- WellSpan Health (Lebanon, PA)
- …PM Includes Weekend rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most ... patient discharge needs. Provides leadership in the integration of utilization and case management principles...., or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or +… more
- UPMC (Washington, PA)
- …care/treatment, The Joint Commission Standards, Federal/State regulations relative to utilization / case management , discharge planning, Medicare, Medicaid, ... The Manager oversees the day-to-day operations of the Case management department under the direction...team performance and desired patient outcomes is needed. + Registered Nurse ( RN ) *Current licensure… more
- UPMC (Pittsburgh, PA)
- …clinical and social history, current medications, geriatric syndromes, healthcare resource utilization , and case management interventions. Updates the ... member care, to include complex and/or specialized care. + Registered Nurse ( RN ) with an...1 year of experience in clinical, utilization management , home care, discharge planning, and/or case … more
- Healthfirst (PA)
- …experience in appeals & grievances, claims processing, utilization review or utilization management / case management . + Demonstrated understanding of ... **8am-5pm or** **8:30am-5:30pm** **Duties and Responsibilities:** + Responsible for case development and resolution of clinical cases, such as: Pre-existing… more
- Geisinger (Danville, PA)
- …ideal candidate will have prior RN experience in a hospital setting. Case Management experience is preferred and not required. The successful candidate must ... work on-site at Geisinger Medical Center (GMC), Benefits of working in Case Management Strong team culture Consistent scheduling Meaningful mission-driven work… more
- Geisinger (Lewistown, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... and healthcare team. + Maintains required documentation for all case management activities. + Collects required data and utilizes this data to adjust the… more
- St. Luke's University Health Network (Quakertown, PA)
- …including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. . Facilitates communication among all ... a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager...or obtained within 3 years of hire, MSN and/or Case Management Certification preferred. TRAINING AND EXPERIENCE:… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among all ... a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager...or obtained within 3 years of hire, MSN and/or Case Management Certification preferred. TRAINING AND EXPERIENCE:… more
- UPMC (Pittsburgh, PA)
- …OR Cardiopulmonary Resuscitation (CPR) + Certified Case Manager (CCM) + Driver's License + Registered Nurse ( RN ) + Act 33 with renewal + Act 34 with ... by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan of… more
- UPMC (Pittsburgh, PA)
- UPMC Home Health is Hiring a Full-Time Registered Nurse ( RN ) for the Uniontown and Surrounding Areas Are you a nurse looking for a rewarding career where ... professionals to meet physicians' orders and patients' needs. + RN will coordinate case management ...Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state… more
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