- AmeriHealth Caritas (Philadelphia, PA)
- …process, preferably within a managed care organization **Licensure:** + Current and unrestricted Registered Nurse ( RN ) licensure or compact state licensure ... + Process appeals, ensuring compliance with all regulatory milestones + Review medical records to identify Hospital-Acquired Conditions (HAC), ensure proper… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …years of experience in clinical documentation improvement; OR - Clinical experience, such as Registered Nurse ( RN ), Medical Doctor (MD), or Doctor of ... encounters through retrospective, ideally prior to coding and billing, review of outpatient encounters and extensive provider education. Apply comprehensive… more
- UPMC (Williamsport, PA)
- …of hire ACLS preferred + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) *Current licensure either in the state where ... **Licensure, Certifications, and Clearances:** Current Pennsylvania licensure as a Registered Professional Nurse . National Certification preferred. National… more
- Penn Medicine (Lancaster, PA)
- …QUALIFICATIONS:** + Current licensure as a Licensed Practical Nurse (LPN) (or as a Registered Nurse ( RN )), issued by the PA State Board of Nursing issued ... orders to facilitate the intake process. + Uses clinical assessment skills to review referrals and identify additional care needs or a more appropriate care setting.… more
- Trinity Health (Newtown Square, PA)
- …Nursing (BSN, AS or Diploma), or an Advanced degree in Medical Field + If RN , Current Registered Nurse License + Certified Coding Specialist (CCS), Certified ... accuracy, and integrity of medical record documentation through extensive record review . Through interaction with physicians and other members of the healthcare… more
- Penn Medicine (Philadelphia, PA)
- …assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet) Credentials: + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... care settings and timely patient flow; elevates issues appropriatelyEnters all review activity in Canopy concurrentlyAccounts for all patient days accurately in… more
- EGA Associates (Pottsville, PA)
- …purposes and in accordance with their need and learning capacity.Assists the Registered Nurse to ensure all patient information on electronic encounter ... **Job Description** EGA Associates, LLC. is currently seeking a Nurse Practitioner (NP) or Physician Assistant (PA) to provide...a training program which is accredited by the Accreditation Review Commission on Education of PA (ARC-PA) or one… more
- UPMC (Pittsburgh, PA)
- …sign-on bonus available for nurses with over 1 year of experience Are you a Registered Nurse passionate about delivering the best care possible and want to make ... Licensure, Certifications, and Clearances: + Current Pennsylvania licensure as a Registered Professional Nurse . + National Certification preferred. + CPR… more
- County of Northampton (Nazareth, PA)
- …patient care regulatory requirements for documentation; AND Possession of licensure as a Registered Nurse issued by the Commonwealth of Pennsylvania; AND Must ... and objectives are still met, and submits plan for review to higher level nursing and administrative staff, then...02 Do you have a current and valid Pennsylvania RN license? + Yes + No 03 Do you… more
- Highmark Health (Harrisburg, PA)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a … more