- 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 ... Experience: + Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: + RESOURCE UTILIZATION ; Considers… more
- Select Medical (Mckeesport, PA)
- …do. Minimum requirements: + **Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist OR current license / ... current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW...what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan… more
- Highmark Health (Erie, PA)
- …outcomes, engages patients/caregivers in their healthcare, and supports effective resource utilization . Serves as key team members in the management of readmissions, ... length of stay, ED utilization , and patient/family satisfaction. **ESSENTIAL RESPONSIBILITIES:** + Contributes to...a clinical nursing role + Current State of PA RN licensure OR Current multi-state licensure through the enhanced… more
- Amergis (Pittsburgh, PA)
- Salary: $2326 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of ... and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making for… more
- Highmark Health (Pittsburgh, PA)
- …with operational areas regarding issues related to supported technology. Manage utilization review, translation of foreign claims, coordination of benefits (COB), ... benefits/requirements/limits, discharge planning requirements, length of stay and resource utilization issues. + Adheres to the policies, procedures, rules,… more
- Highmark Health (Pittsburgh, PA)
- …and/or revises systems and processes for obtaining, repairing, trialing, tracking and utilization of supplies and equipment in close cooperation with the OR ... staff + Acts in the capacity of a charge RN when necessary + Assists in the development of...and external accreditation/regulatory bodies + Assists the OR charge nurse with daily assignments and assures appropriate staff coverage… more
- Penn Medicine (Lancaster, PA)
- …physiologic, psychological, and cognitive functions, through patient/provider office visits, nurse visits, and telephone triage. Collaborates with Physician and ... physiologic, psychological, and cognitive functions, through patient/provider office visits, nurse visits, and telephone triage. Collects and manages comprehensive… more
- Highmark Health (Pittsburgh, PA)
- …that supports excellence of care and achievement of optimal resource utilization . **ESSENTIAL RESPONSIBILITIES** + Assumes role in assessment of patient physical, ... to the individual needs of the patient as prescribed by physician, nurse , and hospital policy, including patient and family. + Perform symptom assessment/management… more
- St. Luke's University Health Network (Allentown, PA)
- …be a graduate of an accredited, professional nursing program. + Must have current RN license to practice in the state of Pennsylvania or seeking Pennsylvania license ... + Prefer minimum of 2-5 years' experience in case management and/or utilization management. + Prefer financial experience related to appeal processes with insurance… more
- UPMC (Seven Fields, PA)
- UPMC Home Health is Hiring a Full-Time Admissions Registered Nurse ( RN ) in the Beaver County and surrounding areas! UPMC Home Health is seeking a skilled and ... plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and...(BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary… more
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