- Humana (Harrisburg, PA)
- …supporting provider performance, and coordinating with cross-functional teams to drive quality, utilization , and cost-of-care outcomes. At the core, this is a role ... MRA, chronic condition management, and other efforts to reduce avoidable utilization * Supporting Joint Operating Committees (JOCs) and facilitating implementation… 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
- Penn Medicine (Philadelphia, PA)
- …internal team members, physicians, clinical and practice staff in the utilization of functionality within the application -Promptly identifies, documents, and ... internal team members, physicians, clinical and practice staff in the utilization of functionality within the application -Promptly identifies, documents, and… more
- CVS Health (Harrisburg, PA)
- …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... or changes in condition to be transitioned back to RN . - Complete post discharge call and required assessments...timelines. - Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department … 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
- UPMC (Pittsburgh, PA)
- …in a clinical role involving discharge planning/clinical care coordination. Are you an RN or social worker interested in care management, case management, or care ... and placing a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews discipline recommendations and… more
- Penn Medicine (Lancaster, PA)
- …entering patient medication histories into the hospital's information system for utilization by health care professional during the hospital encounter. ESSENTIAL ... enters the home medication list into the hospital's information system for utilization by the Provider responsible for admitting the patient. + Completes the… more
- CenterWell (Harrisburg, PA)
- …**Use your skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN ) with no disciplinary ... our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical… more
- Guthrie (Troy, 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 ... 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