- Cognizant (Harrisburg, PA)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... 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… more
- CVS Health (Harrisburg, PA)
- …we do it all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- CVS Health (Harrisburg, PA)
- …Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization . **Required Qualifications** + Registered Nurse (RN) ... CVS Health Aetna has an opportunity for a full-time Utilization Management (UM) Nurse Consultant. As a...Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills… more
- Humana (Harrisburg, PA)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- WellSpan Health (York, PA)
- …practice experience. Required + Lean Daily Management experience. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... Works with the Practice Managers and Site Directors to advance and standardize clinical operations throughout the system, within a culture of quality, safety and… more
- CVS Health (Harrisburg, PA)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Penn Medicine (Lancaster, PA)
- … nurse is physically present in the area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN's will be required to ... that established outcomes are achieved through availability and appropriated utilization + of human, material and financial resources. +...present in the area or unit where the graduate registered nurse is practicing.All Clinical … more
- Penn Medicine (Lancaster, PA)
- … nurse is physically present in the area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN's will be required to ... the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice Apprentice...of starting in their RN role. + A graduate registered nurse may only practice professional nursing… more
- Penn Medicine (Lancaster, PA)
- … nurse is physically present in the area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN's will be required to ... the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is...for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing… more
- Penn Medicine (Lancaster, PA)
- … nurse is physically present in the area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN's will be required to ... the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice Apprentice...of starting in their RN role. + A graduate registered nurse may only practice professional nursing… more
- Penn Medicine (Lancaster, PA)
- … nurse is physically present in the area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN's will be required to ... the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice Apprentice...who started after 07 01 2020. + A graduate registered nurse may only practice professional nursing… more
- Penn Medicine (Lancaster, PA)
- …and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full ... practice within the organizational professional practice model. + The Clinical Nurse 2 Colleague possesses the knowledge,...others. Credentials: + Basic Cardiac Life Support (Required) + Registered Nurse - PA (Required) + Completion… more
- Penn Medicine (Lancaster, PA)
- …The Ann B. Barshinger Cancer Institute is seeking a compassionate and experienced Registered Nurse to join our expanding Medical Oncology Clinic. In this ... accountability as defined by the American Nurses Association standards of nursing practice. + The Clinical Nurse 2 Colleague is an RN that practices as a full… more
- Penn Medicine (Lancaster, PA)
- …and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full ... consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and… more
- Penn Medicine (Lancaster, PA)
- …and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full ... consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and… more
- Penn Medicine (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 ... demonstrates basic safe practice within the organizational professional practice model. The Clinical Nurse 1 New to Practice/Apprentice seeks guidance to… more
- Penn Medicine (Lancaster, PA)
- …and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full ... demonstrates + safe practice within the organizational professional practice model. + The Clinical Nurse 2 Colleague possesses the knowledge, skills and the… more
- Penn Medicine (Lancaster, PA)
- …and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full ... consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and… 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
- Penn Medicine (Lancaster, PA)
- …and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full ... consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and… more