RN - Registered Nurse - Clinical Access Specialist - Per Diem

This role is per diem, varied hours. You'll work variable hours during the week or weekend.

At least three (3) years of RN work experience is required.
Previous experience in an acute care setting is preferred.
Previous Utilization Management experience is highly preferred.
BSN is preferred.

The Clinical Access Specialist RN performs and ensures adherence to state, federal and third-party payer certification requirements for initial, concurrent and retrospective medical record review for medical necessity and level of care determination.

Benefits of working at Geisinger:

Identifies and notifies appropriate staff regarding discrepancy issues with third party payer health insurance coverage and lack of coverage.
Maintains a working knowledge of third party payer health plans, working knowledge of nationally recognized review criteria and its application and state and federal regulations and mandates.
Reviews cases, using standard parameters, in order to perform precertification requirements as indicated in third party payer contracts.
Reviews all admission requests for appropriateness of level of care and compliance with third party pre-admission certification requirements, regulatory and standard ambulatory procedures.
Requests additional clinical information and documentation when request does not meet medical necessity for level of care requested.
Provides information, suggests alternatives and assists in ensuring documentation integrity.
Enters utilization review data into database for tracking and trending audits, billing and reimbursement and Medicare compliance requirements.
Reports serious events and incidents in accordance with established hospital policy and procedure.
Attends to and ensures to the utmost integrity of the medical necessity chart review and application of review requirements.
Acts a resource person for the healthcare team regarding third party payer health plan benefits for transition to next level of care or discharge to home.
Full benefits (health, dental and vision) starting on day one
Three medical plan choices, including an expanded network for out-of-area employees and dependents
Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA)
Company-paid life insurance, short-term disability, and long-term disability coverage
401(k) plan that includes automatic Geisinger contributions
Generous paid time off (PTO) plan that allows you to accrue time quickly
Up to $5,000 in tuition reimbursement per calendar year
MyHealth Rewards wellness program to improve your health while earning a financial incentive
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.
Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance

Share this job

Related Jobs

Manager/Supervisor

Full-time

1 month ago

Nursing Supervisor (RN Unit Manager)

Broad Mountain Health & Rehabilitation Center, LLC Frackville, PA

** $10,000 Sign On Bonus!! ** Are you a compassionate nurse looking to make a real difference? Join our dedicated team in a skilled nursing facility where every day is an opportunity to provide comfort, dignity and exceptional care to those who need it most! We’ve been recognized by Newsweek and Plant-A Insights Group as one of America’s Most Admired Workplaces for 2026! Advantages: Flexible Pay Options – Choose On-Demand Pay and get paid as soon as tomorrow for work done today or opt for our Weekly Pay schedule! This is a nursing leadership position! Positive, Family-Like Atmosphere – Work in a fun, supportive environment where teamwork and care go hand-in-hand. Generous PTO & Benefits – Enjoy a comprehensive benefits package designed to support your well-being and work-life balance. Career Growth Opportunities – Take advantage of our Loan and Forgiveness program as well as other educational programs to advance your nursing career. Strong, Stable Leadership – Join a team led by experienced managers who are committed to customer service excellence and staff development . Benefits and Perks*: DAILY Pay! Benefit eligibility the first of the month following 30 days Comprehensive benefit packages including medical, dental, and vision, and more. Health Savings Account available with employer contribution. 401K through Fidelity Employer-paid life insurance (FT employees) Robust Employee Assistance Program Generous Paid Time Off (PTO) Educational, leadership, and tuition opportunities Various discount programs offered, including discounted childcare programs through KinderCare Wellness programs offered through WebMD Employee recognition programs Culture of employees creating an IMPACT! Position Summary: The primary purpose of your job is to assess resident’s needs, develop an individualized care plan, administer nursing care, evaluate nursing care and supervise nursing assistants and other personnel in the delivery of nursing care. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our community, and as may be required by the Director of Nursing Services or designee to ensure that the highest degree of quality care is maintained at all times. Follows all health, sanitary and infection control policies and maintains established standards of practice set forth by the community's administration and Nursing Policies and Procedures. Education/Qualifications: Must possess a current, unencumbered license to practice as a RN within the state in which you work. Must possess a current CPR certification. Must be able to communicate in English and have the ability to follow verbal and written instructions. Must possess and demonstrate the ability to carry out both verbal and written directions. Must possess and demonstrate good interpersonal skills and attention to detail. Ability to work with supervisors, co-workers and community staff in the performance of duties. Ability to observe proper safety and sanitary techniques. Ability to work hours as scheduled based on the requirements of the position/assignment. Must not pose a direct threat to the health and safety of others in the workplace. Shift & Wage: Full-Time Opportunity Available Shift Needed: Monday - Friday On Call Rotation Wage: Negotiable Sign On Bonus: $10,000 Paid Out Quarterly Over One (1) Year *Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans. We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.

Manager/Supervisor

Per Diem

2 months ago

Nurse Supervisor

IntelyCare Frackville, PA

$58 - $65 / hour

Earn up to $65 per hour as a Nurse Supervisor in the borough of Frackville, Pennsylvania, and surrounding areas, with the support of W2 employment and the work-life balance afforded by flexible schedules. At IntelyCare, we want you to live a full life and come to work refreshed, which is why our nursing professionals can choose their shifts at any of our partner facilities, taking time off whenever they like. What might your life look like with this kind of flexibility? Is it important that you have time to pick up your child from school after work and spend a little quality time with them at Frackville Memorial Park? Enjoy early morning jogs along the reservoir? At IntelyCare, you can fit it all in. If this sounds good to you, then see what else we bring to the table and consider joining us today. Benefits Nurse Supervisor hourly rate: $58 to $65 Flexible pay — daily or weekly pay options Overtime availability plus boosted rates on holidays Instantly find and claim shifts in every state where you're licensed to practice A wide variety of shifts available at partner facilities nationwide — weekdays, weekends, days, evenings, overnights, and more Comprehensive medical, dental, and vision insurance — qualifying family members covered Tax withholding managed by the employer 401k retirement savings plan eligibility Up to 34% tuition discount at Excelsior University for undergraduate and graduate coursework Employer-paid workers' comp and malpractice insurance Manage shifts, free CE courses, and workplace perks all from one easy-to-use app At IntelyCare, our nurse founders built a company with nursing professionals like you in mind. It's a proud part of our company heritage and culture and it shows in how we value our IntelyPros every day. Here's what a few of them had to say about their experience on our team: "I am making more money than I've ever made before, while making my own schedule and still being able to stay close to home. I love working with IntelyCare!" "I love working with IntelyCare because the App is very easy to use, the customer service is amazing, and there's always some type of bonus that shows appreciation to the providers." "My experience with IntelyCare has been amazing! You guys are extremely organized and nice. I love the app because it is easy to use and I can do everything on my own…This is the best job I have had!" "As a nurse Health Sciences/Nurse's Aide Instructor, I like the fact that I can work at different facilities. This helps me understand what these facilities are looking for, and I can keep practicing nursing. IntelyCare makes it even easier with the flexibility because I can accept shifts when it works for me. I like not feeling pressured, yet appreciated when I work. This company has literally been a game changer." Job Responsibilities Providing leadership and direction to all staff members —including nursing, food management, and security — and ensuring an efficient workflow and effective communication Supervising staff to promote effective and high-quality care, providing guidance as needed Nurturing a work environment built on teamwork, mutual respect, professionalism, and a shared commitment to improvement Managing schedule approvals and supporting consistent, accurate time keeping Maintaining open and effective communication among residents, families, nursing staff, and care providers Implementing and upholding all safety protocols and procedures to protect resident well-being at all times Ensuring staff adherence to infection control standards, medication safety practices, and fall prevention measures Regularly assessing the resident care environment for potential risks and taking corrective action where needed Driving interdisciplinary collaboration to resolve safety concerns and put evidence-based preventive measures into practice Reinforcing a culture of transparency in which staff are encouraged to report adverse events, near misses, and errors openly and without fear of reprisal Engaging in root cause analyses and investigations of resident safety incidents to uncover underlying issues and establish effective prevention strategies Proactively tracking advances in clinical safety and evidence-based practices, applying relevant findings to improve resident care Managing the full spectrum of resident care coordination, including assessments, care planning, implementation, evaluation, and all admissions and discharges Confirming that all resident care plans are developed and executed in accordance with physician orders, nursing standards, and regulatory guidelines Continuously monitoring resident condition and treatment response, and taking timely action when issues are identified Collaborating with interdisciplinary healthcare teams to promote coordinated care and deliver optimal outcomes for residents Actively monitoring and ensuring compliance with all applicable state and federal regulations, accreditation standards, and organizational policies Scheduling and conducting regular audits to assess nursing care quality and pinpoint areas where improvements can be made Remaining fully accountable to follow and adhere to the Resident Care Plan as defined Qualifications and Skills Current and valid state-issued RN license At least 1 year of supervisory or charge nurse experience in the past 5 years Demonstrated ability to stay composed and problem solve effectively under pressure Strong clinical assessment and critical thinking capabilities Experience with implementing healthcare regulations, standards, and best practices Excellent communication and interpersonal skills Able to prioritize competing tasks and responsibilities in a fast-paced setting Strong commitment to safety, quality, and ongoing improvement Ability to lift at least 50 lbs Achieve the Work-Life Balance You've Been Looking For When searching for Nurse Supervisor jobs, don't settle for a schedule that leaves you burned out and stretched thin. We believe the best patient care starts with nurses who are supported, rested, and in control of their time. Take the next step in your career (and life) with a team that's ranked #1 in quality by connecting with us today.

Per Diem

4 months ago

Registered Nurse (RN)

IntelyCare Frackville, PA

$40 - $73 / hour

Earn up to $73 per hour as a Registered Nurse (RN) in the borough of Frackville, Pennsylvania, and surrounding areas, with the support of W2 employment and the work-life balance afforded by flexible schedules. At IntelyCare, we want you to live a full life and come to work refreshed, which is why our nursing professionals can choose their shifts at any of our partner facilities, taking time off whenever they like. What might your life look like with this kind of flexibility? Is it important that you have time to pick up your child from school after work and spend a little quality time with them at Frackville Memorial Park? Enjoy early morning jogs along the reservoir? At IntelyCare, you can fit it all in. If this sounds good to you, then see what else we bring to the table and consider joining us today. Benefits RN hourly rate: $40 to $73 Rates that are up to 25% higher on average Weekly and daily pay options Opportunities for overtime and boosted rates for holidays Ability to quickly search for shifts in all states where you're authorized to practice Your choice of a wide range of shifts at any of our partner facilities — including weekday/weekend shifts, day/evening/overnight shifts, and more Medical, dental, and vision insurance (includes qualifying family members) Employer tax withholding Eligibility for 401k retirement plan Opportunities to upskill with a dedicated staff of quality assurance nursing professionals Undergraduate and graduate tuition discounts (up to 34%) at Excelsior University Workers' comp coverage and malpractice insurance (employer paid) All-in-one app to easily manage your shifts and workplace perks like free continuing education courses At IntelyCare, you get a job and a schedule that you manage, but also a supportive community that has your back. Here's how some of our own nursing professionals have described the experience: "I love working with IntelyCare because of all the perks and benefits it provides. There are a variety of facilities to choose from in the app. At first I was going to multiple facilities until I found my two favorites, where I now work full time. I love it!" "I love how flexible this job is! I am a busy mom, so accepting last minute ‘hero’ shifts typically works out better than scheduling shifts in advance. I appreciate the pay and the additional bonuses." "IntelyCare has exceptionally high rates, a variety of facilities, and an easy and fun app to use. The staff here are all very personable and knowledgeable as well, which makes things so much easier. This is truly a 5-star agency." "I love IntelyCare because everything has been easy from the application process until now. There has never been a question unanswered, and everyone is always happy to help with whatever I needed. They always advocate on our behalf. I am so grateful to be an IntelyPro." Job Responsibilities Providing high-quality RN care in post-acute facilities Reviewing various care options with the medical team, residents, and their family members Coordinating with clinical teams to develop individualized care plans Being accountable to follow and adhere to resident care plans Administering appropriate medications and treatments to residents Drawing fluids as needed for labs and testing Using and monitoring medical equipment and devices to ensure effectiveness Training and supervising nursing professionals and other care staff consistent with scope of practice guidelines Promoting staff compliance with all applicable laws, regulations, facility policies, and nursing standards of care Documenting all relevant data to include vital signs, nursing interventions and responses, and resident histories Assisting staff members with incident investigations and the development of care best practices Qualifications and Skills Current Pennsylvania state license to practice as a Registered Nurse (RN) Graduation from an approved nursing program At least 6 months of experience ( RN or related role) Ability to lift at least 50 lbs Advanced organizational and communication skills Get the Flexibility You Need and the Support You Deserve As you compare Registered Nurse (RN) jobs in your area, consider joining a company that was created with professionals like you in mind. Get the work-life balance and peace of mind you deserve by joining the team ranked #1 in quality today. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Frackville, Pennsylvania 17931

Manager/Supervisor

Full-time

7 months ago

Nursing Supervisor (RN Unit Manager)

Broad Mountain Health & Rehabilitation Center, LLC Frackville, PA

** $10,000 Sign On Bonus!! ** Are you a compassionate nurse looking to make a real difference? Join our dedicated team in a skilled nursing facility where every day is an opportunity to provide comfort, dignity and exceptional care to those who need it most! Advantages: Flexible Pay Options – Choose On-Demand Pay and get paid as soon as tomorrow for work done today or opt for our Weekly Pay schedule! This is a nursing leadership position! Positive, Family-Like Atmosphere – Work in a fun, supportive environment where teamwork and care go hand-in-hand. Generous PTO & Benefits – Enjoy a comprehensive benefits package designed to support your well-being and work-life balance. Career Growth Opportunities – Take advantage of our Loan and Forgiveness program as well as other educational programs to advance your nursing career. Strong, Stable Leadership – Join a team led by experienced managers who are committed to customer service excellence and staff development . Benefits and Perks*: DAILY Pay! Benefit eligibility the first of the month following 30 days Comprehensive benefit packages including medical, dental, and vision, and more. Health Savings Account available with employer contribution. 401K through Fidelity Employer-paid life insurance (FT employees) Robust Employee Assistance Program Generous Paid Time Off (PTO) Educational, leadership, and tuition opportunities Various discount programs offered, including discounted childcare programs through KinderCare Wellness programs offered through WebMD Employee recognition programs Culture of employees creating an IMPACT! Position Summary: The primary purpose of your job is to assess resident’s needs, develop an individualized care plan, administer nursing care, evaluate nursing care and supervise nursing assistants and other personnel in the delivery of nursing care. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our community, and as may be required by the Director of Nursing Services or designee to ensure that the highest degree of quality care is maintained at all times. Follows all health, sanitary and infection control policies and maintains established standards of practice set forth by the community's administration and Nursing Policies and Procedures. Education/Qualifications: Must possess a current, unencumbered license to practice as a RN within the state in which you work. Must possess a current CPR certification. Must be able to communicate in English and have the ability to follow verbal and written instructions. Must possess and demonstrate the ability to carry out both verbal and written directions. Must possess and demonstrate good interpersonal skills and attention to detail. Ability to work with supervisors, co-workers and community staff in the performance of duties. Ability to observe proper safety and sanitary techniques. Ability to work hours as scheduled based on the requirements of the position/assignment. Must not pose a direct threat to the health and safety of others in the workplace. Shift & Wage: Full-Time Opportunity Available Shift Needed: Varies, Monday - Friday Wage: $46.00 per hour Sign On Bonus: $10,000 *Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans. We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.

Part-time

3 months ago

RN - Registered Nurse Per Diem - Advanced Acute Care Medical

Geisinger Muncy, PA

The Registered Nurse assesses plans, organizes, performs, and evaluates nursing activities to meet the needs of the patient. Promotes adaptive responses of patient andfamily to achieve the highest level of patient care, promote safety, and maximize patient satisfaction. Exhibits compassionate care during patient-nurse interactions. Coordinates patient care and interaction of staff. Meets the qualifications to provide care for patients in their assigned nursing unit. Responsible for ensuring the very best patient/family experience by optimizing all interactions. Completes assessments as established by scope of practice and unit standards. Addresses physical, psychological, social, cultural, and spiritual needs of patient and family throughout the continuum of care. Formulates, coordinates, and provides plan of care as established in unit standards including, patient and family education, family needs and discharge planning throughout hospitalization with members of the interdisciplinary team. Provides direct patient care including, treatments, medications, and diagnostic studies according to policy and procedure. Evaluates effectiveness of nursing interventions and revises plan of care based upon patient response to interventions. Initiates collaboration with physicians, ancillary personnel, and other interdisciplinary team members and acts to proactively resolve and facilitate patient needs. Problem solves, troubleshoots and takes corrective measures in the care and handling of equipment. Participates in unit-based decision-making regarding the utilization of evidence- based practice. Actively participates as a team member working toward team goals of the unit and organization and is accountable for unit and system specific metrics. Actively participates in patient quality and safety education programs and other activities designed to improve departmental and organizational quality and safety. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position. Benefits of working at Geisinger: 401(k) plan that includes automatic Geisinger contributions 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 MyHealth Rewards wellness program to improve your health Join the Geisinger Family! Apply now! To learn more about Geisinger opportunities, please contact Tracey Carolus, Nurse Recruiter at tlcarolus@geisinger.edu or 717-242-7202.