- R1 RCM (Pittsburgh, PA)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. **Title: Utilization Review Nurse ** **Location: Hospital Client ... vary and some flexibility may be offered** As our ** Utilization Review Nurse ** , you...have experience in a clinical inpatient environment and hospital-based utilization or case management experience. Proficiency in… more
- CVS Health (Harrisburg, PA)
- …**until 9pm EST depending on business needs and Holiday rotation required** As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... more personal, convenient and affordable. Requisition Job Description **Position Summary:** **This Utilization Management (UM) Nurse Consultant role is 100%… more
- Lincoln Financial Group (Harrisburg, PA)
- …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- WellSpan Health (York, PA)
- …support utilization management operations. + Participates as a member of Utilization Management Review Committees. Co-chair's System Utilization ... the System. Duties and Responsibilities + Oversees the utilization management process for preauthorization, concurrent review , denials and appeals for… more
- Humana (Harrisburg, PA)
- …and ad hoc reports in Access and/or SQL + Graduate degree + Utilization Management Review Experience + Registered Nurse (RN) Credentials + Home Health, ... Durable Medical Equipment, and/or Skilled Nursing Facility Experience **Additional Information** **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week)… more
- Humana (Harrisburg, PA)
- …**Preferred Qualifications** + Registered Nurse + Experience in Medicare Utilization Management + Project Management Professional (PMP) certification ... are addressed. They will work closely with established functions inside utilization management (Medical Director, clinician decision making teams, quality… more
- Lancaster General Health (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the ... demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to… more
- UPMC (Pittsburgh, PA)
- …year of health insurance experience preferred. 1 year of experience in clinical, utilization management , home care, discharge planning, and/or case management ... clinical and social history, current medications, geriatric syndromes, healthcare resource utilization , case management interventions. Updates the plan of care… more
- Health Advocates Network (Norristown, PA)
- …setting, behavioral health setting, drug and alcohol setting, managed care, quality management / utilization review or other related clinical experience; or ... R&E Nurse - Med Care Services- Advanced Minimum Qualifications Possession...(MA), health care services, human services, long term care, utilization review , or knowledge of home care… more
- Guthrie (Sayre, PA)
- Position Summary: Facilitate efficient, effective pain prevention and management practices for inpatients under the direction and supervision of the Pain Service; ... develop pain prevention and management plans for patients though collaborating with the patients,...non‐pharmaceutical best practices. Education, License & Cert: * Registered Nurse in the State of Practice. Start of BSN… more
- Health Advocates Network (Bellefonte, PA)
- …shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional ... of professional nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review of reports… more
- Commonwealth of Pennsylvania (PA)
- …shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional ... of professional nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review of reports… more
- Lancaster General Health (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is a newly licensed new to practice RN ... safe practice within the organizational professional practice model. The Clinical Nurse 1 New to Practice/Apprentice seeks guidance to integrate concepts, knowledge,… more
- Lancaster General Health (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the ... demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to… more
- Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The responsibilities of the Registered ... Nurse (RN) for patients admitted under the Inpatient Mental...responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice… more
- Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Duties for the Medical/Surgical Telemetry ... Unit Registered Nurse include but are not limited to the following:...responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice… more
- Lancaster General Health (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is a newly licensed new to practice RN ... safe practice within the organizational professional practice model. The Clinical Nurse 1 New to Practice/Apprentice seeks guidance to integrate concepts, knowledge,… more
- Carbon Lehigh Intermediate Unit 21 (Schnecksville, PA)
- Classroom Nurse JobID: 1260 + Position Type: PROFESSIONAL/ Classroom Nurse + Date Posted: 10/31/2022 + Location: Schnecksville, PA Position ... and Services under the clinical guidance from the Certified School Nurse . Qualifications: Education/Experience: + Bachelor's Degree in nursing (BSN). + Valid… more
- Lancaster General Health (Lancaster, PA)
- …and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates patients about ... improvement activities with an emphasis on increasing continuity in the nurse to patient relationship, minimizing rework and redundancies; constantly seeks ways… more
- Penn Medicine (Philadelphia, PA)
- …Are you living your life's work? Penn Medicine is seeking a full-time Clinical Nurse Educator for Periop Unit with Penn Presbyterian Medical Center. Summary: + The ... Clinical Nurse Educator (CNE) practices within the UPHS professional practice...includes the traditional components of patient care, consultation, research utilization and education with the aims of upholding practice… more