Utilization Review Nurse
7 days ago
Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care as required by the payer. Work with physician advisor to better manage denials and downgrades. CONNECTING TO MISSION: All individuals, within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System. Regardless of position, every job contributes to the challenge of providing health care. There is an ongoing responsibility for ensuring that the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship and Collaboration are present in our interactions with one another and in the services we provide. RECRUITMENT and LICENSURE REQUIREMENTS: Registered Nurse: must have a current license in Pennsylvania from the Commonwealth of Pennsylvania, Department of State Bureau of Professional and Occupational Affairs. Bachelor degree preferred. Experience: Registered Nurse: a minimum of five or more years of acute care clinical nursing. Recent experience in a hospital, insurance company, or independent review company in utilization, quality review, homecare or case management Skills: * Thorough understanding of managed care systems and utilization review criteria * Working knowledge of managed care and third party reimbursement * Experience with case management, evaluation/assessment of clients * One hour of annual stroke education * Basic computer skills required Advocacy and problem solving skills * Excellent time management and strong written and verbal communication skills Possesses strong organizational and negotiation skills * Possesses strong team work skills * Strong organizational and prioritizing skills * Knowledge of community resources * Demonstrated leadership abilities Experience in the use of information systems EOE
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Utilization Review Nurse
1 week ago
Meadowbrook, United States Holy Redeemer Hospital and Medical Center Full timeUtilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...
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Utilization Review Nurse
Found in: Jooble US O C2 - 2 weeks ago
Meadowbrook, PA, United States Holy Redeemer Hospital and Medical Center Full timeUtilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of...
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Utilization Review Nurse
1 week ago
Meadowbrook, PA, United States Holy Redeemer Hospital and Medical Center Full timeUtilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...
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UTILIZATION REVIEW NURSE
Found in: Careerbuilder One Red US C2 - 2 days ago
Meadowbrook, PA 19006, USA, United States Holy Redeemer Health System Full timePer Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care as required by the payer. Work...
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Unit Clerk
7 days ago
Meadowbrook, United States Holy Redeemer Health System Full timeHosp Medical-Surgical - Full-Time - Day/Evening - 8a-430p Weekend Requirements: None **UNIT CLERK** **Position Summary**: - In direct supervision by the Registered Nurse. Responsible for clerical duties and coordination of indirect patient care on the residential unit. Performs as a resident advocate utilizing effective communications with residents,...
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Personal Care Aide
1 week ago
Meadowbrook, United States Holy Redeemer Health System Full timePer Diem 1616 Huntingdon Pike Nursing Service Day/Evening/Night SUMMARY OF JOB: The primary purpose of this position is to assist residents with personal care, daily activities, dietary and housekeeping tasks, and other related functions as assigned by the Care Partner - LPN . CONNECTING TO MISSION: Redeemer Health's ability to Care. Comfort and Heal...
