- 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 contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively formulates… more
- Guthrie (Sayre, PA)
- Position Summary: The Quality Improvement Specialist-Registered Nurse (QIS-RN) supports the administration of The Guthrie Clinic's Nursing Quality Programs, ... improvements and patient safety activities, the QIS-RN serves as a facilitator, advisor and advocate to patients, providers, and the community. In supporting TGC's… more
- UPMC (Washington, PA)
- …management of departmental budget. + Collaborates with Director, Medical Director/Physician Advisor and staff to ensure effective processes and systems are ... **Licensure, Certifications, and Clearances:** + Current licensure as a Registered Nurse in practicing state required. + UPMC approved Care Management certification… more