Utilization Review Nurse Salary at Capital Blue Cross BETA

In this role, the Registered Nurse (RN) works within a changing environment and in inter-professional teams to advocate for and promote wellness while ensuring the delivery of safe, effective and ethical nursing care. The RN shares their knowledge and expertise with others and contributes to the advancement of nursing practice excellence. The RN continually enhances their practice and competencies through ongoing learning, education, experience and reflective practice. RESPONSIBILITIES: The primary role of the RN is to provide holistic, evidence-based, culturally appropriate, patient-centred quality care in accordance with the College of Nurses of Ontario standards and SMH's mission, vision, values and policies. The RN optimizes the patient's experience and care outcomes by: Being accountable for one's decisions and professional practice; Establishing a therapeutic relationship with the patient; Collaborating with other members of the patient's care team; and, Coordinating and communic

Who We Are STR Behavioral Health – Lehigh Valley is a premier substance use disorder and co-occurring mental health disorder outpatient center. For both substance use disorder and mental health clients, we offer separate programs for each population. Our programs include partial hospitalization treatment and intensive outpatient treatment (day and night programs) with the support of a psychiatric provider, licensed clinicians, and experienced professionals. Medication-assisted treatment (MAT) options are offered at all care levels. Our programs are trauma-informed, individualized, and accredited by the Human Rights Campaign as a leader in providing LGBTQ+ services. What We Offer: Collaborative environment dedicated to clinical excellence Multiple Career Development Pathways Company Supported Continuing Education & Certification PPO & HDHP Health Plan Options Flexible Dental & Vision Plan Options 100% Company Paid EAP Emotional Well-Being Support 100% Company Paid Critical Illness (with

Magnet Medical is seeking a travel CT Technologist for a travel job in Allentown, Pennsylvania. Job Description & Requirements Specialty: CT Technologist Discipline: Allied Health Professional Start Date: 06/02/2025 Duration: 13 weeks 40 hours per week Shift: 10 hours, nights Employment Type: Travel A CT Technologist (CT Tech) operates computed tomography (CT) scanners to perform diagnostic imaging procedures for patients. The CT Tech is responsible for obtaining high-quality images of a patients body, which are used by physicians to diagnose conditions such as injuries, infections, cancers, and other abnormalities. The CT Tech ensures patient comfort and safety, prepares the imaging equipment, and assists the healthcare team in obtaining diagnostic information. Key Responsibilities: Patient Preparation and Communication: Prepare patients for CT scans by explaining the procedure, answering any questions, and ensuring they are comfortable. Verify patient information, including medical h

Local Float Position PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Related Education: Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate

Active PA Licensed RN required. Post Acute and Utilization Management experience required. General Summary: The Utilization Review Nurse plays a critical role in ensuring high-quality, cost-effective care transitions for patients requiring post-acute services. This role focuses on utilization management, discharge planning, and coordination of care to the most appropriate setting. The candidate collaborates closely with hospital utilization review teams, attending physicians, and patients and their families to optimize healthcare outcomes and promote efficient resource utilization. Key Responsibilities: Conduct telephonic or onsite utilization management reviews for inpatient admissions, ensuring medical necessity and appropriate length of stay. Utilize medical criteria software to determine the need for inpatient care and facilitate safe, timely transitions to alternative care settings. Engage with attending physicians to discuss treatment plans and clarify the medical necessity of in

Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! If you want to make a difference, Rite Aid is the right place. While Rite Aid is big, it still feels small - you and your work are never lost in the crowd. You know the leaders, and they recognize your impact. Teams are tightly knit and agile. Small groups, courageous enough to meet our goals in new ways. You can take your work, your team, or your business to the next level without being slowed down by a ton of process or layers of approval. For anyone with intent to grow, you can reinvent yourself in a new role or take on a new challenge while helping us reinvent Rite Aid and innovate our industry. Wherever you work in the Rite Aid family, your diverse perspectives and fierce commitment enable us to deliver on th

Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states. We are seeking a Certified Nursing Assistant in Allentown, PA. The Certified Nursing Assistant (CNA) is responsible for providing person-centered care tailored to meet the needs of individuals with intellectual and developmental disabilities and deliver care utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation. This person will interact with individuals and team members while maintaining the standards of professional nursing practices. We are seeking both FT/PT candidates. Starting pay is $18.47/ per hour Responsibilities Provide direct care to individuals with intellectual and developmental disabilities tailored to their Individual Support Plan (ISP)/Person Centered Plan (PCP) Provide treatment and health care procedures ordered by a physician and required by the standards of professional practice or law Assist with da

Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! If you want to make a difference, Rite Aid is the right place. While Rite Aid is big, it still feels small - you and your work are never lost in the crowd. You know the leaders, and they recognize your impact. Teams are tightly knit and agile. Small groups, courageous enough to meet our goals in new ways. You can take your work, your team, or your business to the next level without being slowed down by a ton of process or layers of approval. For anyone with intent to grow, you can reinvent yourself in a new role or take on a new challenge while helping us reinvent Rite Aid and innovate our industry. Wherever you work in the Rite Aid family, your diverse perspectives and fierce commitment enable us to deliver on th