- CVS Health (Harrisburg, PA)
- …accordance with contract. Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via ... Aetna's Law Document Center regarding litigation; lawsuits. Handles extensive file review requests. Assists in preparation of complaint trend reports. Assists in… more
- Gentiva (Shamokin Dam, PA)
- …Group (IDG), as assigned, including presiding over IDG, presentation of patients for review , coordination of minutes, review of patient charts to note and ... school of nursing; bachelor's degree in nursing preferred + Current Registered Nurse licensure in state of residence and requested employment + Demonstrates… more
- WellSpan Health (Hanover, PA)
- …medical treatment. + Under the direct supervision of a licensed nurse or provider, prepares and administers vaccines, medications and controlled substances/narcotics ... and follow-up instructions. + Obtains basic health information from patient/family members to review with providers or clinical resource person at the time of the… more
- WellSpan Health (York, PA)
- …medical treatment. + Under the direct supervision of a licensed nurse or provider, prepares and administers vaccines, medications and controlled substances/narcotics ... and follow-up instructions. + Obtains basic health information from patient/family members to review with providers or clinical resource person at the time of the… more
- WellSpan Health (Lancaster, PA)
- …program leadership to implement programming including but not limited to: Assisting director/managers/ nurse in operation and management of the milieu for a specific ... and group activities within LADV including: meeting regularly for 1:1 goal review with residents; planning and running therapeutic and recreational activities and… more
- Aveanna Healthcare (Harrisburg, PA)
- …Salary: $70,000.00 - $80,000.00 per year Position Details Clinical Manager- Registered Nurse (RN) for Pediatric Day Healthcare Center Work Location: 353 Markle Drive ... staff assignments to our classrooms, followed by quality assurance nursing documentation review . From there, you will spend the morning greeting families and… more
- Highmark Health (Pittsburgh, PA)
- …operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits (COB), and ... unique processing arrangements including Federal Employee Program (FEP) and Medicare Advantage. **ESSENTIAL RESPONSIBILITIES** + Coordinates the clinical care with… more