- KidsPeace Childrens Hospital (Schnecksville, PA)
- …collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and provide ongoing ... services based on the needs of the organization; + Participating in utilization review activities including but not limited to development of standards, insurance… more
- Highmark Health (Natrona Heights, PA)
- …model and structure to achieve sustainable length of stay, resource utilization , and clinical outcomes for patients over time.Responsible for designing and ... Management + 1 year in a management or leadership capacity + Registered Nurse **OR** Licensed Social Worker + Strong communication and collaboration skills +… more
- St. Luke's University Health Network (Bethlehem, PA)
- …regardless of a patient's ability to pay for health care. The Licensed Practical Nurse works as a member of the multidisciplinary team to assure high quality nursing ... the evaluation of and continuing development of staff members. + Demonstrates efficient time utilization in the home, in the office, and in preparation for travel to… more
- UPMC (Mechanicsburg, PA)
- …required.KNOWLEDGE AND SKILLS:Expertise in care management, discharge planning and utilization review processes. Ability to build credible and effective ... Worker (LSW) OR Other Healthcare Professional Licenses for Discharge Planning OR Registered Nurse (RN) *Current licensure either in the state where the facility is… more
- UPMC (Pittsburgh, PA)
- …6-8 year of experience. + 3 years of experience in behavioral, clinical, utilization management, home care, discharge planning, and/or case management required + For ... be obtained within 2 years of hire to remain in role) + Registered Nurse (RN) **Licensure, Certifications, and Clearances:** + LSW, CSW, LCSW LPC, Licensed Marriage… more
- YesCare Corp (Philadelphia, PA)
- …quality of care and chart reviews as requested. Sponsors physician assistants or nurse practitioners as required. + Notifies Site Medical Director and/or Site Health ... improvement measures including sentinel event review. + Actively participant of the Utilization Review process and follow proper procedures. + Other duties as… more