sustainability by aligning scheduling decisions with our established business model. WHAT SUCCESS LOOKS LIKE IN THIS ROLE • A Vibrant Community: You've fostered an environment where 80%+ of our new hires stay with us beyond the 90-day mark. • Reliable Support: You consistently meet 95%-100% of our partner's shift needs. • Mutual Respect: Through your relationship-building, our "call off" rate stays below 2%. • Total Accuracy: You maintain a perfect record of billing and time-keeping compliance. QUALIFICATIONS • 2-5 years in healthcare staffing, hospitality, or high-volume logistics. • A "Hustler" mindset with the ability to solve complex puzzles in real-time. • Exceptional empathy and the ability to influence others positively. • Tech-savvy with experience in platforms like Breezy, Slack, and payroll integrations.

EXPERIENCED OR Nurse Needed!!!!! At Lifeline Vascular Care, we provide the highest quality, most comprehensive and up-to-date care for our patients. Our employees are talented, passionate health care professionals who know how to provide excellent patient care and customer service. We look for people who have a strong work ethic with a positive outlook and team-work attitude with the skills to match. We are seeking a qualified Registered Nurse for immediate placement at Pittsburgh North Surgical Center located in Cranberry Township, PA The ideal candidate will have 2 years experience in Spine, Podiatry and pain management; experience in IR and Cath Lab is a plus as we also perform vascular access procedures. The Registered Nurse will gather pre-treatment patient data, monitor patient and medications during procedures while performing concious sedation. The registered nurse will provide assistance to the clinical team during pre and post procedure activities. This is a challenging, fast-pace job with Monday to Friday schedule, NO nights and weekend shifts. ASC hours Monday - Friday, 7 am to 4 pm. Our employees enjoy a great work/life balance and a highly supportive team environment. This is a part-time position that could be full time, we are flexible. We offer competitive pay commensurate with experience and an excellent benefits package including the following: Health, Dental and Vision Insurance Basic Life and Disability Insurance Whole Life, Group Accident and Hospital Indemnity Flexible Spending Account or HSA available 401(k) with Employer match Paid Holidays and a generous Paid Time Off Plan Employment at Lifeline Vascular Care is contingent on successful completion of pre-employment screening and background check. Responsibilities and Duties: Conscious Sedation: Provide ongoing patient information to the interventionist and clinical team during procedures to deliver vascular access care to the patient including but not limited to cardiac monitoring, aldrete score, pain status. Monitor patient vitals (HR, BP, O2Sat, EKG) during procedures Surgical Procedures (not providing conscious sedation): Pull surgical cases prior to start of cases, circulate surgical cases, anticipate the needs of the physician and clinical team, provide report to PACU team. Be cross trained in Pre op and PACU to be part of a well rounded team. Other jobs and responsibilities will be assigned upon hire. Gather patient clinical information prior to procedures including patient assessments and patient history Maintain up-to-date narcotic drug log Maintain clear and accurate patient medical records Communicate with dialysis facilities to monitor post-care as directed by center manager Monitor and maintain adequate inventory of medical supplies Experience: Registered Nurse : 2 years (Preferred) Scrub: 1 year (Preferred) Lifeline provides equal employment opportunities (EEO) to all employees and applicants for employment regardless of race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Lifeline Vascular Care complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Please submit resume on our online application site.

Benefits for our full-time GNs/RNs Starting Rate: $34.37/hr • $10K sign on / retention bonus • $10K RN to BSN reimbursement program • $4,000/year Educational Assistance Program • $1.00/hour BSN differential • $1.50/hour shift differential for evenings and nights • 19 days PTO accrual in first year • FREE scrub allowance annually • $7.50 per week onsite parking available at Heritage Valley Sewickley • Incentive Pay available • Part-time opportunities also available with pro-rated benefits Departments/ Units Currently Available at Heritage Valley Sewickley Critical Care Emergency Medical/Surgical Observation Telemetry (Stepdown) Orthopedics Progressive Care Work Hours: Various 8 &/or 12 hour shifts available with weekend and holiday rotations. Full Time or Part Time Heritage Valley Sewickley 701 Broad Street Sewickley, PA 15143 Provides professional nursing care practicing legal nursing responsibilities as indicated by the Nurse Practice Act. For a Graduate Nurse this will be under the supervision of an experienced registered nurse. Requirements Graduate of an accredited professional school of nursing, valid Pennsylvania temporary practice permit. Basic Cardiac Life Support. Within six months of hire date, the Graduate Nurse must complete the licensing examination. Successful completion of applicable clearances as required within 90 days of commencing employment. Must obtain ACLS within 6-month introductory period. HVHS Nurse Residency: A Transition to Professional Practice All new graduate hires are enrolled into the program which consists of the following: • 8-12 week individualized New Graduate HVHS Orientation • Personalized HVHS Clinical Progress Support • Complimentary NCLEX Review Sessions • 12 month Nurse Residency: Transition to Professional Practice (TPP) Program Followed by: • 24 months of guidance in Professional Development and Career Path Planning

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with clinical editing, policy and coding standards. **Fundamental Components:** Reviews documentation and evaluates potential correct coding issues based on multiple clinical policies. Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation. Data gathering requires navigation through multiple system applications. Staff may be required to contact internal Aetna departments to obtain additional information. Evaluates documentation/information to determine compliance with clinical policy, regulatory, and accreditation guidelines. Accurately applies review requirements to assure case is reviewed by a practitioner with clinical expertise for the issue at hand. Commands a comprehensive knowledge of complex delegation arrangements, contracts (member and provider), clinical criteria, benefit plan structure, regulatory requirements, company policy and other processes which are required to support the review of the clinical documentation/information. Pro-actively and consistently applies the regulatory and accreditation standards to assure that activities are reviewed and processed within guidelines. Condenses complex information into a clear and precise clinical picture while working independently. Reports audit or clinical findings to appropriate staff or others in order to ensure appropriate outcome and/or follow-up for improvement as indicated. **Required Qualifications** + 3-5 years of direct care clinical experience as an RN required. + Active and unrestricted RN licensure required in candidate's state of residence. + 2 years' experience with MS Office suite applications including Excel. Strong computer skills utilizing multiple systems and applications at the same time. + Must have critical thinking skills. **Preferred Qualifications** + Experience with ICD-10, CPT coding + Experience with QNXT + Experience with QuickBase. + Experience with Cotiviti Editing/CXT **Education** + Registered Nurse with compact license + Associates Degree required, Bachelors preferred **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,095.00 - $155,538.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 02/06/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Job DescriptionDescription: ATTENTION ALL NURSES! $10,000 SIGN ON BONUS! Intake Nurse Coordinator - RN Gateway Rehab Center (GRC) has a unique opportunity for an Intake Nurse Coordinator located in our Aliquippa (Center Twp, PA) residential facility. In this position, you will be scheduled 11am-11pm, x3 - 12-hour shifts per week with 2 weekends a month coverage and holidays as needed. Primary duties will be facilitating admissions on the worked weekends and then working on the unit for the remaining hours during the week. Schedule will vary. Our nurses provide direct patient nursing care which includes administering medication and carrying out therapeutic treatments. This exciting opportunity comes with comprehensive benefits to include the following: An above market starting salary. Free parking and Free meals onsite. Free onsite training. PTO available immediately. Contribution towards medical insurance of your choice to include Highmark or UPMC plans. Vision & Dental insurance. Employee discounts. Employee Assistance Program (EAP). Profit-sharing retirement plan with employer match. You should also know that GRC is a qualified employer for the Public Service Loan Forgiveness Program. Responsibilities Implements assessment and nursing care in accordance with program procedures established by the Medical Director and Director of Nursing. Effectively contributes to the throughput efficiency of the facility and executes decisive and timely assessments and dispositions. Oversees all aspects of the detox and rehab patient admission process, including: Pre-screening of new patients for appropriateness for admission Obtains physical assessment data and health history. Executes medical interventions, including transcribing and administering routine and prescribed medications in accordance with procedures established by the Medical Director and Director of Nursing. Records patient observations and activities in patient records accurately and timely in accordance with nursing standards and organizational policy and procedure. Provides screening for TB and contagious disease. Provides screening for acute medical complaints, e.g., intoxication, abscesses, change in mental status, etc., making referrals to Emergency Department when necessary. Required Knowledge and Skills Must be skilled and physically able to perform medical necessary intervention when needed. Requirements: RN licensure CPR certified Preferred Requirements 2 years nursing experience Critical Care experience Other Requirements Pass PA Criminal Background Check Obtain PA Child Abuse and FBI Fingerprinting Clearances Pass Drug Screen TB Test Work Conditions Extended care facility treating those with substance use disorders. Able to lift upwards of 20 lbs. GRC is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact.

Are you passionate about helping kids be their best selves? UPMC Children's Community Pediatrics is hiring a Flex Full-Time OP Nurse Coordinator I to support the office in Pittsburgh. Weekend and evening availability required to support the hours of operation. Clinic Hours: 4:30p-9p mon-fri 11:30a-8p sat, 9:30a-6p sun Pediatric Nurse Manager, Supervisor, Charge Nurse or leader experience preferred. Purpose: Join our dynamic care team as an Outpatient Nurse Coordinator! You'll play a crucial role in patient care, using your nursing expertise to support patients, families, and the healthcare team. Responsibilities: * Professional Development: Continuously improve your practice and patient care quality. * Team Collaboration: Actively participate in shared governance and support team members. * Patient Care: Formulate holistic care plans, triage patient situations, and assist physicians. * Leadership: Guide new nursing staff and oversee clinical/administrative activities. * Patient Advocacy: Serve as the primary nursing resource and advocate for patients. * Quality Improvement: Engage in quality improvement efforts and regulatory reviews. * Communication: Maintain positive relationships with all stakeholders and ensure comprehensive patient documentation. * Education: Teach patients, families, and new staff, applying adult learning principles. Skills: * Strong clinical judgment and critical thinking * Excellent communication and interpersonal skills * Ability to handle multiple priorities in a complex environment * Physical stamina for frequent walking, standing, and patient positioning Qualifications: * Demonstrate knowledge and skills to care for patients of all ages. * Understand growth and development principles across the lifespan. * Assess and interpret patient data to meet age-specific needs. * Minimum 3 years of nursing experience. * BSN preferred. Licensure, Certifications, and Clearances: * Current RN licensure in the practicing state. * CPR Certification (AHA standards with didactic and skills demonstration within 30 days of hire). * UPMC-approved national certification preferred. * Basic Life Support (BLS) or Cardiopulmonary Resuscitation (CPR). * Act 31, Act 33, Act 34, Act 73. * 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

Job DescriptionBenefits: Employee discounts Wellness resources Benefits/Perks A competitive salary Flexible Schedules Casual Dress-code Fun, wellness-focused work environment Company Overview Restore Hyper Wellness is the leading retail provider of alternative health and wellness modalities in the United States. Our goal is to make Hyper Wellness widely accessible, affordable, and fun. This means helping people from all walks of life feel better and perform at a higher level so they can do more of what they love in life. Inc. 5000 ranked Restore as the #113 Fastest Growing Company in America, the #17 Fastest Growing Company in Texas, and the #1 Hottest Franchise in America. Job Summary Do you have a passion for nursing but are tired of the hectic, high-stress environment of a clinic or ER? This is your chance to take your career in an exciting, new direction. Restore is seeking an outgoing, experienced Nurse to join our team of wellness professionals on a mission to help people feel better so they can do more of what they love. Were the antithesis of a traditional medical office or clinic, offering innovative wellness services in a fun, comfortable environment. Our nurses have described working for Restore as the most fun you can have at a nursing job while still helping people in a meaningful way. This is your opportunity to take an active role in assisting individuals on their health and wellness journey and leading a team of nurses to support the Restore mission. Responsibilities Medical Operations & Clinical Duties Administer IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and antioxidants. Educate clients on the qualities and benefits of our IV Drip and Intramuscular (IM) Shot ingredients. Administer Hyperbaric Oxygen Therapy sessions. Utilize blood test offerings to help clients optimize their wellness. Promote memberships and medical services based on client needs. Document client visits via electronic medical records. Address and answer client questions using the Restore Nursing Reference Guide under the supervision of the Medical Director and network of licensed Advanced Practice Providers. Communicate to the medical compliance team any issues or adverse effects clients experience. Provide therapeutic communication along with exceptional customer service Assist staff with store services. Assist with off-site nursing events and special projects. This position reports to the Lead Nurse. Maintain a safe and clean working environment. Qualifications Youre a licensed Registered Nurse (RN). You have at least two years of experience as a nurse in an acute care setting (ER, ICU, Med-Surg, or similar). You are BLS (Basic Life Support) certified You have at least one year of experience administering injections. Youre comfortable using electronic medical records to document client details. You maintain a non-judgemental outlook and have a demonstrated ability to work with a diverse clientele. Your verbal and written communication skills are on point. You value ethics and integrity. You embrace a team environment and also excel at working independently. Youre willing to adhere to all policies and procedures and understand the importance of maintaining medical compliance.

Benefits for our full-time GNs/RNs Starting Rate: $34.37/hr • $10K sign on / retention bonus • $10K RN to BSN reimbursement program • $4,000/year Educational Assistance Program • $1.00/hour BSN differential • $1.50/hour shift differential for evenings and nights • 19 days PTO accrual in first year • FREE scrub allowance annually • FREE onsite parking at Heritage Valley Beaver • Incentive Pay available • Part-time opportunities also available with pro-rated benefits Departments/ Units Currently Available at Heritage Valley Beaver Adult Psychiatric Cardiopulmonary/Telemetry Critical Care Emergency Medical/Surgical Work Hours: Various 8 &/or 12 hour shifts available with weekend and holiday rotations. Full Time or Part Time Heritage Valley Beaver 1000 Dutch Ridge Road Beaver, PA 15009 Provides professional nursing care practicing legal nursing responsibilities as indicated by the Nurse Practice Act. For a Graduate Nurse this will be under the supervision of an experienced registered nurse. Requirements Graduate of an accredited professional school of nursing, valid Pennsylvania temporary practice permit. Basic Cardiac Life Support. Within six months of hire date, the Graduate Nurse must complete the licensing examination. Successful completion of applicable clearances as required within 90 days of commencing employment. Must obtain ACLS within 6-month introductory period. HVHS Nurse Residency: A Transition to Professional Practice All new graduate hires are enrolled into the program which consists of the following: • 8-12 week individualized New Graduate HVHS Orientation • Personalized HVHS Clinical Progress Support • Complimentary NCLEX Review Sessions • 12 month Nurse Residency: Transition to Professional Practice (TPP) Program Followed by: • 24 months of guidance in Professional Development and Career Path Planning

Benefits: Employee discounts Wellness resources Benefits/Perks A competitive salary Flexible Schedules Casual Dress-code Fun, wellness-focused work environment Company OverviewRestore Hyper Wellness is the leading retail provider of alternative health and wellness modalities in the United States. Our goal is to make Hyper Wellness widely accessible, affordable, and fun. This means helping people from all walks of life feel better and perform at a higher level so they can do more of what they love in life. Inc. 5000 ranked Restore as the #113 Fastest Growing Company in America, the #17 Fastest Growing Company in Texas, and the #1 Hottest Franchise in America. Job SummaryDo you have a passion for nursing but are tired of the hectic, high-stress environment of a clinic or ER? This is your chance to take your career in an exciting, new direction. Restore is seeking an outgoing, experienced Nurse to join our team of wellness professionals on a mission to help people feel better so they can do more of what they love. We're the antithesis of a traditional medical office or clinic, offering innovative wellness services in a fun, comfortable environment. Our nurses have described working for Restore as “the most fun you can have at a nursing job while still helping people in a meaningful way.” This is your opportunity to take an active role in assisting individuals on their health and wellness journey and leading a team of nurses to support the Restore mission. Responsibilities Medical Operations & Clinical Duties Administer IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and antioxidants. Educate clients on the qualities and benefits of our IV Drip and Intramuscular (IM) Shot ingredients. Administer Hyperbaric Oxygen Therapy sessions. Utilize blood test offerings to help clients optimize their wellness. Promote memberships and medical services based on client needs. Document client visits via electronic medical records. Address and answer client questions using the Restore Nursing Reference Guide under the supervision of the Medical Director and network of licensed Advanced Practice Providers. Communicate to the medical compliance team any issues or adverse effects clients experience. Provide therapeutic communication along with exceptional customer service Assist staff with store services. Assist with off-site nursing events and special projects. This position reports to the Lead Nurse. Maintain a safe and clean working environment. Qualifications You're a licensed Registered Nurse (RN). You have at least two years of experience as a nurse in an acute care setting (ER, ICU, Med-Surg, or similar). You are BLS (Basic Life Support) certified You have at least one year of experience administering injections. You're comfortable using electronic medical records to document client details. You maintain a non-judgemental outlook and have a demonstrated ability to work with a diverse clientele. Your verbal and written communication skills are on point. You value ethics and integrity. You embrace a team environment and also excel at working independently. You're willing to adhere to all policies and procedures and understand the importance of maintaining medical compliance. Compensation: $30.00 per hour Restore Hyper Wellness is the award-winning industry leader and creator of an innovative new category of care-Hyper Wellness . Restore delivers expert guidance and the most extensive array of cutting-edge modalities available under one roof. With over 100+ locations nationwide and a fast-growing retail footprint, Restore is making true health more accessible than ever before. Restore is one of America's fastest-growing companies right now, and for good reason. Inc. 5000 just named Restore the #1 hottest franchise in America, and #113th company in America. We are on a blazing mission to restore people's health and wellness so that they can do more of what they love every day. Our daily metric? How many people we helped that day. That's why it is paramount that we attract people who are as passionate about helping people as we are. Join us on our mission to help people feel better so they can do more of what they love. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Restore Hyper Wellness.