- Geisinger (Lewistown, PA)
- …of 2 years-Related work experience (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... as part of a shared rotation. Don't worry, we'll review this in your interview. At least two (2)...life and pet and legal insurance Position Details The RN Hospital Case Manager assesses, plans, implements,… more
- Fresenius Medical Center (Dallas, PA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Fresenius Medical Center (Dallas, PA)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- WellSpan Health (York, PA)
- …practice experience. Required + Lean Daily Management experience. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... practice and across transitions of care. + Responsible for hiring, performance review of Clinical Supervisors. + Collaborates with Practice Managers to provide… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …PA within the Community Care service line. Responsibilities The Women's Health Case Manager ( RN ) is responsible for executing a streamlined approach to ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...manager notifies and works with each PACT team RN Case Manager and Veteran when routine… more
- CVS Health (Harrisburg, PA)
- …holidays; however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, ... - Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit...**Required Qualifications** Must have an active, current and unrestricted RN licensure in the state of residence and be… more
- Guthrie (Sayre, PA)
- …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 BSN or ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...in an acute care setting with strong care management, utilization review , and payer knowledge. A Case… more
- CenterWell (Lancaster, PA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Penn Medicine (Lancaster, PA)
- …requirements being one of the following: RN : Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing. Bachelor's degree in ... license and daily access to an insured vehicle. Preferred Qualifications + Knowledge of Utilization review or managed care + Experience with home visits +… more
- ChenMed (Philadelphia, PA)
- …RN with bachelor's degree in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required + Compact ... working remote for the remaining hours. The Acute Care Manager , Complex Care ( RN ) is responsible for...patients' progress and adjust and plan accordingly + Understanding utilization review and how to leverage with… more