- CVS Health (Harrisburg, PA)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Quality Management Nurse (QM Nurse ) supports Aetna Better Health ... ensuring compliance with regulatory and accreditation standards while driving healthcare quality initiatives. This role combines clinical expertise with quality … more
- CVS Health (Harrisburg, PA)
- …we do it all with heart, each and every day. **Position Summary** _Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- CVS Health (Harrisburg, PA)
- …do it all with heart, each and every day. **Position Summary** **Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... other products, services and/or programs** Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization** Consults and… more
- CVS Health (Harrisburg, PA)
- …compassionate. And we do it all with heart, each and every day. Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and ... to coordinate, document and communicate all aspects of the utilization/benefit management program. + Applies critical thinking and knowledge in clinically… more
- Oracle (Harrisburg, PA)
- …Oracle's solutions. Using Oracle's implementation approach and methodology, the Clinical Consultant will assist in change management , help identify opportunities ... as we are to improving health equity and delivering quality care across the globe. If you're excited about...you've come to the right place. As a Clinical Consultant , you are responsible for driving the customer through… more
- Oracle (Harrisburg, PA)
- …Oracle's solutions. Using Oracle's implementation approach and methodology, the Clinical Consultant will assist in change management , help identify opportunities ... as we are to improving health equity and delivering quality care across the globe. If you're excited about...you've come to the right place. As a Clinical Consultant , you are responsible for driving the customer through… more
- Penn State Health (Hershey, PA)
- …(MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** Responsible for providing lactation management services to expectant and new parents that encompass ... experience + Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate...Compact. + Certification as an International Board Certified Lactation Consultant (IBCLC) **WHY PENN STATE HEALTH?** Penn State Health… more
- CVS Health (Harrisburg, PA)
- …12:00 (Noon) PM - 8:30 PM EST Shift** **Position Summary** At the 24-Hour Nurse Line the Health Coach Consultant utilizes a collaborative process of assessment, ... 4 holidays per year. + Must reside in a nurse Compact State and hold a Compact license. +...+ Facilitates effective health care decision-making. + Improves the quality of care. + Improves member satisfaction with their… more
- CVS Health (Harrisburg, PA)
- …to coordinate, document, and communicate all aspects of the utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health ... constituents in the coordination and administration of the utilization/benefit management function. + Gathers clinical information and applies the appropriate… more
- CVS Health (Harrisburg, PA)
- …health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care, ... education, connecting members to resources, and facilitating referrals to care management programs for continued support. This position supports the development and… more
- UPMC (Harrisburg, PA)
- …to develop evidence-based care delivery models and protocols. Identifies opportunity for quality improvement to colleagues and management Utilizes research and ... infants, offering advanced respiratory support, surgical recovery, and complex medical management . The unit is staffed by a dedicated team of neonatologists,… more
- UPMC (Harrisburg, PA)
- …or practice-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management . Utilizes research and ... + Flexible work environment, team-oriented atmosphere, autonomous role + Nurse Educator career ladder available for promotional opportunities and professional… more
- CVS Health (Harrisburg, PA)
- …members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention ... work. Services and strategies, policies and programs are comprised of network management , clinical coverage, and policies. Community Care Case Manager's use a… more
- WellSpan Health (York, PA)
- …+ Coordinates readmissions for patients having difficulties that require inpatient management . + Moderates regularly scheduled clinical review meetings of implanted ... as required. + Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards. + Provides… more
- CVS Health (Harrisburg, PA)
- …members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention ... work. Services and strategies, policies and programs are comprised of network management , clinical coverage, and policies. Community Care Case Manager's use a… more
- WellSpan Health (York, PA)
- …and inter-professional collaboration related to Magnet. Collaborates with leadership on quality patient outcomes, patient satisfaction outcomes, and nurse ... of nursing professional decision-making councils and committees. Serves as a consultant to others regarding the Magnet process and application of principles… more