- WellSpan Health (Mount Gretna, PA)
- …2 years Nursing experience and recent behavioral health experience required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... action plan for the patient or update to Nursing Care Plan. + Facilitates nurse /provider rounds to...patient outcomes. Assists with the collection and analysis of utilization patterns including avoidable days and denied cases; shares… more
- Highmark Health (Harrisburg, PA)
- …interdisciplinary team partners including but not limited to: appropriateness of care , documentation requirements, utilization review principles and criteria, ... OVERVIEW:** This job has responsibility for creating, implementing, and evaluating care plans for patients and their families/caregivers across the health continuum.… more
- Penn Medicine (Radnor, PA)
- …problem solving to enable high performance of team and individuals Credentials: + Registered Nurse - PA (Required) + BLS/ACLS/PALS per specialty (Required) ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...your life's work? **Looking for a FT Associate Clinical Manager Ambulatory RN ** **Location: 145 King of… more
- Guthrie (Sayre, PA)
- …role related to professional specialty. Education, License & Cert: Licensed as a Registered Nurse in the State of Pennsylvania/New York. Certification within ... Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: 1. RESOURCE UTILIZATION.... Manages daily staffing issues in conjunction with Charge Nurse / Nurse Manager , analyzing… more
- Penn Medicine (Philadelphia, PA)
- …assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet) Credentials: + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- CenterWell (Harrisburg, PA)
- …years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional ... caring community and help us put health first** Conviva Care Solutions is seeking a RN who...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- CenterWell (Harrisburg, PA)
- …three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + ... their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health … more
- Select Medical (York, PA)
- …On Bonus** _Requires a current licensure in a clinical discipline either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license ... doing well by doing what is right. The Case Manager is responsible for utilization reviews and...**Current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist ( RN preferred)… more
- WellSpan Health (York, PA)
- … management, case management, or clinical nursing specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most...care . Works in a team type assignment or Care Coordination Team (CCT) Model (Case Manager … more
- UPMC (Coudersport, PA)
- …and Clearances:** + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) *Current licensure either in the state ... A Staff RN coordinates total nursing care for...regarding patient to the appropriate person (ie, physicians, director, nurse manager , charge nurse and/or… more