- Penn Medicine (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is a newly licensed new to practice ... RN or RN with less than 15...practice within the organizational professional practice model. The Clinical Nurse 1 New to Practice/Apprentice seeks guidance to integrate… more
- Penn Medicine (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner ... demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to… more
- Amergis (Pittsburgh, PA)
- …and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making ... The RN Case Manager is responsible for coordinating continuum...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more
- Fresenius Medical Center (Pittsburgh, PA)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Highmark Health (Pittsburgh, PA)
- …with operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits ... benefits/requirements/limits, discharge planning requirements, length of stay and resource utilization issues. + Adheres to the policies, procedures, rules,… more
- WellSpan Health (York, PA)
- …Preferred **Work Experience:** + 1 year of RN experience required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse ... and chronic), EEG monitoring, external and temporary pacer, CRRT utilization , EKOS catheter-directed and ultrasound thrombolysis. **General Summary** Provides… more
- WellSpan Health (York, PA)
- …Preferred **Work Experience:** + 2 years of ICU experience required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse ... and chronic), EEG monitoring, external and temporary pacer, CRRT utilization , EKOS catheter-directed and ultrasound thrombolysis. **General Summary** Provides… more
- Wellpath (Lemoyne, PA)
- …Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management and pre-certification experience + Knowledge ... difference** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director, Regional Medical Directors, and Site Leadership to… more
- Penn Medicine (Lancaster, PA)
- …Other duties as assigned. **Minimum Required Qualifications:** + Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing + ... No holidays _Penn Medicine Lancaster General Health is looking for an experienced RN to join our Utilization Management Specialist team! In this critical… more
- Battelle Memorial Institute (Harrisburg, PA)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report… more