- UPMC (Washington, PA)
- …**Licensure, Certifications, and Clearances:** + Current licensure as a Registered Nurse in practicing state required. + UPMC approved Care Management certification ... care/treatment, The Joint Commission Standards, Federal/State regulations relative to utilization /case management, discharge planning, Medicare, Medicaid, and other third… more
- WellSpan Health (York, PA)
- …members, referral sources and external payers regarding the effective and efficient utilization of program service and available resources as well as the benefit ... or Respiratory Therapy experience. Required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse... Nurse Upon Hire Required or + Registered Nurse Multi State License Upon Hire Required or +… more
- UPMC (Pittsburgh, PA)
- …documentation within the medical record to ensure that all patient resource utilization , principal diagnosis, secondary diagnoses, and PCS procedures have been coded ... Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Registered Health Information… more
- Geisinger (Shamokin, PA)
- …and handling of equipment. + Participates in unit-based decision-making regarding the utilization of evidence- based practice. + Actively participates as a team ... Geisinger Shamokin Area Community Hospital is looking for an experienced OR nurse to join their team! Position Details/Requirements: Per Diem/Flex hours (minimum of… more
- Select Medical (Hummelstown, PA)
- …timeframe; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safeand appropriate discharge ... Licensure in a clinical discipline per state guidelines required. (Registered Nurse or Social Work (SW) preferred) **Previous Experience** + Previous experience… more
- J&J Family of Companies (Pittsburgh, PA)
- …**Qualifications:** + PharmD, PhD, MD, or other advanced medical degree NP ( Nurse Practitioner), PA (Physician Assistant), with +3 years relevant TA clinical ... and/or Immunology. + Must be familiar with Microsoft Word, Excel, PowerPoint, and utilization of computers and remote technologies. + Reside in or near Pittsburgh,… more
- UPMC (Pittsburgh, PA)
- …human services field. + Three years of experience in behavioral, clinical, utilization management, home care, discharge planning, and/or case management required. + ... Counselor (LPC) OR Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN). Preference will be given to those with an RN, CSW, LCSW, LMFT,… more
- UPMC (Pittsburgh, PA)
- …implemented. + Utilizes supervision by identifying and reporting to supervisor clinical, utilization and outcomes issues. + Preserve confidentiality of the member. + ... of community resources required. **Licensure, Certifications, and Clearances:** + Registered Nurse (RN) OR Social Services Licensure (LSW, LCSW, LPC) + Licensure… more
- St. Luke's University Health Network (Allentown, PA)
- …visual monotony. EDUCATION: Graduate of an accredited professional nursing program. Registered nurse with current license to practice in the state of Pennsylvania or ... Prefer minimum of 2-5 years' experience in case management and/or utilization management required. Prefer financial experience related to appeal processes with… more
- UPMC (Pittsburgh, PA)
- …+ Supports shared governance through a unit-based professional practice council and utilization of staff feedback to make changes to improve care, nursing practice, ... three (3) years of enrollment. **Licensure, Certifications, and Clearances:** + Registered Nurse (RN) + Current licensure either in the state where the facility… more