- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Pre- Authorization Nurse 2 reviews prior authorization requests for appropriate ... to Tier III care management as needed. * Perform prior authorization reviews according to established HUMANA...candidates that are currently living in Puerto Rico. + Registered Nurse with current in-state RN… more
- Highmark Health (Monroeville, PA)
- …also building relationships across the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care ... from third party payers and placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party guidelines. Obtains… more
- Medtronic (Harrisburg, PA)
- …more of the following fields: + Certified Diabetes Care and Education Specialist (CDCES) + Registered Nurse ( RN ) + Registered Dietitian (RD) + Physician ... compassionate world. **A Day in the Life** Medtronic is seeking a Clinical Territory Manager (CTM) to support the education and training of the company's products to… more
- Penn Medicine (Philadelphia, PA)
- …of Case Management & Social Work. The position works under the direction of the RN Case Manager or Social Worker to provide assistance with the coordination of ... complete referrals for post-acute care and/or placement, as directed by the Case Manager or Social Worker. Documents per department procedure in EPIC. + Communicates… more