- Cognizant (Harrisburg, PA)
- …to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and Grievances, precertification,… more
- WellSpan Health (Gettysburg, PA)
- …Degree Required **Work Experience:** + 1 year Relevant experience. Required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... of care, the patient's diagnosis, corporate policy and procedures and the Nurse Practice Act. Carries primary care management functions for assigned patients.… more
- Lutheran SeniorLife (Mars, PA)
- …be a graduate of an accredited Licensed Practical Nursing program OR Possess a Registered Nurse ( RN ) degree/license from an accredited college, university, ... Overview Registered Nurse Assessment Coordinator RNAC Mars,...conditions to ensure proper documentation and Medicare/Medical Assistance benefit utilization . The RNAC is also responsible for tracking and… more
- Geisinger (Wilkes-Barre, PA)
- …team leader. + Gives concise, comprehensive report to on-coming Patient Flow Coordinator Registered Nurse or team lead including status of rooms, critical ... of 1 year-Related work experience (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life… more
- CVS Health (PA)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- St. Luke's University Health Network (Sellersville, PA)
- …regardless of a patient's ability to pay for health care. This Weekend registered Nurse works collaboratively with other members of the interdisciplinary team ... standards for the provision of quality care, appropriate service utilization , and compliance with third party payor requirements for...school of professional nursing who is licensed as a Registered Nurse by the state in which… more
- ChenMed (Philadelphia, PA)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Remote Triage, is responsible for providing telephonic triage directional ... and assessments within license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the… more
- St. Luke's University Health Network (Bethlehem, PA)
- …regardless of a patient's ability to pay for health care. This Weekend registered Nurse works collaboratively with other members of the interdisciplinary team ... to agency standards for the provision of quality care, appropriate service utilization , and compliance with third party payor requirements for reimbursement. +… more
- St. Luke's University Health Network (Bethlehem, PA)
- …graduate of an approved school of professional nursing who is licensed as a Registered Nurse by the state in which practicing, Baccalaureate degree preferred. ... to agency standards for the provision of quality care, appropriate service utilization , and compliance with third party payor requirements for reimbursement. 7.… more
- St. Luke's University Health Network (Bethlehem, PA)
- …graduate of an approved school of professional nursing who is licensed as a Registered Nurse by the state in which practicing, Baccalaureate degree preferred. ... agency standards for the provision of quality care, appropriate service utilization , and compliance with third party payor requirements for reimbursement.… more
Recent Jobs
-
Supervisor, Central Sterile Processing
- UPMC (Pittsburgh, PA)
-
Medical Director
- Envita Medical Center (Scottsdale, AZ)