- WellSpan Health (Lebanon, PA)
- Registered Nurse , Special Projects (Outpatient) - Ambulatory Clinical Support - South 4th Street Location: WellSpan Medical Group, Lebanon, PA Schedule: ... a team model within the scope of the defined project . The hours and locations will vary dependent on...formal or informal leadership experience. Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or +… more
- Lancaster General Health (Lancaster, PA)
- …duties as assigned. **JOB REQUIREMENTS** **MINIMUM REQUIRED QUALIFICATIONS:** + Current licensure as a Registered Nurse ( RN ) or Licensed Practical Nurse ... clinical staff as requested by practice management. + Other duties and special projects as assigned by management. + Participates in the on-call responsibilities… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The RN , Compliance Nurse 2, Quality Assurance Auditor reviews utilization management activities and ... to prevent and detect fraud, waste, and abuse. The RN , Compliance Nurse 2, Quality Assurance Auditor...audit trends to the clinical operational teams + Coordinate special compliance projects and any additional tasks… more
- UPMC (Mechanicsburg, PA)
- …process. **Licensure, Certifications, and Clearances:** + Current Pennsylvania licensure as a Registered Professional Nurse required prior to program start date ... 2024 from nursing school and looking to launch your nursing career? Our Graduate Nurse Rotational Program may be the perfect fit! You will rotate through various… 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
- Centene Corporation (Harrisburg, PA)
- …Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred.Pay Range: $25.97 - $46.68 per ... Refers to case or disease management as appropriate. + Completes special assignments and projects instrumental to the function of the department. + Performs… more
- Highmark Health (Harrisburg, PA)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... and intervene for resolution and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** +… more
- WellSpan Health (Ephrata, PA)
- …patient condition levels; recognizes and reports changes in patient condition to the registered nurse . + Possess the knowledge and skills to keep patients ... development, encouraging team members to engage in educational presentations, creative projects , and other initiatives that enhance our collective knowledge and… more
- WellSpan Health (York, PA)
- …and initiates educational programs regarding utilization management principles. + Assists with special projects as needed. + Attends meetings and huddles as ... Medical Director of Corp. Case Management + Attends CM RN morning report huddle as needed to identify/discuss problem...need for peer to peer review-discuss with the CM nurse and/or attending physician as needed and then document… more