- Highmark Health (Pittsburgh, PA)
- …**ESSENTIAL RESPONSIBILITIES:** + Perform complete, detailed and accurate histories, review patient records and perform complete physical examinations. (30%) + ... RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). + CRNPs must obtain Pennsylvania...Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in… more
- Highmark Health (Pittsburgh, PA)
- …**ESSENTIAL RESPONSIBILITIES:** + Perform complete, detailed and accurate histories, review patient records and perform complete physical examinations. (25%) + ... RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). + CRNPs must obtain Pennsylvania...Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** **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
- Highmark Health (Harrisburg, PA)
- …of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member ... implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of medical… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Utilization Management, this position is responsible for providing daily oversight of LTSS Review Home Modification Team and staff members within the LTSS Review ... participants. ; + Assists in the day-to-day operations of the LTSS Review Home Modification and LTSS UM Department, including authorization and approval of… more
- GE Vernova (Findlay, PA)
- …risks and vulnerabilities. + Collaborate with cross-functional teams, including IT, legal , and project management, to ensure CMMC compliance across all projects ... DCSA Assessment and Authorization Process Manual (DAAPM). + Perform and review technical security assessments to identify vulnerabilities and ensure compliance with… 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 ... necessary collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and provide ongoing supervision.… more
- UPMC (Williamsport, PA)
- …sound judgment and coordinate with appropriate departments such as Risk Management, Legal , and Patient Relations. + Mentorship & Development:Serve as a mentor and ... + Must maintain a solid/strong performer rating on annual performance review **Licensure, Certifications, and Clearances:** Current Pennsylvania licensure as a… more
- Highmark Health (Erie, PA)
- …**ESSENTIAL RESPONSIBILITIES:** + Perform complete, detailed and accurate histories, review patient records and perform complete physical examinations. + Order ... 60 days of hire + National Board Certification for Nurse Practitioners through the American Academy of Nurse...Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in… more
- St. Luke's University Health Network (Bethlehem, PA)
- …of the service line(s), in reference to the physician assistants and nurse practitioners (APs), and/or AP provider group. Partners with service line's physician ... 18. Participates and contributes to service line operations, clinical review /development, and performance improvement/quality committees and/or meetings 19. Facilitates… more