• Supervisor - Home Health - West Region - Days

    WellSpan Health (York, PA)
    …individual staff to ensure safe quality care, progress towards goals, and proper utilization of services. * Provides after-hours and on-call staff support as well as ... Care in a professional manner. * Responsible for efficient utilization of all resources including, but not limited to,...emphasis in home care. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required + Heartsaver CPR/AED Upon Hire… more
    WellSpan Health (11/29/25)
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  • RN Case Manager Emergency (Nights), Allegheny…

    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
    Highmark Health (11/22/25)
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  • Payment Integrity Clinician

    Highmark Health (Harrisburg, PA)
    …itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education ... education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment and… more
    Highmark Health (11/14/25)
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  • Staffing & Scheduling Coordinator - Chambersburg…

    WellSpan Health (Chambersburg, PA)
    …effectively manager cost and maximize employee satisfaction and resource utilization . **Duties and Responsibilities** **Essential Functions:** + Facilitates and ... + Creates customized reports to present data valuable to logistics manager, nurse managers, department directors, and finance partners for resource management. +… more
    WellSpan Health (11/11/25)
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  • Clinical Pharmacist (Full time, evening shift)

    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 (11/06/25)
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  • RN - Case Manager (Anticipated Opening | Apply…

    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
    Amergis (11/05/25)
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  • Certified Medical Assistant

    Geisinger (State College, 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
    Geisinger (10/23/25)
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  • Clinical Pharmacist (7 on, 7 off - Evenings)

    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 (10/16/25)
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  • CDI Specialist

    UPMC (Pittsburgh, PA)
    …Clinical Documentation Improvement (CDI) experience. + Background in Quality Assurance, Utilization Review, or Quality Insights. + Advanced knowledge of DRGs, PPS, ... certifications and licensure. + Certified Coding Specialist (CCS) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Doctor of Podiatric… more
    UPMC (12/31/25)
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  • Patient Care Partner - 6NW - Per Diem

    Guthrie (Sayre, PA)
    …successfully completed a CNA training course, or minimum of 1 year experience in a nurse aide or equivalent role or be currently enrolled in a licensed nurse ... charging of supplies; performing other division‐specific tasks, and appropriate utilization of available resources. + Participates in performance improvement… more
    Guthrie (12/25/25)
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