- UPMC (Coudersport, PA)
- …and reactions regarding patient to the appropriate person (ie, physicians, director, nurse manager, charge nurse and/or nursing supervisor) and records those ... thoracentesis, lumbar tap, etc. + Participates in the economical utilization of supplies and ensures that equipment is maintained...and its impact on patient outcome. + A Registered Nurse who has taken a basic arrhythmia class and… more
- Sedgwick (Harrisburg, PA)
- …for evaluating the following: + Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or ... required to include one (1) to three (3) years utilization review experience and three (3) years clinical quality...+ Knowledge of ADAA and FMLA + Knowledge of utilization review procedures + Knowledge of clinical quality systems… more
- Geisinger (Port Matilda, PA)
- …substances only to ensure adequate supply levels, verify expiration dates, document utilization , optimize organizational efficiency and space utilization . + May ... Minimum of 1 year-Nursing (Preferred) Certification(s) and License(s) Licensed Practical Nurse - Default Issuing Body; Basic Life Support Certification - Default… more
- Highmark Health (Pittsburgh, PA)
- …with operational areas regarding issues related to supported technology. Manage utilization review, translation of foreign claims, coordination of benefits (COB), ... benefits/requirements/limits, discharge planning requirements, length of stay and resource utilization issues. + Adheres to the policies, procedures, rules,… more
- Amergis (Pittsburgh, PA)
- …continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential ... and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making for… more
- Penn Medicine (Lancaster, PA)
- …physician, nurse and patient regarding the contents, therapeutic action, utilization and possible adverse reactions or interactions of medication. + Responds to ... teaching aides or computer-generated warning or supplemental information. + Conducts drug utilization reviews to assure the quality of drug use. Determines if… more
- Penn Medicine (Lancaster, PA)
- …Coordinates care across the continuum inpatient outpatient community to assure appropriate utilization of clinical and community resources. + Oversees and guides the ... the following: + RN: Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing. Bachelor's...Bachelor's degree in Nursing BSN . + Knowledge of utilization review or managed care. + Care management experience… more
- Prime Healthcare (Bristol, PA)
- …communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use ... institution in a Health and Human Services field is highly preferred. 2. Utilization Review/Case Management experience is highly preferred. 3. 1+ year of clinical… more
- Organon & Co. (Plymouth Meeting, PA)
- …include Health Care Providers such as Physicians across multiple specialties, Nurse Practitioners, Physician Assistants, Midwives, Nurses and Pharmacist in addition ... clinical information in an accurate and clear manner to encourage proper product utilization while meeting the needs of customers. + Understanding of the local… more
- Geisinger (Bellefonte, PA)
- …substances only to ensure adequate supply levels, verify expiration dates, document utilization , optimize organizational efficiency and space utilization . + May ... Minimum of 1 year-Nursing (Preferred) Certification(s) and License(s) Licensed Practical Nurse - Default Issuing Body; Basic Life Support Certification - Default… more