- WellSpan Health (York, PA)
- Utilization Management Nurse ( RN ) -...administration or management . Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or + ... quality health care. Provides leadership in the integration of utilization management principles throughout the System. Responsible... Registered Nurse Multi State License Upon Hire Required Apply Now… more
- CVS Health (Harrisburg, PA)
- …of Saturday shift is approximately 1 per month.** No travel is required. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote… more
- CVS Health (Harrisburg, PA)
- …and work schedules may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant, you will utilize clinical skills ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Harrisburg, PA)
- …and deliver solutions to make health care more personal, convenient and affordable. ** Utilization Management is a 24/7 operation and work schedule may include ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...**Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current… more
- Geisinger (Camp Hill, PA)
- …Experience Minimum of 1 year-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life ... welcome applicants from the Harrisburg area to join Geisinger as an In-House Travel RN ! 12-week assignments are available in Adult Med Surg, Adult ICU, ED, OB, and… more
- WellSpan Health (York, PA)
- Registered Nurse - Case Management - Day Location: WellSpan Health, York, PA Schedule: Part Time Schedule Part Time: 64 Hours/Biweekly Hours: 8:00am - 4:30pm ... Essential Functions: + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for..., or Clinical Nursing Specialty. Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or +… more
- UPMC (Harrisburg, PA)
- …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act ... Registered Nurse , Home Health Harrisburg Are...plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians'… more
- Baylor Scott & White Health (Harrisburg, PA)
- …of staff, resource management , and budget control. Departments involved are Utilization Management , Case Management , and Disease Management . ... Success Factors** + Demonstrable knowledge in discharge planning, case management , utilization review and different care levels....work experience + Hold a valid registration as a Registered Nurse As a health care system… more
- Penn State Health (Hershey, PA)
- …for maintaining compliance with the CMS Conditions of Participation for Utilization Management . **MINIMUM QUALIFICATIONS:** + Bachelors Degree in Nursing ... setting required. + Currently licensed to practice as a Registered Nurse by state of employment or...medical or genetic information._ **Union:** SEIU Healthcare Pennsylvania **Position** Utilization Management Specialist - DAY SHIFT -… more
- Humana (Harrisburg, PA)
- …part of our caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ... to prevent and detect fraud, waste, and abuse. The RN Compliance Nurse 2, Quality Assurance Audit...care, skilled and/or rehabilitation clinical setting + Experience with utilization management , pre-service denials and/or quality assurance… more
- Penn State Health (Camp Hill, PA)
- …+ Five (5) years of related experience required. + Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN ... assistance._ **Position** RN Practice Site Manager- Heart & Vascular Cardiology **Location** US:PA: Camp Hill | Registered Nurse | Full Time **Req ID** 61834 more
- Highmark Health (Harrisburg, PA)
- …adapt engagement strategies to meet market needs **LICENSES/CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + None **Language (Other than ... will require local travel.** This job is for an RN who will be directly responsible for outcomes of...greatest ROI for the Organization. Further, in a matrix management environment, will be responsible for collaborative work with… more
- Health Advocates Network (Harrisburg, PA)
- …hour *W2 Minimum Qualifications Possession of a current license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing; or ... Nursing. Resources possessing non-renewable temporary practice permits must obtain licensure as a Registered Nurse within the one-year period as defined by the… more
- WellSpan Health (York, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... Licensed Practical Nurse - Internal Medicine Apple Hill York Location:...of patient care between visits. + Assists in the management of patient utilization of health care… more
- WellSpan Health (York, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... Licensed Practical Nurse - MG Pediatrics - Market Street Location:...of patient care between visits. + Assists in the management of patient utilization of health care… more
- Select Medical (Camp Hill, PA)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,...**Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
- Select Medical (Mechanicsburg, PA)
- …West Shore** A joint venture with Select Medical & UPMC Pinnacle Mechanicsburg, PA ** Nurse Manager / Quality Coordinator (Dual Role)** We are currently seeking a ... Nurse Manager/Quality Coordinator to join our collaborative leadership team....cost containment for areas of responsibility. + Maintaining effective utilization of manpower, equipment and supplies. + Assessing the… more
- BAYADA Home Health Care (Mechanicsburg, PA)
- …Health Care** is seeking a full-time **Physical Therapist (PT), Occupational Therapist (OT), or Registered Nurse ( RN )** to fill the position of **Rehab ... + Current license in good standing, Physical Therapist (PT), Occupational Therapist (OT), or Registered Nurse ( RN ) + Prior supervisory experience + Minimum… more
- UPMC (Mechanicsburg, PA)
- …within 4-6 weeks of hire UPMC approved Care Management certification preferred + Registered Nurse ( RN ) *Current licensure either in the state where the ... (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and… more
- UPMC (Harrisburg, PA)
- …with 4-6 weeks of hire. UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) *Current licensure either in the state where the ... (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and… more