Nursing Jobs in Mechanicsburg

Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

... Care policy, procedures, standards of nursing practice, state and federal regulations. ... outcomes, documents and updates the nursing assessment and plan of care ... of an accredited School of..

... leverage a broad range of nursing skills and knowledge. * Oversee ... practice; * Associates Degree in Nursing (A.D.N) from accredited school of ... (A.D.N) from accredited school of..

Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Pittsburgh Pennsylvania Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors. This ..

... Care policy, procedures, standards of nursing practice, state and federal regulations. ... outcomes, documents and updates the nursing assessment and plan of care ... of an accredited School of..

... Supervisor supports the Director of Nursing with the delivery of efficient ... delivery of efficient and effective nursing care while achieving positive clinical ... the clinical operations of the..

RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..

Job Description & RequirementsCertified Registered Nurse Anesthetist (CRNA) - StartDate: ASAP Available Shifts: Day 8;10 Pay Rate: $146.00 - 158.00This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) Physician for ..

Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..

RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..

Job Information Humana Pre-Authorization Registered Nurse, RN, 1 in Pittsburgh Pennsylvania Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves ..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Pittsburgh Pennsylvania Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

... Supervisor supports the Director of Nursing with the delivery of efficient ... delivery of efficient and effective nursing care while achieving positive clinical ... the clinical operations of the..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..

Job Information Humana Senior Compliance Registered Nurse in Pittsburgh Pennsylvania Description Humana Healthy Horizons in Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory reporting for Case Management and ..

**Company :**Allegheny Health Network**Job Description :**GENERAL OVERVIEW:The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered ..

Job Information Humana Utilization Management Registered Nurse - Remote in Pittsburgh Pennsylvania Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..

Advantage Home Health Services is currently seeking a Full-Time Registered Nurse to join our vastly growing Home Health team in the Aliquippa, Beaver, Hopewell and Surrounding Areas! This position is responsible ..

Job Information Humana Utilization Management Registered Nurse, RN 2 in Pittsburgh Pennsylvania Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge ..

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..