- 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
- Geisinger (Shamokin, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... safety, and maximize patient satisfaction. Exhibits compassionate care during patient- nurse interactions. Coordinates patient care and interaction of staff. Meets… more
- Geisinger (Shamokin, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... safety, and maximize patient satisfaction. Exhibits compassionate care during patient- nurse interactions. Coordinates patient care and interaction of staff. Meets… more
- Geisinger (Shamokin, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... and handling of equipment. + Participates in unit-based decision-making regarding the utilization of evidence- based practice. + Actively participates as a team… 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
- 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
- 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 (Selinsgrove, 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
- 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 (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