- UPMC (Pittsburgh, PA)
- …evidence on medical interventions, as well as coverage policies and utilization management standards of national insurers, accountable care organizations, ... report results. + BSN required. Advanced degree is preferred. + Prior experience with utilization management and/or case management is strongly preferred. +… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor - Norristown State Hospital (2nd Shift) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5183661) Apply ... Registered Nurse Supervisor - Norristown State Hospital...City Norristown, Pennsylvania Zip Code 19401 Contact Name Talent Management Division Contact Email ###@pa.gov + Description + Benefits… more
- Fresenius Medical Center (Pittsburgh, PA)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... of education and experience. + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+… more
- UPMC (Pittsburgh, PA)
- …Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Certified Case Manager (CCM) + Driver's License + Registered Nurse ( RN ) + Act 33 with renewal + Act 34 ... Are you an experienced nurse with NICU experience? Do you want to...interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan… more
- Highmark Health (Harrisburg, PA)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... **LICENSES or CERTIFICATIONS** **Required** + Current State of PA RN licensure OR Current multi-state licensure through the enhanced...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
- Trinity Health (Newtown, PA)
- …overall performance of the team including quality patient care, financial performance, utilization management , and compliance with state and federal regulations. ... and quality standards. Working knowledge in navigating through Excel and utilization of Outlook and Word. Excellent communication and problem-solving skills.… more
- WellSpan Health (Gettysburg, PA)
- …Degree Required **Work Experience:** + 1 year Relevant experience. Required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... the patient's diagnosis, corporate policy and procedures and the Nurse Practice Act. Carries primary care management ...differences in the specific clinical skills required of the RN . Unit based skill lists outline expectations beyond the… more
- Humana (Harrisburg, PA)
- …support the design, implementation, and advancement of strategic initiatives within the Utilization Management (UM) function. This role is responsible for ... knowledge of industry regulations, accreditation standards, and emerging trends in utilization management . Support the organization's commitment to talent… more
- WellSpan Health (York, PA)
- …Preferred **Work Experience:** + 2 years of ICU experience required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse ... hemodynamic monitoring, chest tubes, venous thrombolytics, arterial alteplase, ventilator management , arterial lines tracheostomy care (acute and chronic), EEG… 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
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