- Guthrie (Sayre, PA)
- …care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management ... in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to... reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative… more
- UPMC (Washington, PA)
- The Manager oversees the day-to-day operations of the Case management department under the direction of the Director. The Manager is accountable for the ... following Case ...following Case Management functions: training, auditing, systems support: ...Certifications, and Clearances:** + Current licensure as a Registered Nurse in practicing state required. + UPMC approved Care… more
- St. Luke's University Health Network (Allentown, PA)
- … Work Queues for Medical Necessity and Late-Pick-Up/Notification that are entered by Case Management and Business Office. + Monitors retro denials to ensure ... level and final decision with revenue impact. + Assists Case Management as necessary to ensure that...EDUCATION: Graduate of an accredited professional nursing program. Registered nurse with current license to practice in the state… more
- ChenMed (Philadelphia, PA)
- …care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital ... Once a patient has completed their episode of care management the register nurse (RN) will review...may need and to oversee appropriate patient discharge from case management . + Performs clinical, fall prevention,… more
- UPMC (Pittsburgh, PA)
- …social history, current medications, geriatric syndromes, healthcare resource utilization, and case management interventions. Updates the plan of care following ... **UPMC Your Care is Hiring a Full-Time Registered Nurse for a Nurse Clinical Care...an active PA License required + BSN Preferred + Case management nursing preferred. + Minimum 1… more
- Penn State Health (Hershey, PA)
- …and family medical or genetic information._ **Union:** Non Bargained **Position** Clinical Case Manager - Pediatric Care Management **Location** US:PA: Hershey | ... experience + Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate...or holds a multistate RN license through the interstate Nurse Licensure Compact. + AHA BLS prior to end… more
- Penn Medicine (Lancaster, PA)
- …through lean six-sigma training. + Helps in identification of best methods to transmit case management plan to all points of care provided in the health ... the following: + RN: Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing. Bachelor's...acute care nursing or social work or other relevant Case Management addictions medicine experience. + Excellent… more
- WellSpan Health (York, PA)
- …requirement **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of ... discharge needs. Provides leadership in the integration of utilization and case management principles. **Essential Functions:** + Reviews assigned patients… more
- Veterans Affairs, Veterans Health Administration (Coatesville, PA)
- …, and customer satisfaction throughout the continuum of care. Responsibilities The Nurse Quality Management (QM) Consultant Registered Nurse (RN) ... Summary The Nurse Accreditation Specialist delivers fundamental knowledge-based care to...QM Consultant is assigned responsibility for their assigned quality management program area activities for the Medical Center and… more
- Highmark Health (Monroeville, PA)
- …Fingerprinting Criminal Background Clearance Certificate **Preferred** + Nationally recognized Case Management Certification + Transition planning and ... BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager) - American Case Management Association -… more