- Highmark Health (Monroeville, PA)
- …relationships across the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages ... and outcomes. Interviews and collects patient specified data and chart review related to readmission. + Knowledgeable of and complies with accreditation… more
- Penn Medicine (Philadelphia, PA)
- …you living your life's work? The candidate for this position must be a seasoned med/surg nurse with a minimum of 5 years' experience in Utilization review and 3 ... patient / customers regarding scope and limitations of health care / insurance benefitsRespects each patient's / customer's personal dignity, right to privacy and… more
- Penn Medicine (Lancaster, PA)
- …address the special needs of a designated patient population. + Communicate with insurance case managers and insurance representatives to provide them with ... communication. + Provide education to a variety of audiences, including insurance managed care companies, physicians, internal external referral sources, patients… more
- BioLife Plasma Services (Pittsburgh, PA)
- …for non-routine situations * Lead daily operations and train, delegate, and review the work of lower-level employees * Examine patients and administer prescribed ... Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife Plasma Services is a subsidiary… more
- UPMC (Pittsburgh, PA)
- …UPMC is currently hiring a full-time Telephonic Care Manager within its Insurance Services Division. This remote position focuses on providing care coordination and ... based on business needs Responsibilities: + Present complex members for review by the interdisciplinary team summarizing clinical and social history, healthcare… more
- LifePoint Health (Roaring Spring, PA)
- …offers a team environment with extra support staff such as (CNA's, MA's, Nurse Externs, MT's). Working hours are flexible and custom to each individual. Employees ... other and work as a team. Typical patient to nurse ratio is 5:1. ** *How you'll contribute* A...admission to inpatient departments: Orientation to room and services, Review of Guest Relations notebook (visiting hours, smoking, rights… more
- Aveanna Healthcare (Bala Cynwyd, PA)
- …Salary: $75,000.00 - $85,000.00 per year Position Details Aveanna Healthcare is hiring a Nurse Supervisor in your area! Make a difference every single day by being a ... time. This is a fantastic opportunity for a talented nurse looking to expand their career, truly increasing the...at Aveanna? + Health, Dental, Vision, and Company-paid Life Insurance + Paid Holidays, Paid Vacation Days, Paid Sick… more
- Guthrie (Towanda, PA)
- …for Experienced RNs: A warm welcome to our team! + Comprehensive Medical and Dental Insurance : Effective the 1st of the month following your hire date. + ️ Generous ... Employers 2024 Position Summary: As a member of the interdisciplinary team, the Hospice Nurse works under the general direction of the Director of Hospice and the… more
- Penn Medicine (West Chester, PA)
- …safety issues, refusal of care, or family dissatisfaction to the primary nurse or supervisor. + Facilitate communication between patients' families, the RN Case ... outlined unless instructed otherwise by the Case Manager. + Review the care plan every two weeks before providing...competencies for Home Health Aides. Credentials: Required: + Certified Nurse Aid + Certification as a Nursing Assistant (in… more
- Intermountain Health (Harrisburg, PA)
- …care settings or previous appeals experience. + Demonstrated experience in utilization review and/or case management, hospital insurance billing, third party ... medical records on behalf of Intermountain hospitals and clinics for denials review , defense audits, disallowed charges, and retrospective reviews, and will serve as… more