- Geisinger (Scranton, PA)
- …Some of those responsibilities include, but are not limited to, daily review of the clinical management guidelines for each patient, direct patient interaction ... of 5 years-Clinical (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Advanced Cardiac Life Support… more
- Geisinger (Danville, PA)
- …participation in quality monitoring and improvement. + Participates in on-going case review for delays or variances in care; raises issues with appropriate ... of 2 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life Support Certification… more
- Prime Healthcare (Philadelphia, PA)
- …effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service ... post-graduation of an accredited school of nursing and a current state Registered Nurse license. 2. Grandfathered prior to April 1, 2015. Minimum 5 years post… more
- Erickson Living (Glen Mills, PA)
- Location: Maris Grove by Erickson Senior LivingWe are hiring a Licensed Practical Nurse (LPN). The LPN is responsible for providing clinical care to residents in the ... parties in a timely and professional manner + Participating in the review of clinical indicator reviews - falls, wounds, nutrition, antipsychotic use, etc.… more
- Geisinger (Danville, PA)
- …core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post discharge in a ... 40 hours weekly; Dayshift; Monday through Friday. Candidates must hold a Registered Nurse license in Pennsylvania or a Multistate License. A minimum of 3 years… more
- Fresenius Medical Center (Norristown, PA)
- …to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. + Delivers safe, effective care in a ... May be assigned to in-center patient care on an as needed basis + Review and comply with the Code of Business Conduct and all applicable company policies… more
- Evolent (Harrisburg, PA)
- …The Specialty Appeal nurses work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators who set up the ... appeal, Physicians and other Clinicians who review the appeal, and managers for direction and leadership. The Appeals teamwork strategies and opportunities for… more
- Fresenius Medical Center (Baden, PA)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work… more
- UPMC (Seneca, PA)
- …Gives constructive feedback and participates in the nursing peer review process.Mentorship & Professional Development + Enthusiastically precepts students, graduate ... nurses, and new team members. + Identifies learning opportunities in clinical and behavioral situations to enhance care delivery. + Actively supports continuous learning through journal clubs, unit presentations, and sharing relevant research. + Regularly… 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 ... focuses on excellent service to others. **Required Qualifications** + Active RN license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR**… more