Travel - BLS, WOCN, manager will consider a candidate with WCC About Prime Time Healthcare Nursing Prime Time Healthcare is a leading provider of traveling healthcare professionals nationwide. Our ...
Travel - BLS, WOCN, manager will consider a candidate with WCC About Prime Time Healthcare Nursing Prime Time Healthcare is a leading provider of traveling healthcare professionals nationwide. Our ...
Candidates must be a PA Licensed Practical Nurse (LPN) or Registered Nurse (RN). Our PC Nurse ... We are not going to be "acquired" by a managed care organization or a competing CCRC group. * Our ...
Candidates must be a PA Licensed Practical Nurse (LPN) or Registered Nurse (RN). Our PC Nurse ... We are not going to be "acquired" by a managed care organization or a competing CCRC group. * Our ...
PMA's Managed Care programs include: Network Solutions, Bill Repricing and Negotiation, Clinical ... Deliver Pharmacy Solutions which include formulary management, nurse specialists, intervention ...
PMA's Managed Care programs include: Network Solutions, Bill Repricing and Negotiation, Clinical ... Deliver Pharmacy Solutions which include formulary management, nurse specialists, intervention ...
The nurse at this level provides safe nursing care to the general unit population with minimal ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
The nurse at this level provides safe nursing care to the general unit population with minimal ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
The nurse at this level provides safe nursing care to the general unit population with minimal ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
The nurse at this level provides safe nursing care to the general unit population with minimal ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
The nurse at this level provides safe nursing care to the general unit population with minimal ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
The nurse at this level provides safe nursing care to the general unit population with minimal ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
Primary Care Nurse - Paoli
Paoli, PA · On-site
The nurse at this level provides safe nursing care to the general unit population with minimal ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
Primary Care Nurse - Paoli
Paoli, PA · On-site
The nurse at this level provides safe nursing care to the general unit population with minimal ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
The nurse at this level provides safe nursing care to the general unit population with minimal ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
The nurse at this level provides safe nursing care to the general unit population with minimal ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
These nurses specialize in the proper management of wound care by treating and monitoring wounds that are the result of disease, injury, or medical treatments. *$600 travel bonus *Day 1 health ...
These nurses specialize in the proper management of wound care by treating and monitoring wounds that are the result of disease, injury, or medical treatments. *$600 travel bonus *Day 1 health ...
... manage illness. Due to the broad range of medical conditions Wound Care Nurses will encounter, they must be well-versed in a large variety of health conditions. * Complete assignments made by ...
... manage illness. Due to the broad range of medical conditions Wound Care Nurses will encounter, they must be well-versed in a large variety of health conditions. * Complete assignments made by ...
Nurse Care Manager ArchWell Health is re-imagining the practice of primary care. We are putting the ... Managed care experience including knowledge of HEDIS and CMS guidelines preferred. * Mission driven ...
Nurse Care Manager ArchWell Health is re-imagining the practice of primary care. We are putting the ... Managed care experience including knowledge of HEDIS and CMS guidelines preferred. * Mission driven ...
The Nurse Care Manager is responsible for helping coordinate and evaluate the management of ... Managed care experience including knowledge of HEDIS and CMS guidelines preferred. * Mission driven ...
The Nurse Care Manager is responsible for helping coordinate and evaluate the management of ... Managed care experience including knowledge of HEDIS and CMS guidelines preferred. * Mission driven ...
The Nurse Care Manager is responsible for helping coordinate and evaluate the management of ... Managed care experience including knowledge of HEDIS and CMS guidelines preferred. * Mission driven ...
The Nurse Care Manager is responsible for helping coordinate and evaluate the management of ... Managed care experience including knowledge of HEDIS and CMS guidelines preferred. * Mission driven ...
The Nurse Care Manager is responsible for helping coordinate and evaluate the management of ... Managed care experience including knowledge of HEDIS and CMS guidelines preferred. * Mission driven ...
The Nurse Care Manager is responsible for helping coordinate and evaluate the management of ... Managed care experience including knowledge of HEDIS and CMS guidelines preferred. * Mission driven ...
The nurse at this level provides safe nursing care to the general unit population with minimal ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
The nurse at this level provides safe nursing care to the general unit population with minimal ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
These nurses specialize in the proper management of wound care by treating and monitoring wounds that are the result of disease, injury, or medical treatments. *$600 travel bonus *Day 1 health ...
These nurses specialize in the proper management of wound care by treating and monitoring wounds that are the result of disease, injury, or medical treatments. *$600 travel bonus *Day 1 health ...
Licensed clinician (RN, LPN/LVN, PT, OT) active in the state ... Certification in Wound Care and Management preferred. * CPR certification required. * Continuous ...
Licensed clinician (RN, LPN/LVN, PT, OT) active in the state ... Certification in Wound Care and Management preferred. * CPR certification required. * Continuous ...
Nursing Practice * Follows Nursing Process to deliver safe care: assessment, planning ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
Nursing Practice * Follows Nursing Process to deliver safe care: assessment, planning ... Manages care of complex patients utilizing proper prioritization and delegation to appropriate ...
Sr Vice President Managed Care - Blue Bell, PA
$132.30K - $169.60K/yr
Back Sr Vice President Managed Care #4787 Blue Bell, Pennsylvania, United States Apply X Facebook ... Deliver Pharmacy Solutions which include formulary management, nurse specialists, intervention ...
Sr Vice President Managed Care - Blue Bell, PA
$132.30K - $169.60K/yr
Back Sr Vice President Managed Care #4787 Blue Bell, Pennsylvania, United States Apply X Facebook ... Deliver Pharmacy Solutions which include formulary management, nurse specialists, intervention ...
AMN Healthcare Nursing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing ... career management. As a publicly traded company, AMN Healthcare upholds high ethical standards.
AMN Healthcare Nursing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing ... career management. As a publicly traded company, AMN Healthcare upholds high ethical standards.
Managed Care Nurse information
See Pennsylvania salary details
$21.20 - $25.63
2% of jobs
$25.63 - $30.05
6% of jobs
$30.05 - $34.48
13% of jobs
$35.40 is the 25th percentile. Wages below this are outliers.
$34.48 - $38.90
19% of jobs
The median wage is $41.38 / hr.
$38.90 - $43.33
18% of jobs
$43.33 - $47.75
15% of jobs
$48.86 is the 75th percentile. Wages above this are outliers.
$47.75 - $52.18
9% of jobs
$52.18 - $56.60
6% of jobs
$56.60 - $61.03
4% of jobs
$61.03 - $65.45
4% of jobs
$65.45 - $69.88
3% of jobs
$21
$44
$69
How much do managed care nurse jobs pay per hour?
As of May 28, 2026, the average hourly pay for managed care nurse in Pennsylvania is $44.46, according to ZipRecruiter salary data. Most workers in this role earn between $35.67 and $51.11 per hour, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a Managed Care Nurse, and why are they important?
To thrive as a Managed Care Nurse, you need a solid background in nursing practice, care coordination, and case management, often supported by an RN license and experience in managed care settings. Familiarity with utilization review software, electronic health records, and knowledge of insurance processes or certifications like CCM (Certified Case Manager) are typical requirements. Strong communication, critical thinking, and negotiation skills help Managed Care Nurses advocate for patient needs while balancing cost-effective care. These competencies are crucial for ensuring patients receive appropriate, timely care and for navigating the complex healthcare and insurance landscape.
What are some common challenges Managed Care Nurses face when coordinating care between providers and insurance companies?
Managed Care Nurses often encounter challenges such as navigating complex insurance policies, ensuring patients receive necessary treatments within coverage guidelines, and effectively communicating between healthcare providers and insurers. Balancing cost containment with optimal patient care is a key part of the role, which can be demanding when coverage restrictions conflict with clinical recommendations. Strong organizational and advocacy skills help Managed Care Nurses overcome these hurdles and ensure patients receive appropriate, timely care.
What is a Managed Care Nurse?
A Managed Care Nurse is a registered nurse who works within the managed care system to coordinate patient care, ensure cost-effective treatment, and facilitate communication between patients, healthcare providers, and insurance companies. Their role often includes case management, reviewing treatment plans, and advocating for patients to receive appropriate services. Managed Care Nurses help optimize healthcare delivery by balancing quality of care with cost efficiency, often working for insurance companies, hospitals, or healthcare networks.
What is the difference between Managed Care Nurse vs Case Manager Nurse?
| Aspect | Managed Care Nurse | Case Manager Nurse |
|---|---|---|
| Credentials | RN license, possibly certifications in case management or managed care | RN license, certifications in case management (e.g., CCM) |
| Work Environment | Insurance companies, managed care organizations, healthcare plans | Hospitals, clinics, insurance companies, community health |
| Employer & Industry Usage | Primarily in managed care settings, insurance providers | Healthcare facilities, insurance, community health programs |
Both Managed Care Nurses and Case Manager Nurses are registered nurses with similar certifications, often working in healthcare or insurance settings. Managed Care Nurses focus on coordinating care within managed care organizations, while Case Manager Nurses handle patient care planning across various healthcare environments. Their roles overlap in patient advocacy and care coordination, but their work settings and specific responsibilities differ slightly.
What are popular job titles related to Managed Care Nurse jobs in Pennsylvania? For Managed Care Nurse jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Managed Care Nurse jobs in Pennsylvania look for? The top searched job categories for Managed Care Nurse jobs in Pennsylvania are:
Contractor
Medical, Dental, Vision, Retirement
Posted 5 days ago
Job description
Prime Time Healthcare Nursing is seeking a travel nurse RN Wound Care for a travel nursing job in Philadelphia, Pennsylvania.
Job Description & Requirements- Specialty: Wound Care
- Discipline: RN
- Start Date: 06/29/2026
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel
- BLS, WOCN, manager will consider a candidate with WCC
About Prime Time Healthcare NursingPrime Time Healthcare is a leading provider of traveling healthcare professionals nationwide. Our agency specializes in the placement of RNs, LPNs, CNAs, and Allied Health professionals. Join the fun and experience why healthcare professionals and client facilities are joining the Prime Time TEAM.
- 401k retirement plan
- Health savings account
- Referral bonus
- Medical benefits
- Dental benefits
- Vision benefits