• Appeals Nurse

    Evolent (Harrisburg, PA)
    …Standard processing, documenting accordingly. + Works closely with the appeals-dedicated Clinical Reviewers to ensure timely adjudication of processed appeals. + ... Management, health care Appeals, compliance and/or grievances/complaints in a quality improvement environment- **Required** + Able to work in a rotation to… more
    Evolent (10/11/25)
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  • RN Clinical Manager - Hospice - FT…

    Gentiva (Bala Cynwyd, PA)
    …standards, as well as company policies and procedures + S upport performance improvement initiatives, quality assessments, and operational efficiencies within ... minutes + S erve as a mentor, trainer, and clinical support to associates, supporting development, performance ,...care manager RN, hospice RN supervisor, hospice leadership, registered nurse manager, hospice nurse jobs, nurse more
    Gentiva (09/23/25)
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  • Quality Clinical Reviewer…

    Magellan Health Services (Somerset, PA)
    …area, candidates need to reside in the PA area. Conducts reviews of clinical interactions and clinical documentation including reviews of case management records ... established procedures and analyzes findings for purposes of continuous quality improvement and for internal and external reporting. Interacts with multiple… more
    Magellan Health Services (09/20/25)
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  • Nursing Assistant - Clinical Decision Unit

    Penn Medicine (West Chester, PA)
    …0-1 years Training and/or experience at an acute care facility or student nurse with hospital based clinical experience*0-1 years Previous secretarial skills or ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
    Penn Medicine (09/06/25)
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  • Clinical Educator - Maternity - Days

    WellSpan Health (Gettysburg, PA)
    …other topics as necessary. + Teaches content as needed/or assigned within clinical expertise to facilitate orientation, staff development, and/or safe clinical ... setting goals for orientee in collaboration with unit-based preceptor and nurse manager. Verifies orientation content is appropriate for achieving role independence.… more
    WellSpan Health (10/04/25)
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  • Casual Assistant Clinical Instructor…

    UPMC (Pittsburgh, PA)
    …and clinical reasoning skills development. + Engage in quality improvement projects, scholarly work, and program evaluation to enhance student performance ... Join the UPMC Shadyside School of Nursing as a Clinical Instructor! UPMC Shadyside School of Nursing is seeking a casual Nursing Instructor to join our expanding… more
    UPMC (10/11/25)
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  • Associate Clinical Manager Ambulatory RN-…

    Penn Medicine (Philadelphia, PA)
    clinical duties to maintain workflows and adequate staffing levels. Assist Clinical Manager with team and individual performance in alignment with Penn ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
    Penn Medicine (09/27/25)
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  • OB Clinical Director

    UPMC (Pittsburgh, PA)
    …shaping the future of women's health. What can you expect as the OB Clinical Director? The Clinical Director is accountable for achieving quality patient care ... of present and future trends, strategic benchmarking and innovative interventions. As a Clinical Director, you will ensure a culture of caring by promoting and… more
    UPMC (09/10/25)
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  • Clinical Informatics Specialist

    Penn Medicine (West Chester, PA)
    …decisions. * Assists with ongoing development of CPOE, clinical documentation, clinical pathways and associated key performance metrics, ensuring that all ... specialty such as Physical Therapy, Respiratory Therapy, etc. required. 3 plus years clinical experience as a staff nurse /physician/ APP/other clinical more
    Penn Medicine (09/21/25)
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  • Clinical Strategy Consultant

    Highmark Health (Camp Hill, PA)
    …Articulating the 'so what' to the customer by alignment of analytics and performance metrics to track quantitative clinical and financial results, and ... improvement project at least annually in conjunction with Clinical Strategy leadership team. + Primary client contact for...or CERTIFICATIONS** **Required** (any of the following) + Registered Nurse (RN) + Physician Assistant License - PA +… more
    Highmark Health (08/26/25)
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