- 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 ... Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government customer,… more
- CVS Health (Harrisburg, PA)
- …both verbal and written **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting + Must have active ... work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Harrisburg, PA)
- …Degree and Independently licensed Behavioral Health Clinician Or Associate Degree and Licensed Registered Nurse with Psychiatric Experience** + **3 or more years ... BH clinical Experience** + **1 or more years ...of residence (LMSW, LCSW, LISW, LPC, or comparable) or Registered Nurse licensure with psychiatric specialty, certification,… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Centene Corporation (Harrisburg, PA)
- …Professional (LMHP) required or + Board Certified Behavior Analyst (BCBA) required + RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...Registered Nurse - State Licensure and/or Compact State… more
- WellSpan Health (Gettysburg, PA)
- …management, case management, or clinical nursing specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... and Sunday 7a-7p **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of… more
- CVS Health (Harrisburg, PA)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- WellSpan Health (Gettysburg, PA)
- …Degree Required **Work Experience:** + 1 year Relevant experience. Required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... the patient's diagnosis, corporate policy and procedures and the Nurse Practice Act. Carries primary care management functions for...of visits, phone calls and conferences in the patient's clinical record on a timely basis and legible manner.… more
- Evolent (Harrisburg, PA)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- UPMC (Harrisburg, PA)
- …the most specialized and rewarding areas of pediatric medicine. Purpose: The Programmatic Nurse Specialist, a professional registered nurse , has the ... In collaboration with the health care team, the Programmatic Nurse Specialist applies expert clinical knowledge and...Cardiopulmonary Resuscitation (CPR) + Neonatal Resuscitation Program (NRP) + Registered Nurse (RN) + Act 31 Child… more
- UPMC (Carlisle, PA)
- …dependents (plus discounts for UPMC employees including no cost RN-BSN/MSN options!) The Professional Staff Nurse OR is a Registered Nurse and a member of ... discretion of the BU. + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse (RN) OR Temporary Practice Permit (TPP) + Act 31 Child… more
- WellSpan Health (Gettysburg, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... planning and implementation of patient care based upon sound nursing judgment, clinical preparation, knowledge, skills and experience. Nursing care is provided in… more
- Humana (Harrisburg, PA)
- …We are not able to hire candidates that are currently living in Puerto Rico. + Registered Nurse with current in-state RN license + At least 3 years of varied ... community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care... clinical RN nursing experience + Current TRICARE experience +… more
- CVS Health (Harrisburg, PA)
- …in state of residence - 3+ years of acute experience as a Registered Nurse - 1+ years of Utilization Management experience - Must have experience using MS ... Works closely with functional area management to ensure consistency in clinical interventions supporting our members. Accountable for meeting the financial,… more
- UPMC (Harrisburg, PA)
- **UPMC Harrisburg is hiring a Full-Time Physician Assistant or Certified Registered Nurse Practitioner (ACNP) to help support the Cardiac Surgery dept. The ideal ... Staff or Senior Advanced Practice Provider (APP) is a Physician Assistant or Certified Registered Nurse Practitioner and a member of the care delivery team. The… more
- UPMC (Mechanicsburg, PA)
- …licensure as a Registered Professional Nurse in practicing state. + Registered Nurse (RN) *Current licensure either in the state where the facility is ... patient care, creating a healthy workplace for staff, and overseeing clinical , and administrative/business functions. The Unit Director is responsible for… more
- UPMC (Harrisburg, PA)
- …and mentoring as appropriate. 1) Diploma or associate degree in nursing and active Registered Nurse license. At least one year of experience in discharge ... a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews...OR Other Healthcare Professional Licenses for Discharge Planning OR Registered Nurse (RN) + Act 31 Child… more
- UPMC (Harrisburg, PA)
- Registered Nurse Home Health Harrisburg Are you a nurse looking for a rewarding career where you can provide direct, one-on-one patient care? UPMC Home ... + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse (RN) OR Temporary Practice Permit (TPP) + Act 33 +… more
- Highmark Health (Harrisburg, PA)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- Select Medical (Harrisburg, PA)
- …Current Licensure in a clinical discipline per state guidelines required. ( Registered Nurse or Social Work (SW) preferred) **Preferred Qualifications** + ... time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate… more
