- R1 RCM (Pittsburgh, PA)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. **Title: Utilization Review Nurse ** **Location: Hospital Client ... 11a-7p EST. Hours may vary and some flexibility may be offered** As our ** Utilization Review Nurse ** , you will help our hospital clients by working… more
- Commonwealth of Pennsylvania (PA)
- …I have professional experience performing this Work Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance nurse , or ... I have experience performing this Work Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance nurse , or an… 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 preferred ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- Sedgwick (Harrisburg, PA)
- …and consult review ; and two (2) years of experience in daily application of nurse auditing, utilization review and bill review . **Skills & ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Bill Review **PRIMARY PURPOSE** **:** To review hospital...RN Bill Review **PRIMARY PURPOSE** **:** To review hospital and professional medical bills from providers including… more
- WellSpan Health (York, PA)
- … utilization management, denials and Prior Authorization activities to ensure utilization review activities are conducted timely in accordance with internal ... and appeals. + Serves as point of contact for System acute care utilization review issues and resolutions with payers. Collaborates with Payer Contracting… more
- UPMC (Pittsburgh, PA)
- UPMC Your Care is hiring Nurse (RN) Clinical Care Coordinator. Your territory will be in the East Suburbs, Plum, Monroeville areas. You will be working Monday - ... Gardens, 1650 Metropolitan Street, 15233. Eastern Suburbs, Plum, Monroeville etcThe Nurse Clinical Care Coordinator is responsible for delivery of nursing assessment… more
- Health Advocates Network (Harrisburg, PA)
- …setting, behavioral health setting, drug and alcohol setting, managed care, quality management/ utilization review or other related clinical experience; or An ... R&E Nurse - Med Care Services- Expert **Pay Rate:** $34...(MA), health care services, human services, long term care, utilization review , or knowledge of home care… 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
- 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
- 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
- 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
- Guthrie (Sayre, PA)
- …pharmaceutical and non‐pharmaceutical best practices. Education, License & Cert: * Registered Nurse in the State of Practice. Start of BSN program within 1 ... nursing will supersede the above point and will remain in effect. Experience: The Registered Nurse must be a graduate nurse eligible to take the state board… 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
- WellSpan Health (Lebanon, PA)
- Registered Nurse , Special Projects (Outpatient) - Ambulatory Clinical Support - South 4th Street Location: WellSpan Medical Group, Lebanon, PA Schedule: Full Time ... organization, process- observation, supporting system objectives, patient outreach and chart review /audit, Review of literature to support evidence based… 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
- 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
- Geisinger (Wilkes-Barre, PA)
- …Surgical Pediatrics Progressive Care Unit Job Duties Perks of Joining Geisinger as a Graduate Nurse ! + Offer GNs up to a year in advance - Can choose to receive ... or after your start date! + Free Princeton NCLEX Review Questions (on-line, self paced)! + Temporary Practice Permit...starts available per month! + Automatic enrollment into our Nurse Residency Program - occurs during your entire first… 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