Nursing Jobs in Avondale, PA
$68,400 - $100,400 / year
Posting Date 05/14/2026 1011 W. Baltimore PikeSuite 107, West Grove, Pennsylvania, 19390-9400, United States of America Job Description This DaVita IKC Nurse position is for the Harrisburg, York, and Western Philadelphia region, and is a hybrid remote/field-based position. This position functions autonomously and in collaboration with all members of the healthcare team to coordinate and facilitate quality, cost-effective care while minimizing fragmentation of the healthcare delivery system for ESRD and CKD patients. This position provides coordination of care between the patient, family, physician, provider and care teams, the community, and Regional Operations Manager. NOTE: The DaVita IKC position can be telephonic based, field based, or a combination of both telephonic and field. Field based positions require home offices and travel to dialysis centers in designated geographic area. Telephonic positions that are remote will require home offices. DaVita Integrated Kidney Care (DaVita IKC) is an the integrated care division of DaVita Inc. working on DaVita’s vision to provide integrated care to all ESRD patients, who are some of the most medically complex and vulnerable patient populations in the US. Our more than 600 dedicated nurses, care coordinators, nurse practitioners (NPs) and business professionals integrate and manage care for more than 20,000 patients with late-stage chronic kidney disease (CKD) and end stage renal disease (ESRD) across the US each month. We’ve proven that integrating care achieves the triple aim of improved patient quality of life, better outcomes and lower total cost of care. What sets DaVita IKC apart is that we not only provide great care management but we start with our heart with our patients and each other. We focus on creating both a great experience for our patients and a special place to work for our teammates. We’re on a mission to revolutionize kidney care, with a vision of making integrated care the standard of care for all renal patients. To help us achieve our vision, we’re investing extensively in developing both our model of care and our team. When you join DaVita IKC, you're joining a compassionate team committed to quality patient care. Through our commitment to training, growth and quality we consistently achieve superior clinical outcomes while giving teammates the opportunity to excel in an award-winning environment that enables them to thrive both professionally and personally . Qualifications for the Shining Star for our DaVita IKC Registered Nurse are: A.D.N degree from accredited school of nursing required; B.S.N preferred; three-year diploma from accredited diploma program may be substituted for nursing degree Current Registered Nurse (RN) license in the state of practice required Continuing education credits maintained as required by state of practice required Minimum of five (5) years’ experience in clinical nursing required Minimum of three (3) years’ experience in renal nursing preferred Demonstrated knowledge and understanding of data and managing to clinical, financial, and patient satisfaction outcomes Demonstrated experience and effectiveness in change agent role Demonstrated knowledge and understanding of CQI techniques Previous experience in healthcare performance coaching required Certified Nephrology Nurse (CNN) or Certified Case Manager (CCM) preferred Current CPR certification required Ability to modify personal practice patterns to adapt to new / electronic processes and increased productivity expectations as it pertains to Capella implementation Current driver’s license in state employed with positive driving record and able to meet requirements of insurance coverage required Basic computer skills and proficiency in MS Word and Outlook required Functional proficiency with DaVita specific clinical software programs, including Capella, required within 90 days of employment Home office with internet connectivity at minimum of 1MB upload and 1MB download speed required Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen." Why wait? Explore a career with DaVita today. Go to http://careers.davita.com to learn more or apply. What We’ll Provide: More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings. Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning. #LI-EO1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Salary Range for the role is $68,400.00 - $100,400.00 per year. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information. 
$75,000 - $115,000 / hour
Case Manager – HMO Skilled Nursing Focus Location: Eddystone, Pennsylvania Salary Range: $75,000 – $115,000 annually Schedule: Hybrid (Onsite Required 4 Days a week) Position Summary We are seeking an experienced and detail-oriented Case Manager to support members within a Skilled Nursing Facility (SNF) and managed care/HMO environment. This role is responsible for coordinating patient care services, managing utilization review activities, and serving as a liaison between providers, facilities, and insurance payers to secure timely authorizations and reimbursement. The ideal candidate will have strong knowledge of post-acute care, utilization management, insurance authorization processes, appeals and denial management, and interdisciplinary care coordination. Candidates may hold credentials as an LPN, RN, Master Social Worker (MSW), or Licensed Social Worker (LSW/LCSW), depending on state requirements and organizational needs. Key Responsibilities Manage and coordinate care for members/residents in skilled nursing and post-acute care settings. Perform utilization management and concurrent review to ensure appropriate level of care and length of stay. Obtain and track insurance authorizations for admissions, continued stays, therapies, specialty services, and transitions of care. Communicate with HMOs, Medicare Advantage plans, commercial insurers, and other payers regarding clinical updates and authorization requirements. Prepare, submit, and monitor appeals for denied or reduced services, including writing clinical justifications and gathering supporting documentation. Review denial trends and collaborate with facility leadership to improve reimbursement outcomes and reduce avoidable denials. Coordinate interdisciplinary care planning with nursing, therapy, social services, physicians, and discharge planning teams. Facilitate safe and timely transitions of care, including discharge planning and community resource coordination. Maintain accurate and timely documentation in accordance with regulatory, payer, and organizational requirements. Ensure compliance with Medicare, Medicaid, managed care, and facility policies and procedures. Educate residents, families, and staff regarding insurance coverage, benefits, care planning, and discharge options. Participate in quality improvement initiatives related to utilization review, readmission reduction, and payer performance metrics. Qualifications Required Current and active licensure/certification in one of the following: Licensed Practical Nurse (LPN) Registered Nurse (RN) Master Social Worker (MSW) Licensed Social Worker (LSW/LCSW), depending on state requirements Minimum of 2 years of experience in case management, utilization review, managed care, skilled nursing, or post-acute care. Experience working with Medicare, Medicaid, Medicare Advantage, and commercial insurance plans. Strong understanding of authorization processes, payer guidelines, appeals, and denial management. Excellent communication, organizational, and documentation skills. Ability to manage multiple cases and deadlines in a fast-paced healthcare environment. Preferred Certification in Case Management (CCM, ACM, or equivalent). Experience in SNF reimbursement and PDPM. Familiarity with electronic medical records (EMR/EHR) systems. Knowledge of state and federal regulatory requirements for skilled nursing facilities. Skills & Competencies Utilization Management Insurance Authorization & Verification Appeals & Denial Resolution Care Coordination Discharge Planning Managed Care/HMO Processes Clinical Documentation Review Interdisciplinary Collaboration Critical Thinking & Problem Solving Time Management & Organization Work Environment Skilled Nursing Facility (SNF), post-acute care, managed care organization, or hybrid setting. May require communication with external insurance representatives, hospitals, providers, and family members throughout the day. Equal Opportunity Statement We are an equal opportunity employer and is committed to creating an inclusive environment for all employees. 
Overview One year of clinical LPN experience. Current LPN license, specific to the state(s) you are assigned to work. Current CPR certification. Valid driver's license, reliable transportation and liability insurance. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. 
Join our wonderful team as a Registered Nurse (RN) today! Autumn Lake Healthcare at Salem County is an exceptional team-oriented company hiring for Registered Nurse (RN) ! We provide our staff with the resources, tools, and training needed to succeed and grow in their current and desired future positions. We pride ourselves on our caring and compassionate management team who are there to fully support our staff and residents. Benefits for Registered Nurse (RN) Referral Bonuses! Competitive Rates! Wonderful Environment! Great Benefit package! * Hiring Now* Full-Time, Per- Diem Qualifications & Experience Requirements for Registered Nurse (RN) : Previous Experience as a Registered Nurse (RN) preferred Registered Nurse License d HP 
