- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …and adjust to different environments. Knowledge of Interqual and utilization review standards. Experience in clinical documentation within electronic medical records ... in Care Coordination, Discharge Planning, Clinical Documentation and Utilization Review preferred. Strong verbal, written and leadership skills. Motivated,… more
- CenterWell (Harrisburg, PA)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing… more
- Humana (Harrisburg, PA)
- …a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse , with a focus on our 5+ million ... to assist and facilitate new hires and remediation of medical directors performing Medicare utilization management processes and be the liaison for the Medicare … more
- Fresenius Medical Center (Charleroi, PA)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance ... well-being since their last treatment. Report any complaints or observations to the nurse supervisor. + Evaluate vascular access for patency and report any unusual… more
- Fresenius Medical Center (Camp Hill, PA)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more
- Option Care Health (Audubon, PA)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...reporting nursing operational and financial data to the Regional Nurse Manager, Area Director of Nursing, and/or Director of… more
- Fresenius Medical Center (Nanticoke, PA)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more
- WellSpan Health (York, PA)
- …accreditation as a Center of Excellence in Robotic Surgery from Surgical Review Corporation (SRC), a nonprofit patient safety organization. WellSpan York Hospital's ... the direction of the surgeon and does not concurrently function as a scrub nurse . Assesses the patient preoperatively and develops a nursing care plan based on… more
- Penn Medicine (Lancaster, PA)
- …Technician. The pacemaker technologist works collaboratively with the physicians and nurse practitioners to diagnose pacemaker and defibrillator (ICD) function and ... ICD in regards to function and stored events/episodes since last device evaluation. Review data as needed with Device Company Technical Services and/or physicians. +… more
- WellSpan Health (York, PA)
- …Care* Follows Conditions Of Participation to ensure all regulations are followed under Medicare .* Ensures that quality and efficient care is provided to all patients ... the identification and development of new clinical policies and the regular review and updating of existing clinical policies as indicated.* Coordinates services… more