- Health Advocates Network (Selinsgrove, PA)
- Registered Nurse ( RN )DC- Short-Term **Pay Rate** : $58 / hour *W2 Minimum Qualifications Possession of a current license to practice as a registered ... Resource performs as a charge nurse , staff nurse or an assessment coordinator providing nursing...is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review… more
- WellSpan Health (York, PA)
- …Previous quality assessment and utilization management experience preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... attention. Is responsible for all program management, report generation and review , process improvement, patient satisfaction and administrative activities of the… more
- CVS Health (Harrisburg, PA)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... in a hospital setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Guthrie (Sayre, PA)
- …leadership and autonomy in nursing practice. Preferred experience with care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... and services available to patient/family when needed. The Care Coordinator -Transitional Care nurse notifies the primary care...applicant must have a current license as a Professional Registered Nurse in their state of practice… more
- WellSpan Health (Mount Gretna, PA)
- …2 years Nursing experience and recent behavioral health experience required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... care and treatment progress. + Participates in daily communication with primary nurse , communicating any clinical concerns and assist in developing an action plan… more
- Guthrie (Sayre, PA)
- …and autonomy in nursing practice. Preferred experience with PCMH process, care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... Summary Care Coordinator /Wellness Nurse -Per Diem will assist in...experience preferred. Education Licensed Registered Nurse with 5 years' experience, preferably… more
- Penn Medicine (Philadelphia, PA)
- …assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet) Credentials: + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... **The candidate for this position must be a seasoned med/surg nurse with a minimum of 5 years' experience in Utilization review and 3 years of experience in… more
- Penn Medicine (Philadelphia, PA)
- …(Outlook, Canopy, CERME, ECIN, shared drive, Internet) + Credentials: Registered Nurse - PA (Required) PA RN Licensure required. Education or Equivalent ... fearful you will miss patient contact? If so, our nurse case manager role at Penn Medicine is the...being a strong patient advocate. The case manager conducts utilization management activities, communication with insurers, team, and physician… more
- Penn Medicine (Philadelphia, PA)
- …assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet) Credentials: + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources,… more
- Penn Medicine (Lancaster, PA)
- …requirements being one of the following: + RN : Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing. Bachelor's degree in ... with patients, families and providers. + Functions as a coordinator and manager of a defined health population across...Bachelor's degree in Nursing BSN . + Knowledge of utilization review or managed care. + Care… more
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