- UPMC (Pittsburgh, PA)
- … Health Information Administrator OR Registered Health Information Technician (RHIT) OR Registered Nurse ( RN ) + Act 34 *Current licensure either in ... years of coding experience. In this role, you will review clinical documentation within the medical record to ensure...Specialist (CCS) OR Certified Professional Coder (CPC) OR Certified Registered Nurse Practitioner OR Doctor of Medicine… 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
- UPMC (Pittsburgh, PA)
- … Health Information Administrator OR Registered Health Information Technician (RHIT) OR Registered Nurse ( RN ) + Act 34 *Current licensure either in ... + Knowledge of computer technology, quality assurance activities, DRG, Quality Insights/ Utilization review background is highly preferred. + Ability to… 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
- WellSpan Health (York, PA)
- …nursing or therapy experience with an emphasis in home care. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse ... 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… more
- Penn State Health (Hershey, PA)
- …value analysis or product implementation experience + Currently licensed to practice as a registered nurse by state of employment or holds a multistate RN ... + Coach and mentor end users and requestors. + Review clinical trends as well as CQVA trends. +...Strategically expands the CQVA framework to support effective implementation, utilization , and continuous improvement. + Maintain and grow the… more
- WellSpan Health (York, PA)
- …+ Rehabilitation Therapy, Nursing, or Respiratory Therapy experience. Required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... members, referral sources and external payers regarding the effective and efficient utilization of program service and available resources as well as the benefit… more
- UPMC (Mechanicsburg, PA)
- …Licensed Social Worker (LSW) OR Other Healthcare Professional Licenses for Discharge Planning OR Registered Nurse ( RN ) *Current licensure either in the state ... leadership required.KNOWLEDGE AND SKILLS:Expertise in care management, discharge planning and utilization review processes. Ability to build credible and… more
- Penn Medicine (Lancaster, PA)
- …Health Information Administrator RHIA , Registered Health Information Technologist RHIT or Registered Nurse RN or completion of certificate degree in ... days per week.** **Summary:** + Position Summary: Responsible for complete and accurate review of all trauma patient records, collecting data for the PA Trauma… more
- Highmark Health (Camp Hill, PA)
- …of external client facing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Registered Nurse ( RN ) + Physician Assistant License - PA + ... + Performs as the clinical subject matter expert for clinical, quality, care, utilization , high cost claim and population health management as the part of the… more