- LifePoint Health (Johnstown, PA)
- …American College of Surgeon's Committee on Trauma.__ * Facilitate concurrent identification and review of trauma quality issues as well as review of deficiencies ... all phases of care concurrently and retrospectively.__ * Define Levels of review .__ * Develop action plans, implement plan, and re-evaluated to determine… more
- Option Care Health (Audubon, PA)
- …managing, and reporting nursing operational and financial data to the Regional Nurse Manager, Area Director of Nursing, and/or Director of Operations. Supports the ... Director of Operations, Area Director of Nursing and/or the Nurse Manager in the recruitment, development, and monitoring of...vehicle, a valid driver's license and a proof of insurance would be required. + Experience applying knowledge of… more
- CenterWell (Lancaster, PA)
- …policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization ... Review staff. Upon completion of the assessment, creates and...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- Penn Medicine (Philadelphia, PA)
- …+ Registered Nurse - PA (Required) + 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) ... (Required) + Nursing Equivalent Experience: * And 5+ years Prior experience as a nurse case manager with knowledge of utilization review and third-party payors.… more
- Herc Rentals (Harrisburg, PA)
- …Manage Profit and Loss reporting & Operational reviews + Generate, process, analyze and review the daily business reports + Support all team members + Conduct Branch ... **Keeping you healthy** Medical, Dental, and Vision Coverage Life and disability insurance Flex spending and health savings accounts Virtual Health Visits 24 Hour… more
- UPMC (Pittsburgh, PA)
- …home health, or case management? Do you have an interest in health insurance , but thrive on working in a medical office setting with face-to-face interaction ... and nursing experience for Sr. Professional Care Manager within the Insurance Services Division. **Responsibilities:** + Assist member with transition of care… more
- University of Pennsylvania (Philadelphia, PA)
- …and related study documents, and collection of clinical data. Assist with Institutional Review Board (IRB) filings and inquiries, and assist in the preparation of ... patient records. Maintain study compliance and integrity through close collaboration with nurse coordinator and investigators as well as the patient . Respond to… more
- Sedgwick (Harrisburg, PA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per ... the following: + Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability...time frame. + The oversight of the appeal and review process including making a recommendation of specialty for… more
- UPMC (Pittsburgh, PA)
- …professional liability and share information with appropriate management and staff. Review and evaluate potential and current claims with relevant internal ... information and requested documents to prepare draft Answers to Interrogatories, review Answers to Complaints and Interrogatories prior to Director's review… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …and Statistical Manual of Mental Disorders, written treatment orders, admissions on-call review for all legal commitment status documents and review and ... necessary collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and provide ongoing supervision.… more