LancasterPARecruiter Since 2001
the smart solution for Lancaster jobs

RN Clinical Care Reviewer - Utilization Management

Company: ZolonTech
Location: Lancaster
Posted on: July 10, 2019

Job Description:

Position: RN Clinical Care Reviewer Duration: 3 + Months Location: Harrisburg, PA " 17112 Role & Responsibilities: Under the Direction of the Supervisor of Utilization Management, the Clinical Care Reviewer is responsible for completing medical necessity reviews using AHC policies and procedures. Consistently applies medical health benefit policy and medical management guidelines to authorize services. Identifies and refers requests for services to the appropriate Medical Director when guidelines are not met. Reviews inpatient and outpatient services requiring Plan approval; reviews may be pre-service, concurrent or retrospective in nature. Assesses and appropriately channels/facilitates discharge planning requests. Qualification: Active unrestricted Pennsylvania RN license 3-5 years experience in critical care or ER in an acute environment 2 years experience in utilization management preferably a managed care environment Comfortable using MS Office products (including Excel, Outlook, WORD)

Keywords: ZolonTech, Lancaster , RN Clinical Care Reviewer - Utilization Management, Healthcare , Lancaster, Pennsylvania

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Phlebotomy Technician Lancaster General Hospital (40 hours/week, 1st s
Description: CompanyLancaster General HospitalCost Center5090 LAB-PhlebotomySupervisory OrganizationLab- PhlebotomyGradeG06Summary40 hours/week. first shift. Mon-Fri 4:00AM- 12:30 PM with every other weekend/holiday, (more...)
Company: Lancaster General Health
Location: Lancaster
Posted on: 07/22/2019

Travel RN-Dialysis Nurse - Chronic Travel Dialysis Nurse needed for Vi
Description: Travel RN-Dialysis Nurse - Chronic Travel Dialysis Nurse needed for Vi A Chronic dialysis program in the beautiful state of New Jersey is in need of an experienced dialysis nurse. Applicants should have (more...)
Company: Foundation Medical Staffing
Location: Vineland
Posted on: 07/22/2019

Cath Lab RN Travel Nurse RN
Description: Nationwide Travel Nurse Jobs - Cath Lab RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified registered (more...)
Company: HealthCare Travelers
Location: Sterling
Posted on: 07/22/2019


MICU Medical Intensive Care RN Travel Nurse
Description: Nationwide Travel Nurse Jobs - Medical Intensive Care RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HCEN
Location: Harrisburg
Posted on: 07/22/2019

Med/Surg Travel Registered Nurse RN - 13 wk contract
Description: Source Medical Staffing is searching for Med/Surg Registered Nurses to join our
Company: Source Medical Staffing
Location: Scranton
Posted on: 07/22/2019

RN First Surgical Assistant - Travel RNFA
Description: Nationwide Travel Nurse Jobs - RNFA - RN First Surgical Assistant Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking (more...)
Company: HCEN
Location: Sterling
Posted on: 07/22/2019

Travel - RN/RN-Pediatrics
Description: Come work at LRS Healthcare, the leading company in our industry. We re proud of our 4.7 rating on Glassdoor and 4.6 rating on Indeed. We are seeking to hire a talented traveling Pediatric to join our (more...)
Company: LRS Healthcare
Location: Scranton
Posted on: 07/22/2019

Operating Room Travel Registered Nurse OR RN - 13 wk contract
Description: Source Medical Staffing is searching for--Operating Room--Registered Nurses to
Company: Source Medical Staffing
Location: Harrisburg
Posted on: 07/22/2019

Licensed Clinical Social Worker LCSW
Description: br Overview br br Licensed Clinical Social Worker LCSW br br Scranton, PA br br Join a leading APA-accredited, clinician-led behavioral health company today C.H.E. Behavioral Health Services (more...)
Company: CHE Behavioral Health Services
Location: Scranton
Posted on: 07/22/2019

Travel RN-Dialysis Nurse - Travel Dialysis Nurse needed for Chronic Facility
Description: A Chronic dialysis program in the beautiful state of New Jersey is in need of an experienced dialysis nurse. Applicants should have a NJ License and at least one years of dialysis experience for this (more...)
Company: Foundation Medical Staffing
Location: Cherry Hill
Posted on: 07/22/2019

Log In or Create An Account

Get the latest Pennsylvania jobs by following @recnetPA on Twitter!

Lancaster RSS job feeds