- Evolent Health (Harrisburg, PA)
- …results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for assisting the ... UM Manager in supervising the operational productivity of the Utilization Management nurses by implementing and maintaining...flow of information through the UM department. The UM Lead , in collaboration with the UM Manager and Director,… more
- Fresenius Medical Center (Beaver Falls, PA)
- …As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our employees are our ... Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more
- WellSpan Health (York, PA)
- Registered Nurse - Case Manager - Days Location: WellSpan Health, York, PA Schedule: Full Time Schedule Day Shift Full Time (80 Hours Biweekly) General Summary ... 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
- WellSpan Health (York, PA)
- Registered Nurse - Open Heart ICU - Full time Location: York Hospital, York, PA Schedule: Full Time Experienced RNs needed! Full time/72 hours per pay period ... years of RN experience required + Critical Care experience preferred Licenses: + Licensed Registered Nurse Upon Hire Required or + Registered Nurse … 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
- WellSpan Health (York, PA)
- Registered Nurse - Patient Placement Coordinator - Nights Location: WellSpan Health, York, PA Schedule: Part Time Schedule Night shift (7p-7a) Part Time (48 ... Required and + Supervisory and/or charge experience considered essential. Required Licenses: + Licensed Registered Nurse Upon Hire Required or + Registered … more
- Geisinger (Wilkes-Barre, PA)
- …with team leader. + Gives concise, comprehensive report to on-coming Patient Flow Coordinator Registered Nurse or team lead including status of rooms, ... of 1 year-Related work experience (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life… more
- WellSpan Health (York, PA)
- Registered Nurse - Telephone Triage -...practice and standards of care. + Assists in the management of patient utilization of the appropriate ... experience. Required + Emergency Department and triage experience. Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or + Registered … more
- Insight Global (Philadelphia, PA)
- …via fax, abstraction & entry of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer equipment, encrypted ... Active RN License or Active LPN License 2-3 years of clinical experience ( Utilization management or utilization review) Strong computer skills Ability to… more
- UPMC (Altoona, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across...Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state… more
- WellSpan Health (Gettysburg, PA)
- …data analysis as required. + Develops and initiates educational programs regarding utilization management principles. + Attends meetings as required. Required ... acute care experience. Required + Field of experience in Utilization management , case management or... or clinical nursing specialty. Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or +… more
- BAYADA Home Health Care (Exton, PA)
- …Health Care** is seeking a full-time **Physical Therapist (PT), Occupational Therapist (OT), Registered Nurse ( RN ), or Speech Language Pathologist (SLP)** to ... our Exton, PA office. As Rehab Manager you will lead the field staff in providing superior quality client...in good standing, Physical Therapist (PT), Occupational Therapist (OT), Registered Nurse ( RN ), or Speech… more
- Trinity Health (Philadelphia, PA)
- …bonus and day one benefits** **Position Purpose:** The Registered Nurse ( RN ) is responsible for providing oversight and management to the provision of ... participants, at appropriate intervals, at times of status changes Registered Nurse ( RN ) and as...clinicians and caregivers. Responsible for identification of need and utilization of clinical services. **Minimum Qualifications:** + Must be… more
- Elevance Health (PA)
- ** RN Hospital Bill Audit/Appeal Lead ** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** RN Hospital Audit/Appeal Lead ** is responsible for leading a team… more
- Trinity Health (Langhorne, PA)
- …Type:** Part time **Shift:** Day Shift **Description:** **Are you an experienced Registered Nurse , Case Manager looking for premium compensation and maximum ... flexibility? Explore FirstChoice - Trinity Health's nurse staffing solution! FirstChoice RNs are utilized to fill...management of patient care including discharge planning and utilization needs. Supports ministry and system goals for capacity… more
- UPMC (Pittsburgh, PA)
- …Cardiopulmonary Resuscitation (CPR). + Certified Registered Nurse Anesthetist (CRNA). + Registered Nurse ( RN ). + Act 33, 34, and 73 clearances with ... + Proficient computer skills. **Licensure, Certifications, and Clearances:** + Current Registered Nurse license in Pennsylvania. + Board Certified, Recertified,… more
- UPMC (Williamsport, PA)
- …within 30 days of hire + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) + Act 33 with renewal + Act 34 with ... added to their hourly base rate regardless of float utilization .** **If you are interested in hearing feedback from...a two-year commitment to UPMC!** **Purpose:** The Professional Staff Nurse is a Registered Nurse … more
- Penn State Health (Hershey, PA)
- …required + Three (3) years of nursing experience + Currently licensed to practice as a registered nurse by state of employment or holds a multistate RN ... related to improved product, service and process standardization and utilization that either improves or maintains patient care. +...- Strategic Sourcing and Procurement **Location** US:PA: Hershey | Registered Nurse | Full Time **Req ID**… more
- UPMC (Altoona, PA)
- …Certifications, and Clearances:** + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) + Act 34 + Chemo certification ... UPMC Altoona is seeking a Registered Nurse with leadership experience for...goals. Demonstrates sound fiscal responsibility in the development and management of the department budget and holds staff accountable… more
- WellSpan Health (York, PA)
- …+ 3 years Progressive leadership experience in acute care nursing Required Licenses: + Licensed Registered Nurse Upon Hire Required or + Registered Nurse ... Responsible for overall strategic direction, development, and implementation of WellSpan nurse staffing and scheduling and for WellSpan Health staffing resources and… more