• Clinical Reviewer , Nurse…

    Evolent (Harrisburg, PA)
    …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
    Evolent (10/21/25)
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  • Clinical Care Reviewer (County Care…

    Commonwealth of Pennsylvania (PA)
    …Nurse + 18040 - Certified Registered Nurse Practitioner + 18170 - Clinical Nurse Specialist Other Requirements: + You must meet the PA residency ... Clinical Care Reviewer (County Care Management...Professional Counselor, Psychologist, Registered Nurse , Certified Registered Nurse Practitioner, or Clinical Nurse … more
    Commonwealth of Pennsylvania (10/30/25)
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  • Admissions Clinical Reviewer

    St. Luke's University Health Network (Bethlehem, PA)
    …of a patient's ability to pay for health care. The Admission's Clinical Reviewer is responsible for the comprehensive medical review and screening of ... Minimum 1 year experience with admissions for a post-acute rehabilitation setting preferred. Clinical experience as a nurse or therapist in an inpatient setting… more
    St. Luke's University Health Network (08/08/25)
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  • Clinical Appeals Reviewer

    AmeriHealth Caritas (Philadelphia, PA)
    …+ Process appeals, ensuring compliance with all regulatory milestones + Review medical records to identify Hospital-Acquired Conditions (HAC), ensure ... **Role Overview: ;** The Clinical Appeals Reviewer is responsible for...Outreach to appellants or their representatives to obtain and review medical records + Package pertinent information… more
    AmeriHealth Caritas (10/13/25)
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  • Clinical Research Nurse B/C

    University of Pennsylvania (Philadelphia, PA)
    …wealth of health and wellness programs and resources, and much more. Posted Job Title Clinical Research Nurse B/C Job Profile Title Clinical Research ... Nurse B Job Description Summary The Clinical Research Nurse B in Infectious Diseases...treatment and study visits. Additionally, s/he is required to review all clinical and laboratory data, make… more
    University of Pennsylvania (11/02/25)
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  • Clinical Research Nurse C/D…

    University of Pennsylvania (Philadelphia, PA)
    …of health and wellness programs and resources, and much more. Posted Job Title Clinical Research Nurse C/D (Department of Radiation Oncology) Job Profile Title ... Clinical Research Nurse C Job Description Summary...Clinical Research Nurse C Job Description Summary The Clinical ...reporting in real-time to the PI for assessment and review , and communicate with medical staff regarding… more
    University of Pennsylvania (08/27/25)
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  • Clinical Research Nurse C/D…

    University of Pennsylvania (Philadelphia, PA)
    …of health and wellness programs and resources, and much more. Posted Job Title Clinical Research Nurse C/D (Abramson Cancer Center) Job Profile Title Clinical ... Hospital's Clinical Research Unit seeks a full-time, Clinical Research Nurse (CRN) to conduct studies...real-time to the Principal Investigator (PI) for assessment and review , and communicate with medical staff regarding… more
    University of Pennsylvania (08/15/25)
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  • Nurse Clinical Care Coordinator…

    UPMC (Pittsburgh, PA)
    …face-to-face assessments that include a clinical assessment and treatment, a review of the medical , functional, behavioral, pharmaceutical, and social needs ... UPMC Your Care is Hiring a Full-Time Registered Nurse for a Nurse Clinical...collaboration with members, their caregivers, and providers. Identifies members' medical , behavioral, and social needs, as well as barriers… more
    UPMC (10/28/25)
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  • Clinical Research Nurse

    University of Pennsylvania (Philadelphia, PA)
    …a wealth of health and wellness programs and resources, and much more. Posted Job Title Clinical Research Nurse Job Profile Title Clinical Research Nurse ... (CTU) in the Center for Cellular Therapies (CCI), the Clinical Research Nurse D will work with...or study related committees and personnel (eg, IRB, DSMC, DSMB/ Medical Monitor) according to applicable regulations and policies. AE/SAE… more
    University of Pennsylvania (10/03/25)
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  • RN Registered Nurse Clinical Staff…

    Penn State Health (Hershey, PA)
    …Cunningham at ###@pennstatehealth.psu.edu (//###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Registered Nurse Clinical Staff Leader will ensure ... a role model for professional nursing practice. The RN Clinical Staff Leader will review appropriate staffing...outlaw discrimination._ **Union:** Non Bargained IND567 **Position** RN Registered Nurse Clinical Staff Leader - VARIED SHIFTS… more
    Penn State Health (09/10/25)
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