- Penn Medicine (Philadelphia, PA)
- …+ 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) + Pennsylvania State Licensed ... years Prior experience as a nurse case manager with knowledge of utilization review and third-party payors. We believe that the best care for our patients… more
- Guthrie (Troy, PA)
- …years of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtaining ... levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration...in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to… more
- WellSpan Health (York, PA)
- …nursing or therapy experience with an emphasis in home care. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse ... individual staff to ensure safe quality care, progress towards goals, and proper utilization of services. * Provides after-hours and on-call staff support as well as… more
- WellSpan Health (York, PA)
- …and + Rehabilitation Therapy, Nursing, or Respiratory Therapy experience. Required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... members, referral sources and external payers regarding the effective and efficient utilization of program service and available resources as well as the benefit… more
- St. Luke's University Health Network (Allentown, PA)
- …appropriate to the age of the patient treated. + Performs admission review on all inpatients. Attends daily patient rounds and shares professional knowledge, ... appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of...Work or Counseling or related field. EDUCATION: Registered Professional Nurse with a current license to practice in the… more
- Guthrie (Sayre, PA)
- …and autonomy in nursing practice. Preferred experience with PCMH process, care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... collection, data analysis and process outcome evaluation. Education, License & Cert: Licensed Registered Nurse . Bachelor's Degree in Nursing or related field… more
- UPMC (Mckeesport, PA)
- …required. + Knowledge and Skills:Expertise in care management, discharge planning and utilization review processes. + Ability to build credible and effective ... alongside the Unit Director, RN Clinician and Addiction Medicine Nurse Liaison to ensure patients are enjoying robust daily...If Renewal Required + Basic Life Support (BLS) + Licensed Clinical Social Worker (LCSW) OR Licensed … more
- Guthrie (Sayre, PA)
- …leadership and autonomy in nursing practice. Preferred experience with care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... degree. Master's Degree preferred. Licenses: The Care Coordinator-Transitional Care nurse must be licensed in both New York and Pennsylvania. The applicant must… more
- Geisinger (Bellefonte, PA)
- …(Required) Experience Minimum of 1 year-Nursing (Preferred) Certification(s) and License(s) Licensed Practical Nurse - Default Issuing Body; Basic Life ... patient's reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. + Sets up examination and… more
- Geisinger (Lewistown, PA)
- …(Required) Experience Minimum of 1 year-Nursing (Preferred) Certification(s) and License(s) Licensed Practical Nurse - Default Issuing Body; Basic Life ... patient's reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. + Sets up examination and… more