Pre-Certification RN-
3 months ago
Serves as the primary clinical resource in the Pre-certification Department for the handling of complex authorization issues. Ensures precertification/authorization issues are investigated and handled expeditious and thoughtfully from an administrative, technical and clinical perspectives. Serves as the primary liaison between the Precertification Department and staff Physicians in regard to authorization issues. Responsible for reviewing financial/insurance information to determine payer requirements are met by obtaining the appropriate pre-certification/authorization for payers in order to optimize reimbursement and avoid payment penalties. Bachelors degree in Nursing required within 4 years from date of hire. Education Bachelors Degree : in Nursing (BSN) or commitment to obtain BSN within 4 years from date of hire (Required) Other : Graduate of an accredited school of nursing (Required) Masters Degree (Preferred) Experience 2 Years recent experience with Utilization Review in a hospital or in insurance company setting (Required) 3 Years experience in clinical acute care (Required) General Experience in Case Management, Utilization Review and transition planning (Preferred) General Experience in working with utilization review standards (Preferred) License/Certifications RN-LIC - PA Registered Nurse License (Required) _ '239909
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Pre-Certification RN-
4 days ago
Philadelphia, United States Temple University Hospital Full timePRE-CERTIFICATION RN- 40HR Day Shift (Precertification)- Temple Univ. HospitalServes as the primary clinical resource in the Pre-certification Department for the handling of complex authorization issues. Ensures precertification/authorization issues are investigated and handled expeditious and thoughtfully from an administrative, technical and clinical...
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Pre-Certification RN-
3 months ago
Philadelphia, PA, United States Temple University Hospital Full timePRE-CERTIFICATION RN- 40HR Day Shift (Precertification)- Temple Univ. HospitalServes as the primary clinical resource in the Pre-certification Department for the handling of complex authorization issues. Ensures precertification/authorization issues are investigated and handled expeditious and thoughtfully from an administrative, technical and clinical...
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Healthcare Pre-Service Coordinator
2 weeks ago
Philadelphia, Pennsylvania, United States Temple Health Full timeJob Summary:The Healthcare Pre-Service Coordinator plays a pivotal role in facilitating the precertification/authorization process for patients undergoing medical treatment.As a key member of the Precertification Department, the coordinator will work closely with the Patient Access team to resolve any precertification/authorization issues that may arise.Main...
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Lung Transplant Pre-Coordinating RN Position
1 week ago
Philadelphia, Pennsylvania, United States GHR Healthcare Full timeJoin our team as a Lung Pre-Transplant Coordinator RN and play a critical role in ensuring the success of our transplant program! As a key member of our healthcare team, you will be responsible for reviewing patient records, communicating with families, and collaborating with multidisciplinary teams to coordinate care.About the OpportunityThis is an...
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Travel Nurse RN
4 weeks ago
Philadelphia, United States Triage Staffing Full timeTravel Nursing: Pre-Op PhiladelphiaLocation: PhiladelphiaStart Date: 12/15/2024Shift Details: 12H Days (12:00 AM-12:00 PM) 36 hours per weekLength: 9 WEEKS 9 weeksApply for specific facility Op RN
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Travel Nurse
4 weeks ago
Philadelphia, United States Fusion Medical Staffing Full timeFusion Medical Staffing is seeking an experienced Pre-Op Registered Nurse for an exciting Travel Nursing job in Philadelphia, PA. Shift: Inquire Start Date: 12/15/2024 Duration: 21 weeks Facility DetailsFacility: Please Contact for facility infoJob DetailsStarts: 12/15/2024Assignment Length: 21Shift: DaysCall Off Policy: Please Contact for InfoJob Quantity:...
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Philadelphia, United States Thomas Jefferson University & Jefferson Health Full timeJob Details Job Description Join the mission of Improving Lives as a Staff Nurse at Jefferson Health. With more than 42,000 employees, weare the second largest employer in Philadelphia and the largest health system in the Philadelphia region. And our work to improve lives is never done. Staff Nurses are responsible for the following: Performs patient...
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Travel Nurse RN
4 weeks ago
Philadelphia, United States Triage Staffing Full timeTravel Nursing: Post Anesthesia Care Unit PhiladelphiaLocation: PhiladelphiaStart Date: 12/15/2024Shift Details: 12H Days (12:00 AM-12:00 PM) 36 hours per weekLength: 4 WEEKS 4 weeksApply for specific facility details.PACU RN
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Cath Lab RN Position in Philadelphia
4 weeks ago
Philadelphia, Pennsylvania, United States Einstein Medical Center Full timeWe are seeking a skilled Cath Lab RN to join our team at the prestigious Einstein Medical Center in Philadelphia.Job Summary:The successful candidate will possess a minimum of 1 year of recent experience working in a Cath Lab setting and must be proficient in Cerner and McKesson systems. A background in TELE/ICU is highly preferred, as is experience with...
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Lincoln Financial Field Event RN CrowdRx
2 months ago
philadelphia, United States Global Medical Response Full timeLincoln Financial Field Event RN CrowdRxIMMEDIATELY HIRING! Event Registered Nurse (Event RNs) PART-TIME Opportunity Location: Lincoln Financial Field - Philadelphia, PA We're hiring Event Registered Nurses who provide direct patient care and employee medical services in accordance with applicable state EMS protocols and/or medical direction. Additionally,...
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Philadelphia, United States Thomas Jefferson University & Jefferson Health Full timeJob Details Join the mission of Improving Lives as a Staff Nurse at Jefferson Health. With more than 42,000 employees, we're the second largest employer in Philadelphia and the largest health system in the Philadelphia region. And our work to improve lives is never done.Staff Nurses are responsible for the following:Performs patient procedures within the...
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Staff Development
1 month ago
Philadelphia, United States Staffing Full timeJob DescriptionJob DescriptionResponsible for the planning, organization and implementation of the Staff Development programs including but not limited to the orientation of all licensed, certified, registered, support nursing employees, along with all other employees of the facility. Will be required to assist with mandatory in-service programs for all...
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Staff Development
1 week ago
Philadelphia, United States Staffing Full timeJob DescriptionJob DescriptionResponsible for the planning, organization and implementation of the Staff Development programs including but not limited to the orientation of all licensed, certified, registered, support nursing employees, along with all other employees of the facility. Will be required to assist with mandatory in-service programs for all...
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Nurse Utilization Review Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Temple University Hospital Full timeJob OverviewTemple University Hospital seeks a skilled Nurse Utilization Review Specialist to join our team. This role is responsible for ensuring the efficient handling of complex authorization issues in the Pre-certification Department.Key ResponsibilitiesServing as the primary clinical resource for precertification/authorization issues, ensuring timely...
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Prevention Care Team RN
2 months ago
Philadelphia, United States Esperanza Health Center Full timeSUMMARY: This position involves 0.5 FTE of Prevention Nurse responsibilities and 0.5 FTE as a Care Team RN (5 half days per week in each role). As a Prevention Nurse, this individual helps implement preventive health activities at Esperanza Health Center. The Prevention Nurse provides education, support, and clinical follow-up for patients who are...
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Registered Nurse
5 days ago
Philadelphia, United States Fresenius Medical Care North America Full timePURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This...
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Cath Lab Nurse
4 weeks ago
Philadelphia, United States Incredible Health Full timeHospitals on Incredible Health are actively hiring and accepting applications in the Philadelphia, PA area for the following position: Cath Lab Nurse (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Circulate, EP, On-call required, Pre / post procedure, Record, STEMI team, Scrub, or Sedation. Shift(s) available:...
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Nursing Authorization Specialist
5 days ago
Philadelphia, Pennsylvania, United States Temple University Hospital Full timeTemple University Hospital is seeking a skilled Nursing Authorization Specialist to join our team.About the RoleThis position plays a vital role in ensuring efficient and effective authorization processes for patients undergoing treatment at Temple University Hospital. As a key member of the Pre-Certification Department, you will serve as the primary...
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Medical Case Manager
4 weeks ago
Philadelphia, Pennsylvania, United States Temple University Hospital Full timeTemple University Hospital Job Description About the RoleWe are seeking a skilled Medical Case Manager to join our team at Temple University Hospital. This individual will be responsible for handling complex authorization issues and ensuring that precertification/authorization requirements are met.ResponsibilitiesThe successful candidate will serve as the...
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Lincoln Financial Field Event RN CrowdRx
5 months ago
Philadelphia, United States Global Medical Response Inc Full timeIMMEDIATELY HIRING! Event Registered Nurse (Event RNs) PART-TIME Opportunity Location: Lincoln Financial Field - Philadelphia, PA We're hiring Event Registered Nurses who provide direct patient care and employee medical services in accordance with applicable state EMS protocols and/or medical direction. Additionally, the Event Registered Nurses assist...