- Evolent (Harrisburg, PA)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
- Organon & Co. (Plymouth Meeting, PA)
- …as well as other extended account team members to maximize appropriate utilization of Organon products. Integrates Senior Leadership into the overall business ... regional level, as required. Leads Organon 's efforts to maximize appropriate utilization of its portfolio while bringing resources and solutions to customers that… more
- Penn Medicine (Philadelphia, PA)
- …internal team members, physicians, clinical and practice staff in the utilization of functionality within the application + Promptly identifies, documents, and ... team members, physicians, clinical and practice staff in the utilization of functionality within the application + Promptly identifies,...Health Care Professional Certificate and/or License such as MT, RN , PA, or DPM, a Bachelors degree, and at… more
- UPMC (Pittsburgh, PA)
- …minimum of 1 shift per pay period or 2 shifts per month. Are you an RN or social worker interested in care management, case management, or care coordination? UPMC is ... and placing a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews discipline recommendations and… more
- Wellpath (Lemoyne, PA)
- …Graduation from an accredited School of Nursing or Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management ... role** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director, Regional Medical Directors, and Site Leadership to… more
- Penn Medicine (Philadelphia, PA)
- …internal team members, physicians, clinical and practice staff in the utilization of functionality within the application. + Promptly identifies, documents, and ... team members, physicians, clinical and practice staff in the utilization of functionality within the application. + Promptly identifies,...Health Care Professional Certificate and/or License such as MT, RN , PA, or DPM, a Bachelor's degree, and at… more
- Guthrie (Sayre, PA)
- …the delivery of patient care for population groups under the direction of an RN /LPN including but not limited to the following: + Lifting, turning, and positioning ... equipment. + Recognizes emergency situations and initiates plan of action + Notifies RN /LPN of any changes seen in patient's condition + Complies with policies and… more
- Guthrie (Sayre, PA)
- …successfully completed a CNA training course, or minimum of 1 year experience in a nurse aide or equivalent role or be currently enrolled in a licensed nurse ... the delivery of patient care for population groups under the direction of an RN /LPN including but not limited to the following: + Lifting, turning, and positioning… more
- Guthrie (Sayre, PA)
- …the delivery of patient care for population groups under the direction of an RN /LPN including but not limited to the following: * *Lifting, turning, and positioning ... * * Recognizes emergency situations and initiates plan of action * *Notifies RN /LPN of any changes seen in patient's condition * *Complies with policies and… more
- Hologic (Pittsburgh, PA)
- …+ Candidates with backgrounds such as Radiology Technologists, Mammography Technologists, Registered Nurses ( RN ), or other clinical professionals are strongly ... to effectively use our biopsy products to drive conversions and increase utilization of all available products. + Build professional relationships with physicians… more