- 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 (West Chester, PA)
- …financial models to achieve budget targets and organization objectives. Credentials: + Registered Nurse - PA (Required) Education or Equivalent Experience: + ... and consultation. It also oversees service line VACs, supporting standardization, utilization , and new product assessments, while coordinating closely with supply… more
- WellSpan Health (York, PA)
- …therapy experience with an emphasis in home care. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required + Heartsaver CPR/AED Upon Hire Required ... 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
- Select Medical (Hummelstown, PA)
- …of acute transfers and other CQI indicators. **Qualifications** **Minimum Qualifications** + Registered Nurse with valid state license. Legacy employees may ... documentation related to the hospital's CQI program. + Performs basic chart review activities with appropriate staff for outcome utilization , infection control… more
- Penn Medicine (Philadelphia, PA)
- …standards. Analyzes unit-based resources and set priorities for maximizing outcomes. Credentials: + Registered Nurse - PA (Required) + Basic Cardiac Life Support ... each day. Are you living your life's work? Summary: + The Clinical Nurse Educator (CNE) practices within the UPHS professional practice model and exhibits UPHS… more
- Carbon Lehigh Intermediate Unit 21 (Schnecksville, PA)
- …(BSN). + Valid First Aid, CPR, and AED Certification. + Valid PA Registered Nurse License. Skills/Knowledge: + Demonstrates a proficient understanding and ... Contracted Classroom Nurse JobID: 691 + Position Type: CASUAL EMPLOYMENT (CONTRACTED)...utilization of Microsoft Office Suite and other software packages for… more
- Highmark Health (Harrisburg, PA)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and… more
- Evolent (Harrisburg, PA)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company… more
- Parexel (Harrisburg, PA)
- …reproducible research practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable health professional credentials, ... solutions, and ensure high-quality, compliant data. + Use surveillance tools to review data at an aggregate level, identifying patterns or anomalies to ensure… more
- Guthrie (Sayre, PA)
- …and supply chain performance through the oversight of the technology review , evaluation, selection, and implementation process. Proven success executing project ... required; Master's Degree, or in pursuit, strongly preferred. Current RN license in good standing in the Commonwealth of...employment required. Experience: Minimum of 5 years of clinical nurse experience required. Minimum of 3 years of … more