- Evolent (Harrisburg, PA)
- …Join a mission with a company behind it. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization management team. We ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will routinely interact with...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
- Evolent (Harrisburg, PA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization management team. ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will routinely interact with...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
- Evolent (Harrisburg, PA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks ... cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
- St. Luke's University Health Network (Bethlehem, PA)
- …regardless of a patient's ability to pay for health care. The Admission's Clinical Reviewer is responsible for the comprehensive medical review and screening of ... and responds to all inquiries for admission to ARC + Completes thorough review of documentation and information and assesses a patient's appropriateness for ARC… more
- Magellan Health Services (Somerset, PA)
- …skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer - Somerset-Bedford, PA Grade 25 Work Experience - Required Clinical ... Therapist - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred… more
- Commonwealth of Pennsylvania (PA)
- …I have professional experience performing this Work Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance nurse , or an ... experience performing this Work Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance nurse , or an industrial, employee… more
- Veterans Affairs, Veterans Health Administration (Pittsburgh, PA)
- Summary This is a Registered Nurse Infection Preventionist (IP)/MDRO Coordinator vacancy at the Pittsburgh VA Medical Center. As an IP MDRO you will Deliver ... and Responsibilities of the the Infection Preventionist /MDRO Coordinator Registered Nurse include but are not limited to: Infection Preventionist (IP) Registered… more
- Penn Medicine (Philadelphia, PA)
- …for Improvement. Communicates roles, accountabilities and performance measures to all staff. Review unit dashboard with Nurse Manager monthly and communicate to ... budget for AU/Dept. Seeks opportunities to reduce supply costs. Review Financial Reports distributed by Nurse Manager monthly to ensure all activity within an AU… more
- University of Pennsylvania (Philadelphia, PA)
- …and wellness programs and resources, and much more. Posted Job Title Clinical Research Nurse B/C Job Profile Title Clinical Research Nurse B Job Description ... activities within the Cardiovascular Division of PPMC. The clinical research nurse will participate in clinical studies in interventional and vascular cardiology.… more
- Highmark Health (Monroeville, PA)
- …Foster peer review participation with staff an d participate in peer review with other assistant nurse managers.. + Conducts quarterly check-ins with ... specific patient care department under the direction of the Nurse Manager, providing clinical and administrative leadership and expertise....assigned staff to review developmental goals + Identifies one area for self-improvement… more