- Humana (Harrisburg, PA)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... licensed in a Compact State** The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... This includes 10 beds in our updated and expanded behavioral health rooms, and 13 dedicated pediatric beds. Each...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… 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 ... beds to 95 beds. This includes 10 beds in our updated and expanded behavioral health unit, and 13 dedicated pediatric beds. Each day our Emergency Department treats… more
- Lancaster General Health (Lancaster, PA)
- …requirements being one of the following: ** RN :** - Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing. - Bachelor's degree ... Other duties as assigned. **JOB REQUIREMENTS** **MINIMUM REQUIRED QUALIFICATIONS:** ** RN or Social Worker** is required for this role,...+ Bachelor's degree in Nursing (BSN). + Knowledge of utilization review or managed care. + Care management… more
- Highmark Health (Harrisburg, PA)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... required depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field + Certification in Case … more
- WellSpan Health (Mount Gretna, PA)
- … RN III. Preferred and + Oncology nursing experience. Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or + Registered Nurse ... Care Nurse Coordinator RN - Child Adolescent...Work Experience: + 2 years Nursing experience and recent behavioral health experience. Required + Clinical RN … more
- Highmark Health (Harrisburg, PA)
- …and third party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization changes, ... and utilization review experience **LICENSES or CERTIFICATIONS** **Required** + RN license In appropriate state based on location + CPR Certification… 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)
- …6 years in nursing with Leadership experience in hospital/healthcare Required Licenses: + Licensed Registered Nurse Upon Hire Required or + Registered ... team approach to the delivery of patient care for inpatient services, behavioral health services, and various ambulatory services, with a focus on Emergency… more
- Highmark Health (Harrisburg, PA)
- …adapt engagement strategies to meet market needs **LICENSES/CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + None **Language (Other than ... result in the greatest ROI for the Organization. Further, in a matrix management environment, will be responsible for collaborative work with the other members of… more
- Highmark Health (Harrisburg, PA)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more