- Penn State Health (Hershey, PA)
- …orders that prohibit or outlaw discrimination._ **Union:** SEIU Healthcare Pennsylvania **Position** RN Registered Nurse Utilization Management ... setting required. + Currently licensed to practice as a Registered Nurse by state of employment or... by state of employment or holds a multistate RN license through the interstate Nurse Licensure… more
- Cognizant (Harrisburg, PA)
- …to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and Grievances, precertification,… more
- CVS Health (Harrisburg, PA)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- WellSpan Health (York, PA)
- …practice experience. Required + Lean Daily Management experience. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... and deploying strategies that are cost effective and improve EHR utilization and standardization. + Continuously monitors and manages the practice transformation… more
- Humana (Harrisburg, PA)
- …Standard Time **Required Qualifications** + Minimum of Associate Degree in nursing + Licensed Registered Nurse ( RN ) in a compact state with no disciplinary ... us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing...determination of the appropriate courses of action. As a Utilization Management RN working on the OneHome/Home… more
- Humana (Harrisburg, PA)
- …an impact** **Use your skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the (appropriate state) with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...Greater than one year of clinical experience in a RN role in acute care setting with preference for… more
- Humana (Harrisburg, PA)
- …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the (appropriate state) with no ... our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Humana (Harrisburg, PA)
- …to make an impact** **Required Qualifications** + Minimum of an Associate's degree + Licensed Registered Nurse ( RN ) with no disciplinary action + Minimum 2 ... our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- CVS Health (Harrisburg, PA)
- …both verbal and written** **Required Qualifications** **- 2+ years of experience as a Registered Nurse in adult acute care/critical care setting** **- Must have ... active current and unrestricted RN licensure in state of residence** **- Utilization Management is a 24/7 operation and work schedules will include weekends,… more
- UPMC (Harrisburg, PA)
- …Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Neonatal Resuscitation Program (NRP) + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with ... the most specialized and rewarding areas of pediatric medicine. Purpose: The Programmatic Nurse Specialist, a professional registered nurse , has the… more
- CVS Health (Harrisburg, PA)
- …+ Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult inpatient behavioral… 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...shifts with rotations for on-call and weekends. As an RN with UPMC Home Healthcare, you'll collaborate with our… more
- UPMC (Carlisle, PA)
- …within 30 days of hire + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting + Act 33 ... The Professional Staff Nurse is a Registered Nurse...nursing profession. Responsibilities: + Patient assessment. + Documentation. + Utilization of preference cards, knowledge, and experience to learn… more
- Humana (Harrisburg, PA)
- …timeframe **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license, with no disciplinary action ... caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes...health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the… more
- UPMC (Mechanicsburg, PA)
- …discretion of the BU. + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act 31 ... loan repayment paid over three years (*Eligible flex full-time RN roles to receive a prorated amount) + Up...UPMC approved national certification preferred. Current licensure as a Registered Professional Nurse either in the state… more
- Sharecare (Harrisburg, PA)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
- WellSpan Health (York, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health care… more
- WellSpan Health (York, PA)
- …or + Licensed Practical Nurse Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi ... of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health care… more
- Datavant (Harrisburg, PA)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- UPMC (York, PA)
- …Current licensure as a Registered Professional Nurse in practicing state. + Registered Nurse ( RN ) + Act 34 *Current licensure either in the state ... with other units and/or spreads across the business unit or system. Analyzes nurse and patient satisfaction outcome data and develops action plan to address as… more