6,926 Results for

Medical Review Nurse Jobs in Pennsylvania

Jobs

Wilkes-Barre, PA

As a member of departmental leadership teams, you will need to demonstrate characteristics and behaviors necessary to assure employee understanding and acceptance of the nursing and system driving strategies including communicating and incorporating the Nursing and Organization’s vision, goals, and initiatives at the unit and department level consistently with the Magnet philosophy and environment. Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones .

12 days ago

Allentown, PA

Part time

The CDI RN DRG Downgrades Appeals Review Specialist is responsible for the retrospective clinical review and defense of inpatient DRG downgrades, clinical validation denials, and medical necessity determinations issued by governmental and commercial payers. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

25 days ago

Feasterville-Trevose, PA

$95,000–$110,000 / year

Stable RN leadership role with a respected home health agency offering strong work-life balance, generous PTO, medical/dental/vision benefits, clinical quality ownership, and the chance to lead OASIS, QA/QI, compliance, and documentation excell. This could be a strong fit for someone currently working as a Home Health QA Nurse, OASIS Review Nurse, RN Clinical Documentation Specialist, RN Clinical Supervisor, Home Health RN Case Manager, RN Quality Coordinator, RN Compliance Nurse, or Registered Nurse Quality Assurance Manager.

2 days ago

Roaring Spring, PA

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Conemaugh Nason Medical Center is a 45-bed hospital that has served rural and suburban populations in Roaring Spring, Altoona, and parts of Blair, Bedford, and Huntingdon counties for 121 years.

11 days ago

Elizabethtown, PA

$100,000–$110,000

Bring your organizational skills and knowledge of at-home care and join the AccentCare team today in this Home Health Clinical Manager job. Makes patient and personnel assignments assuring that assigned staff have demonstrated competence in the required tasks/services.

5 days ago

Scranton, PA

Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact. Geisinger values and prioritizes the safety and security of our staff by investing in a Strongline Alert Notification system worn by our staff, robust camera surveillance system, metal detectors at certain locations and security guards/K9 program on campus.

12 days ago

Johnstown, PA

$20,000–$20,000

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Working under the direction of the Nurse Manager, nurses function as key members of a patient-focused care team, collaborating to implement individualized care plans and drive positive patient outcomes.

11 days ago

Wilkes-Barre, PA

Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones . Geisinger South Wilkes Barre is a small community hospital focused on high reliability with exceptional care, collaborative teamwork and community commitment.

12 days ago

Wilkes-Barre, PA

Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones . Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care; Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.

12 days ago

Wilkes-Barre, PA

Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones . Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care; Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.

12 days ago

Wilkes-Barre, PA

Geisinger South Wilkes Barre is a small community hospital focused on high reliability with exceptional care, collaborative teamwork and community commitment. Geisinger South Wilkes Barre is proud to receive ANCC Magnet Recognition®, the highest and most prestigious distinction a health care organization can receive for nursing practice and quality patient care.

12 days ago

Wilkes-Barre, PA

Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones . Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care; Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.

12 days ago

Bloomfield, NY New York

This specialized department caters to both medical oncology patients, who receive systemic therapies like chemotherapy, immunotherapy, and targeted therapies, and surgical oncology patients, who are in various stages of their surgical journey, including pre-operative evaluation, post-operative care, and follow-up. We aim to provide a holistic approach to cancer care, ensuring that patients receive not only the most advanced medical and surgical treatments but also the crucial support services needed to navigate their cancer journey effectively.

11 days ago

Danville, PA

$1,847–$1,847

TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in PA, and has Medical Surgical experience.

Today

Concord, PA

$115,000–$115,000 / year

Location: Maris Grove by Erickson Senior LivingJoin our team as the Clinical Manager is an active member of the clinical leadership team who is responsible for the assessment, coordination, implementation, and evaluation of the delivery of safe and effective person-centered care in their assigned neighborhood. Analyzing, developing, and implementing Quality Improvement measures for clinical indicators/benchmarking such as Falls, Pressure Ulcers, Medication Errors, Restraint Utilization, Re-hospitalization, Anti-psychotic utilization, ADL splits/documentation, etc.

1 day ago

East Norriton, PA

Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.

1 day ago

Philadelphia, PA

$32–$33 / hour

The Special Delivery Unit (SDU) is a unique unit delivering approximately 400 babies per year that provides individualized and compassionate nursing care to women carrying babies with fetal anomalies. Our unit is safely staffed with experienced labor and delivery nurses, a 24-hour obstetrician and certified nurse midwife, obstetrical technologists, and a back-up maternal fetal medicine physician.

5 days ago

Philadelphia, PA

$65–$75 / hour

5 days ago

Johnstown, PA

$20,000–$20,000

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Conemaugh Memorial Medical Center is a 420 Bed, Level 1 Trauma Center, located in Johnstown, PA, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast.

15 days ago

Bedford, PA

As a Registered Nurse (RN) you will: Provide in-home direct patient care according to the provider’s prescribed plan of care (and nursing scope of practice) while closely monitoring progress/recovery.   . At Interim HealthCare Home Care, we know that your loved ones deserve the very best – that’s why we attend to each individual’s needs in the comfort and dignity of their home.

12 days ago

Johnstown, PA

$20,000–$20,000

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Conemaugh Memorial Medical Center is a 420 Bed, Level 1 Trauma Center, located in Johnstown, PA, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast.

11 days ago

Johnstown, PA

$20,000–$20,000

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Conemaugh Memorial Medical Center is a 420 Bed, Level 1 Trauma Center, located in Johnstown, PA, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast.

11 days ago

Wilkes-Barre, PA

Identifies Departmental trends for actual or potential risk management issues or patient safety concerns based on review of patient incidents and adverse patient events Participates in the development and implementation of department and facility policies and procedures that affect managing risk and patient safety. Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact.

12 days ago

Danville, PA

Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all.

12 days ago

Danville, PA

Monitor and evaluate reviews of select records for opportunity and accurate capture of patient acuity, severity of illness, risk of mortality, quality measure and metric support, and DRG assignment in compliance with industry rules and regulations, for completeness and accuracy of the medical record. Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact.

2 days ago

Gilbertsville, PA

$87,000–$100,000

We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.

Today

Wilkes-Barre, PA

Geisinger values and prioritizes the safety and security of our staff by investing in a Strongline Alert Notification system worn by our staff, robust camera surveillance system, metal detectors at certain locations and security guards/K9 program on campus. Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones .

12 days ago

Wilkes-Barre, PA

12 days ago

Erie, PA

As a Registered Nurse (RN), you will: Provide in-home direct patient care according to the provider's prescribed plan of care (and nursing scope of practice) while closely monitoring progress/recovery. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace.

12 days ago

Reading, PA

$87,000–$100,000

Today

Marysville, PA

$87,000–$100,000

Today

Johnstown, PA

$20,000–$20,000

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Conemaugh Memorial Medical Center is a 420 Bed, Level 1 Trauma Center, located in Johnstown, PA, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast.

8 days ago

Danville, PA

Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones . Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all.

12 days ago

Hanover, PA

Comprehensive Onboarding: A Robust transition to practice program for both new graduates or experienced APPs which focuses on the four pillars of successful transition to practice: graduated clinical responsibility, professional mentorship, guidance from clinical educators, and enhanced educational experiences. Position Specifics: Join our vibrant healthcare team of more than 230 primary care physicians and advanced practice providers at UPMC Medical Group in Central PA, where we're thrilled to offer a compelling opportunity for Certified Registered Nurse Practitioners (CRNPs).

2 days ago

Danville, PA

Serves in an expanded nursing role as part of an interdisciplinary team to promote preventative patient care, offer screening services, and coordinate disease management services while also providing primary clinical support to the provider, patient and their family to assist in the diagnosis and treatment of the patient's condition. Assists clinic team with triage of in-basket messaging as needed and management of patient interaction with the clinic, identifying patient needs, intervention pathways, clinical guidelines and diagnostic tests to develop individualized plans of care.

12 days ago

Danville, PA

Serves in an expanded nursing role as part of an interdisciplinary team to promote preventative patient care, offer screening services, and coordinate disease management services while also providing primary clinical support to the provider, patient and their family to assist in the diagnosis and treatment of the patient's condition. Assists clinic team with triage of inbasket messaging as needed and management of patient interaction with the clinic, identifying patient needs, intervention pathways, clinical guidelines and diagnostic tests to develop individualized plans of care.

12 days ago

Danville, PA

12 days ago

Danville, PA

Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact. Coordinate care and communicate effectively with providers, pharmacists, internal departments, and external healthcare teams to ensure continuity and quality care.

5 days ago

Wilkes-Barre, PA

Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact. Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones .

12 days ago

McConnellsburg, PA

$2,020–$2,020

The primary factor differentiating KPG Healthcare from other recruitment firms is the quality of our experience, the breadth of our industry network, and the creativity that we apply to finding the perfect placement options. KPG Healthcare is a Staffing Firm that provides diverse Supplemental and Permanent Healthcare Staffing solutions to a wide range of Clients throughout the Nation.

Today

Greensburg, PA

To qualify as a Registered Nurse Case Manager (RNCM) position with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position . We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace.

12 days ago

Lemoyne, PA

$64.53–$67.47

Keywords: Registered Nurse, RN, RN Per Diem, Certified Home Health, OASIS, HomeCare HomeBase, Side Hustle, Flexible Hours, Per Diem, Competitive Pay, PRN. One-To-One Support & Clinical Mentorship: You work hard to care for so many, our team is dedicated to making sure that your questions are answered and that you feel supported day in and day out.

12 days ago

Danville, PA

$1,860–$1,860

Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket.

16 days ago

Altoona, PA

$1,860–$1,860

12 months gap required between for Staff at Program: University of Pittsburgh Medical Center (Direct) Program - Main and no current placement allowed at Program: University of Pittsburgh Medical Center (Direct) Program - Main. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters.

25 days ago

Braddock, PA

As a Full-Time RN, you will play an integral role in delivering high-quality patient care, collaborating with interdisciplinary teams, and making a lasting difference in the lives of patients and communities we serve. Whether you're seeking temporary work to accommodate personal commitments, explore different healthcare settings, or gain diverse experience, we have flexible 8-week contract positions available.

3 days ago

Marysville, PA

$90,000–$105,000

What You Need to Know: The Patient Care Manager plays a critical role in supporting both patients and the caregiving team, ensuring that every person receives compassionate, high‑quality home health services. By guiding and empowering clinical staff, the Patient Care Manager helps create a supportive environment where employees can grow, collaborate, and deliver their very best work, ultimately enriching the care experience for every patient.

5 days ago

Gettysburg, PA

$42–$45

As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The RN Supervisor supports the Director of Nursing with the delivery of efficient and effective nursing care while achieving positive clinical outcomes, and patient/family and employee satisfaction.

12 days ago

Allentown, PA

Full time

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Luke’s highly dedicated nursing staff serves the Behavioral Health needs throughout our community in our Adolescent, Adult, Older Adult and Extended Acute Care, Detox and Rehab in-patient units which provide structure in a secure setting.

25 days ago

New Freedom, PA

Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families .

9 days ago

Carlisle, PA

12 days ago

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Medical Review Nurse Jobs in Pennsylvania

Administrative Team Coordinator Registered Nurse- NEW Advanced Acute Care Medical Surgical Unit Geisinger

CDI RN DRG Downgrades Appeals Review Specialist St. Luke's Health Network, Inc.

RN Quality Assurance Manager – Home Health Jobot

Registered Nurse (RN) - Medical-Surgical Conemaugh Nason Medical Center

Clinical Manager / Registered Nurse, Home Health $10,000 Bonus AccentCare, Inc.

Clinical Team Coordinator Registered Nurse - Advanced Acute Care Medical and Oncology Unit Geisinger

Registered Nurse (RN) - Intermediate Medical Care (IMC) Conemaugh Memorial Medical Center

RN- Registered Nurse- NEW Advanced Acute Care Medical Surgical Unit Geisinger

RN- Registered Nurse- Advanced Acute Care Medical-Surgical Unit Geisinger

RN- Registered Nurse- Advanced Acute Care Medical Telemetry Unit Geisinger

RN- Clinical Team Coordinator Registered Nurse- NEW Advanced Acute Care Medical Surgical Unit Geisinger

Clinical Team Coordinator Registered Nurse- Advanced Acute Care Medical-Surgical Unit Geisinger

Medical-Surgical Registered Nurse (Med-Surg RN) Yale New Haven Health

Travel Nurse RN - Medical-Surgical - $1,847 per week in Danville, PA TRS Healthcare

Clinical Manager, RN Maris Grove by Erickson Senior Living

Registered Nurse - FT Nights - ICU Jefferson Health

Labor and Delivery RN - Contract TalentBurst, Inc.

Labor and Delivery RN - 6 TalentBurst, Inc.

Registered Nurse (RN) - Cardiothoracic Open Heart Conemaugh Memorial Medical Center

Registered Nurse Interim HealthCare

Registered Nurse (RN) - Palliative Care/Med Surg Conemaugh Memorial Medical Center

Registered Nurse (RN) - (Step Down/Neuro/Med-Surg) Conemaugh Memorial Medical Center

RN - Registered Nurse - Clinical Risk and Patient Safety Geisinger

RN - Registered Nurse Coordinator - Transplant Geisinger

RN - Registered Nurse - Clinical Documentation Improvement Educator Geisinger

Registered Nurse, Home Health AccentCare, Inc.

RN - Graduate Registered Nurse (Geisinger South Wilkes-Barre) Geisinger

RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Geisinger

1st Shift Registered Nurse - Flexible Schedule Interim HealthCare

Registered Nurse, Home Health Weekend AccentCare, Inc.

Registered Nurse, Home Health Weekend $10,000 Bonus AccentCare, Inc.

Registered Nurse (RN) - Surgery (OR) Conemaugh Memorial Medical Center

RN - Registered Nurse - Home Visitor - Community Based Geisinger

Nurse Practitioner (FNP/ANP), Staff or Senior - Hillside Specialty Care UPMC - University of Pittsburgh Medical Center

RN - Registered Nurse Coordinator - Primary Care Geisinger

RN - Registered Nurse Coordinator - Structural Heart Geisinger

RN - Registered Nurse Coordinator - Neurology Geisinger

RN - Registered Nurse - Infusion - Per Diem Geisinger

RN - Registered Nurse - Performance Improvement Coordinator Geisinger

Travel Nurse RN - Medical-Surgical - $2,020 per week in McConnellsburg, PA KPG Healthcare

RN Case Manager - Home Health Interim HealthCare

Registered Nurse (RN) - Certified Home Health - earn $61.87 per point connectRN

Medical Surgical Float Pool - Travel Registered Nurse Trusted Health

Medical Surgical Unit - Travel Registered Nurse Trusted Health

Registered Nurse Encompass Health Rehabilitation Hospital of Harmarville

Registered Nurse / Patient Care Manager, Home Health AccentCare, Inc.

Registered Nurse Supervisor, RN Gettysburg Center

Experienced Registered Nurse, In-Patient Behavioral Health and Recovery Center (Detox/Rehab), Multiple Campuses (Full Time/Part Time) St. Luke's Health Network, Inc.

IP/Telemetry Registered Nurse/ICU/PCU WellSpan Hospitals in Carlisle, Newberry & Shrewsbury

PCU/Telemetry/Step-Down Registered Nurse WellSpan Hospitals in Carlisle, Newberry & Shrewsbury

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