45
Clinical Documentation & Utilization Review Nurses jobs in Philadelphia, PA
Logan Square Rehabilitation and Healthcare Center —Philadelphia, PA
Current/active license for Registered Nurse. Minimum 3 years clinical experience in a long-term care setting. Graduate of an accredited School of Nursing RN.
Estimated: $72.5K - $91.8K a year
Quick Apply
River’s Edge Rehabilitation and Healthcare Center —Philadelphia, PA
RN licensure in the state of NJ. Participate in developing individualized resident Care Plans, identifying the needs of the resident and projected outcomes as…
$100,000 - $110,000 a year
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13d
West Chester Rehabilitation and Healthcare Center —West Chester, PA
Current/active license for Registered Nurse. Minimum 3 years clinical experience in a long-term care setting. Employee Referral Bonus (Up to $1,000).
Estimated: $73.9K - $93.5K a year
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GHR Search —Roxborough, PA
Must possess a current, unencumbered, active license to practice as an RN. Transmit MDS to state weekly (or as required) and maintain accurate records,…
$50 - $55 an hour
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Accela at Somerton —Philadelphia, PA
You will also develop and complete the resident assessment process in accordance with the requirements of federal and state guidelines and company policies and…
Estimated: $65.2K - $82.6K a year
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5d
Brooke Glen Behavioral Hospital —Fort Washington, PA
Education/Licensure: *Must possess a Masters degree in social work, mental health/behavioral sciences, or related field or be a Registered Nurse.
Estimated: $62.6K - $79.3K a year
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Redeemer Health —Meadowbrook, PA
Registered Nurse: must have a current license in Pennsylvania from the Commonwealth of Pennsylvania, Department of State Bureau of Professional and Occupational…
Estimated: $78.2K - $99K a year
Skilled Nursing of Philadelphia —Philadelphia, PA
Recent experience in a hospital, insurance company, or independent review company in utilization, quality review, homecare or case management is a plus.
Estimated: $64.7K - $81.9K a year
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8d
SNF Rehab & Healthcare —King of Prussia, PA
RN licensure in the state of NJ. Participate in developing individualized resident Care Plans, identifying the needs of the resident and projected outcomes as…
$100,000 - $110,000 a year
Quick Apply
12d
Marquis Health Consulting Services —Philadelphia, PA
Must possess valid unencumbered, PA State License. LPN Nursing degree from an accredited college or university preferred. Health, Vision, and Dental Benefits.
Estimated: $78K - $98.7K a year
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6d
AbsoluteCARE Medical and Pharmacy —Philadelphia, PA
Bachelors with Case Management or Care Coordination certification (CCM or CCTM) preferred; The *Transitional Care Manager* will be is responsible for a broad…
$90,000 - $95,000 a year
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12d
Cooper University Health Care —Camden, NJ
Performs utilization review in accordance with all state mandated regulations. Utilizes Payer specific screening tools as a resource to assist in the…
Estimated: $81.3K - $103K a year
Fairmount Behavioral Health System —Philadelphia, PA
Licensure/Certification: RN license in state of Pennsylvania or LSW preferred. Fairmount is a major regional resource for children, adolescents and adults who…
Estimated: $67.6K - $85.6K a year
3h
Trinity Health —Darby, PA
Maintains primary ownership/responsibility for Pennsylvania state Medicaid patient case reviews in accordance with state guidelines.
Estimated: $56.9K - $72.1K a year
12d
Wills Eye Hospital —Philadelphia, PA
Obtains the information necessary to assess a patient's clinical condition, identify ongoing clinical care needs and ensure that the patients receive services…
Estimated: $49.8K - $63K a year
Quick Apply
Malvern Constitution Llc —Philadelphia, PA
Requires much independent action and decision making and ability to organize own work. Position Summary: To conduct continued stay reviews of medical record…
Estimated: $51.5K - $65.2K a year
Redeemer Health —Meadowbrook, PA
Accurate data entry and typing skills at a minimum 30 words per minute. Must possess at minimum Associate/Diploma Degree in Nursing, OR Health Information…
Estimated: $70.5K - $89.2K a year
10h
Elite —King of Prussia, PA
Valid current RN license in good standing. Review requests and make certification decisions, when appropriate, or prepare a case for peer review referral.
$68,000 - $80,000 a year
Quick Apply
Jefferson - Center City, Philadelphia, PA —Philadelphia, PA
The Utilization Management RN performs utilization management functions and works collaboratively with members of the case management departments and healthcare…
Estimated: $83.1K - $105K a year
Fairmount Behavioral Health System —Philadelphia, PA
Licensure/Certification: RN license in state of Pennsylvania or LSW preferred. Fairmount is a major regional resource for children, adolescents and adults who…
Estimated: $69.5K - $88K a year
1d
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