- Evolent (Harrisburg, PA)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed… more
- Geisinger (Danville, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Certified Nurse ... if no System Chief AP, for clinical responsibilities. Job Duties Chief Nurse Practitioner or Physician Assistant Behavioral Health - Inpatient + Provides ongoing… more
- UPMC (Monroeville, PA)
- …Current licensure as a Registered Professional Nurse in practicing state. + Registered Nurse ( RN ) *Current licensure either in the state where the ... with other units and/or spreads across the business unit or system. + Analyze nurse and patient satisfaction outcome data and develop action plans to address as… more
- Penn Medicine (Philadelphia, PA)
- …BLS/CPR, as a healthcare provider as per the American Heart Association. + Registered Nurse - PA (Required) + Pennsylvania RN licensure + 2-5 years of OR ... may also serve in the capacity as a clinical nurse in the operating room. Follows fiscal and Human...Follows fiscal and Human Resources policies in determining staff utilization and distribution. He/she is the primary nursing responder… more
- Battelle Memorial Institute (Harrisburg, PA)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or… more
- Penn Medicine (West Chester, PA)
- …financial models to achieve budget targets and organization objectives. Credentials: + Registered Nurse - PA (Required) Education or Equivalent Experience: + ... and consultation. It also oversees service line VACs, supporting standardization, utilization , and new product assessments, while coordinating closely with supply… more
- WellSpan Health (York, PA)
- …therapy experience with an emphasis in home care. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required + Heartsaver CPR/AED Upon Hire Required ... ensure safe quality care, progress towards goals, and proper utilization of services. * Provides after-hours and on-call staff...Care in a professional manner. * Responsible for efficient utilization of all resources including, but not limited to,… more
- Highmark Health (Harrisburg, PA)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- Guthrie (Towanda, PA)
- …care role related to professional specialty. Education, License & Cert: Licensed as a Registered Nurse in the State of practice. Certification within area of ... hire. Experience: Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: 1.RESOURCE UTILIZATION : + Considers… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …as necessary collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and ... services based on the needs of the organization; d. Participating in utilization review activities including but not limited to development of standards, insurance… more
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