- Quarryville Presbyterian Retirement Community (Quarryville, PA)
- …protocol + Serves as Command Post Operator for the entire community + Review Nursing documentation to ensure completion and accuracy + Assists in the development ... of work assignments on units + Assesses all falls occurring on assigned shift and ensure compliance with QPRC policies + Provides direct nursing care as needed Requirements: + Current and valid RN license in the state of Pennsylvania + Degree from a State… more
- St. Luke's University Health Network (Allentown, PA)
- …medical appropriateness criteria for all urgent and emergent transfers/admissions including review of patients chart to determine treatment plan, medical history, ... reason for admission, and special considerations for patient placement. + Reviews patient insurance to determine appropriateness for transfer and communicates with other departments as necessary to facilitate insurance authorizations if needed. + Initiates… more
- Wolters Kluwer (Philadelphia, PA)
- …Content Specialist - Nursing, you will work closely with the PreView & ReView Manager/Senior Clinical Content Specialists to plan and deliver high quality NCLEX ... Review services by identifying and assessing client needs and...the platform for new products. + Collaborate with the nurse educator team to evaluate practices and processes in… more
- Centene Corporation (Harrisburg, PA)
- …for 4-10HR shifts, or 5-8HR shifts. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of… more
- CVS Health (Harrisburg, PA)
- …guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on meeting ... projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators,… more
- Penn Medicine (Philadelphia, PA)
- …care settings and timely patient flow; elevates issues appropriatelyEnters all review activity in Canopy concurrentlyAccounts for all patient days accurately in ... CanopyEnters review indicating "pending" status of case if outcome not...Canopy, CERME, ECIN, shared drive, Internet) Credentials: + Registered Nurse - PA (Required) + PA RN Licensure required.… more
- Prime Healthcare (Bristol, PA)
- …status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment. ... in a Health and Human Services field is highly preferred. 2. Utilization Review /Case Management experience is highly preferred. 3. 1+ year of clinical experience in… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and other governmental or… more
- ChenMed (Philadelphia, PA)
- …families as they navigate through external providers and healthcare systems. The Acute Care Nurse is an important member of the Complex Care Team and will use all ... high levels of longitudinal care coordination. The Acute Care Nurse role also involves establishing relationships with patients' families...during acute stay and provides PCP with documentation to review and add to patient problem list. + Contacts… more
- Highmark Health (Harrisburg, PA)
- …**Job Description :** **GENERAL OVERVIEW:** The Internal Staffing Team Registered Nurse assesses human responses and plans, implements and evaluates nursing care ... for individuals or families for whom the nurse is responsible. The Internal Staffing Team Registered ...professional skills and knowledge. + Participates in systematic peer review and obtains informal feedback regarding one's own practice… more
Recent Jobs
-
Sr Content Marketing Specialist (Copywriter)
- JB Hunt Transport (Lowell, AR)
-
Executive Team Lead, Life Science
- The Hartford (Chicago, IL)
-
Physician - Plastic Surgeon
- Marshfield Clinic (Marshfield, WI)
-
PRN Medical Assistant (MA) or Licensed Practical Nurse (LPN) - Pediatric Clinic
- Truman Medical Centers (Kansas City, MO)