Registered Nurse (RN) - Prior Auth/Utilization Review
Avysion Healthcare Services - Harrisburg, PA
This Full Time professional Registered Nurse position is responsible for reviewing and monitoring services for Health Plan recipients... plan program. * Consults with the physician consultant on cases for which the medical need for the requested services/items is unclear...
23000 - HealthAmerica Pennsylvania Inc - Harrisburg, PA
as a consultant to the physician network(s) to insure overallimprovement in quality of medical care and outcomes.- May serve as liaison and key resource... Legal Department on these cases. May work withworker's compensation defense and plaintiff attorneys and testify as required.- May be responsible...
23000 - HealthAmerica Pennsylvania Inc - West Mifflin, PA
as a consultant to the physician network(s) to insure overallimprovement in quality of medical care and outcomes.- May serve as liaison and key resource... Legal Department on these cases. May work withworker's compensation defense and plaintiff attorneys and testify as required.- May be responsible...
Coventry Health Care - Pittsburgh, PA
and chronically ill members/injured employees across the continuum of care including consultant referrals, home care visits, use of community resources... improvement issues. Responsible for assuring these issues are reported to the Quality Improvement Department. • May serve as a consultant to the...
Coventry Health Care - Harrisburg, PA
/injured employees across the continuum of care including consultant referrals, home care visits, use of community resources, and alternative... improvement issues. Responsible for assuring these issues are reported to the Quality Improvement Department. • May serve as a consultant to the...
Coventry Health Care - Pittsburgh, PA
continuum of care including consultant referrals, home care visits, use of community resources, and alternative levels of care. May be responsible... are reported to the Quality Improvement Department. - May serve as a consultant to the physician network(s) to insure overall improvement in quality...
Coventry Health Care - Pittsburgh, PA
consultant referrals, home care visits, use of community resources, and alternative levels of care. May be responsible for developing and executing... to the Quality Improvement Department. - May serve as a consultant to the physician network(s) to insure overall improvement in quality...
Coventry Health Care - Harrisburg, PA
to catastrophic cases and chronically ill members/injured employees across the continuum of care including consultant referrals, home care visits... as a consultant to the physician network(s) to insure overall improvement in quality of medical care and outcomes. - May serve as liaison and key resource...
Coventry Health Care - Pittsburgh, PA
as a consultant to the physician network(s) to insure overallimprovement in quality of medical care and outcomes.- May serve as liaison and key resource... Legal Department on these cases. May work withworker's compensation defense and plaintiff attorneys and testify as required.- May be responsible...
Coventry Health Care - Harrisburg, PA
as a consultant to the physician network(s) to insure overallimprovement in quality of medical care and outcomes.- May serve as liaison and key resource... Legal Department on these cases. May work withworker's compensation defense and plaintiff attorneys and testify as required.- May be responsible...