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Nursing jobs in Blue Bell, PA

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CIGNA - Philadelphia, PA
LPN/LVN Case Coordinator-Philadelphia, PA','17004386','!*!Position Summary: Responsible for collaborating with healthcare providers and members to optimize member benefits and to promote effective use of resources. Assesses the medical necessity of inpatient admissions, outpatient services, surgical and diagnostic procedures, and out of network services.  May also manage appeals for services denied.  May conduct pre-certification, ..


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CIGNA - Philadelphia, PA
Operations Specialist-Philadelphia, PA OR Baltimore, MD!','17002131','!*!Responsible for coordinating Stars activities at the regional level within the Market. Assist Stars Director in leading in-market cross functional teams for collaboration on HEDIS, CAHPS, HOS, Pharmacy and Enterprise metrics. Responsible for tracking and reporting Stars Measure data to the Stars Director. This includes working ..


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UnitedHealth Group - Philadelphia, PA
Sr Clinical Quality RN - Philadelphia, Pennsylvania','704545','!*!There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for ..


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Utilization Management Nurse Consultant
Blue Bell, PA
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. This role requires an RN with unrestricted active license. Fundamental Components include but are not limited to: -Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to ..

Last verified - 1 day(s) 4 hour(s) ago



Licensed Practical Nurse - LPN - LVN -Hospice Services PRN
Blue Bell, PA
Heartland Home Health Care and Hospice?is part of the HCR ManorCare family, a leading provider of home health care, hospice care, skilled nursing, memory care and post-acute care. This position is responsible for the delivery of skilled nursing care and supportive services within the scope of the nurse's education and experience. ..

Last verified - 1 day(s) 5 hour(s) ago



Liaison RN - Hospice Services
Blue Bell, PA
Heartland Home Health Care and Hospice?is part of the HCR ManorCare family, a leading provider of home health care, hospice care, skilled nursing, memory care and post-acute care. The Liaison RN is responsible for providing the consistency and predictability necessary to transition a patient's care between care settings or levels of ..

Last verified - 1 day(s) 5 hour(s) ago



Registered Nurse (RN) - Life Care Planner
Blue Bell, PA
The successful candidate will complete Life Care Plans and Medical Cost Projections for various customers. Customers will have varying requirement and objectives for these documents. Fundamental Components, but is not limited to: Complete Life Care Plans and Medical Cost Projections on a full time basis Work primarily in the worker comp ..

Last verified - 1 day(s) 4 hour(s) ago



Case Manager-RN
Blue Bell, PA
POSITION SUMMARY This role will work IN THE OFFICE in Blue Bell, PA. Position works 9:00-5:30 eastern time with one rotating day per week 12:30 pm -9 pm. The Nurse Case Manager is responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members to evaluate Member Needs ..

Last verified - 1 day(s) 4 hour(s) ago


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Case Manager (RN)- Registed Nurse
Blue Bell, PA
The Registered Nurse Case Management utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote/influence members decisions related to achieving and maintaining optimal health status. Fundamental Components include, but are not limited to: 1. Assess the member and family 2. Plan for their needs 3. Facilitate ..

Last verified - 1 day(s) 4 hour(s) ago



UM Nurse Consultant (RN)- Registed Nurse
Blue Bell, PA
The Utilization Nurse Consultant utilizes clinical skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to facilitate appropriate inpatient healthcare management and effective discharge planning to improve the outcomes for members. We value leadership, creativity and initiative. If you share those values and a ..

Last verified - 1 day(s) 4 hour(s) ago



UM Nurse Consultant
Blue Bell, PA
POSITION SUMMARY The UM Nurse utilizes their clinical skills along with established criteria to support the coordination, documentation, assessment and communication of medical services and/or benefit administration of specialty cases. Nurse Consultants are a clinical resource to their functional areas, with responsibilities that include the review of clinical records and communications ..

Last verified - 1 day(s) 4 hour(s) ago



Care Manager Behavioral Health - RN
Blue Bell, PA
Provide comprehensive behavioral health care management to facilitate delivery of appropriate quality care and improve program/operational efficiency involving clinical issues. Fundamental Components: Monitor clinical care services provided to members related to mental health and substance abuse treatment to optimize clinical outcomes. Provide telephone triage, crisis intervention and emergency authorizations as assigned. ..

Last verified - 1 day(s) 4 hour(s) ago



Clinical RN - Adult Units/Full Time/Evening
Ambler, PA
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 65,000 employees. The UHS business strategy is to build or ..

Last verified - 1 day(s) 6 hour(s) ago


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