- Guthrie (Sayre, PA)
- …for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with other internal ... in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to...in an acute care setting with strong care management, utilization review, and payer knowledge. A Case Management certification… more
- County of Northampton (Nazareth, PA)
- …during orientation and training over the following job classifications: Unit Clerk, Certified Nurse Aide (CNA), Licensed Practical Nurse (LPN), and Registered ... service, including ongoing courses of study and singular topics. Conducts formal nurse 's aide programs. Reviews new employee performance by observing behavior in… more
- Guthrie (Towanda, PA)
- …hire. Experience: Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: 1.RESOURCE UTILIZATION : + Considers ... Assists with business plans, fiscal accountability, and clinical and resource utilization . Fosters change, and teamwork. Performs clinical duties of the patient… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Utilization Management (UM) Care Manager to join the UM Clinical Operations team. This position will be work from home, but ... preference will be given to Pennsylvania-based candidates. The Utilization Management (UM) Care Manager is responsible for utilization review of health plan… more
- Highmark Health (Jefferson Hills, PA)
- …outcomes, engages patients/caregivers in their healthcare, and supports effective resource utilization . Serves as key team members in the management of readmissions, ... length of stay, ED utilization , and patient/family satisfaction. **ESSENTIAL RESPONSIBILITIES:** + Contributes to or completes comprehensive assessment of patients… more
- Select Medical (Erie, PA)
- …(PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state ... what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan...**Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages ... that supports excellence of care and achievement of optimal resource utilization . Also facilitates appropriate LOS, patient satisfaction and reimbursement for all… more
- University of Pennsylvania (Philadelphia, PA)
- …and ultrasound. Job Description Job Responsibilities We are seeking a skilled and dedicated nurse to join our team as an Operating Room and Imaging Nurse . ... and medical terminology to support the surgical team. + Act as a circulating nurse and/or scrub nurse during surgeries, providing valuable assistance to the… more
- YesCare Corp (Philadelphia, PA)
- …justifications for non-formulary medication requests when necessary. + **Resource Utilization :** Resolve patient care issues using in-house resources before ... + Participate in quality care reviews and sponsor physician assistants or nurse practitioners as needed. + **Schedule Management:** Notify the Site Medical Director… more
- UPMC (Harrisburg, PA)
- Registered Nurse Home Health Harrisburg Are you a nurse looking for a rewarding career where you can provide direct, one-on-one patient care? UPMC Home ... by education, experience, and certifications. Responsibilities: + Your role as the nurse will establish patients' plans of care in collaboration with physicians,… more
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