- UPMC (Pittsburgh, PA)
- …Coordinate access to information or staff with outside legal counsel and insurance investigators. + Develop relationships within the management structure in ... into the insurance program. Serve as liaison between the Risk Management and non-Faculty physicians. Identify specific needs of the hospital and/or office… more
- Gentiva (Canonsburg, PA)
- …**Registered Nurse / RN Requirements:** **Education:** + Associates/Bachelor's degree Nursing **Experience:** + 2 years of prior skilled Registered Nurse ... + Always maintains patient confidentiality + Good problem-solving skills + Good time management skills **We Offer** **As a Registered Nurse / RN, you… more
- Gentiva (Canonsburg, PA)
- **Overview** We are seeking a compassionate and experienced **Registered Nurse (RN)** to join our **Advanced Illness Management (AIM) Palliative Care Team** . ... **Preferred Experience:** + Previous experience in palliative care, hospice, or oncology nursing + Familiarity with risk stratification, symptom management , and… more
- Guthrie (Sayre, PA)
- … (BSN) or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing . A registered nurse with five (5) years relevant experience willing to pursue a ... has the responsibility, accountability, and authority for coordinating the medical management of hospital patients, using outcomes-based approaches. The Acute Case… more
- Humana (Harrisburg, PA)
- …and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently… more
- Guthrie (Sayre, PA)
- Up to a $15,000.00 Sign on Bonus! Summary The LPN-Transitional Care Management Nurse (TCMN) provides telephonic outreach to all patients that have been ... discharged from a hospital or Skilled Nursing Facility within 2 business days of discharge. TCMN...of an accredited LPN program. Licenses The Transitional Care Management Nurse must be licensed in both… more
- Guthrie (Sayre, PA)
- …data analysis and process outcome evaluation. Education, License & Cert: Licensed Registered Nurse . Bachelor's Degree in Nursing or related field required. With ... nursing practice. Preferred experience with PCMH process, care management /utilization review, and payer knowledge. Fast paced ambulatory care experience… more
- St. Luke's University Health Network (Allentown, PA)
- …departments, and the Manager regarding variances, aspects of patient care management . + Facilitates insurance authorization, pre-certification, and concurrent ... level of care. + May assist in the utilization management of psychiatric cases in the absence of the...Work or Counseling or related field. EDUCATION: Registered Professional Nurse with a current license to practice in the… more
- Penn Medicine (Philadelphia, PA)
- …Key Team partners include: Patient Accounting Team including Financial Counseling, Registration, Nursing Management , SPU staff, Physician Office staff, CBO ... selected outpatient registrations. Provide specialized support in the areas of insurance and billing information. Support the representatives solving problems and… more
- Amergis (Mechanicsburg, PA)
- …in the management of patient care. Responsibilities: + Utilizes the nursing process to assess, plan, implement and evaluate patient care. + Performs focused ... Uses knowledge and practices in accordance with 1) the Nurse Practice Act; 2) Standards of Nursing ...& weekly paychecks + Health, dental, vision, and life insurance + 401(k) savings plan + Awards and recognition… more