- Humana (Enid, OK)
- …supports the goal to put health first? The Prior Authorization , Registered Nurse , RN , Intern will review prior authorization requests for ... offering a variety of professional onsite, field, or remote based opportunities. The Prior Authorization , Registered Nurse , RN , Intern will utilize… more
- SSM Health (Madison, WI)
- …Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse ( RN ) - Missouri Division of Professional Registration + ... and timeliness on all functions related to insurance prior authorization , plan benefits, and medical necessity documentation....Or + Registered Nurse ( RN ) Issued by… more
- Humana (Frankfort, KY)
- …interpretation and independent determination of the appropriate courses of action. The Pre- Authorization Nurse 2 completes medical necessity and level ... caring community and help us put health first** The Pre- Authorization Nurse 2 reviews prior authorization...Qualifications - What it takes to Succeed** + Licensed Registered Nurse ( RN ) in the… more
- HCA Healthcare (Richmond, VA)
- …we encourage you to apply for our Neuroscience Nurse Navigator Registered Nurse RN opening. We review all applications. Qualified candidates will be ... career opportunities as a(an) Neuroscience Nurse Navigator Registered Nurse RN you want...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Arc Jefferson - St. Lawrence (Watertown, NY)
- Registered Nurse ( RN ) -...needed and/or required by regulation. Attend appointments where significant medical issues will be addressed. + Review ... - Licensed and registered with NYS Education Department as a Registered Professional Nurse . Minimum Qualifications -Will accept GN (Graduated Nurse… more
- Ascension Health (Tulsa, OK)
- … codes for all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing obtained ... Management + **Schedule:** FT, Monday-Friday, 8am-5pm + **Hospital:** Ascension St. John Medical Center + **Location:** Tulsa, OK **Benefits** Paid time off (PTO)… more
- AdventHealth (Hendersonville, NC)
- …succeed:** + Graduate of an accredited school of nursing + Current state licensure as a Registered Nurse + Five years of experience in one or a combination of ... value you'll bring to the team:** . Initiate and maintain ongoing utilization review based upon knowledge of Integral screening criteria for all payers. Refer… more
- Louisiana Department of State Civil Service (Kinder, LA)
- REGISTERED NURSE 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4567658) Apply REGISTERED NURSE 1, 2, OR 3 Salary ... Qualifications Location Kinder, LA Job Type Classified Job Number 408-24- RN -CTS Department DOC-Allen Correctional Center Opening Date 07/03/2024 Closing...position has a Special Entrance Rate at each level. Registered Nurse 1 has an SER of… more
- Montana State University-Northern (Havre, MT)
- Clinical Resource Registered Nurse (CRRN) part-time Below you will find the details for the position including any supplementary documentation and questions you ... should review before applying for the opening. To apply for...Details Position Information NBAPOSN Title Working Title Clinical Resource Registered Nurse (CRRN) part-time Brief Position Overview… more
- Louisiana Department of State Civil Service (Angie, LA)
- REGISTERED NURSE 3-WAE Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4686287) Apply REGISTERED NURSE 3-WAE Salary $4,784.00 - ... for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT....LEVEL OF WORK: Advanced. SUPERVISION RECEIVED: General from a Registered Nurse Supervisor A or B, but… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of Right of ... of Specialty Care Referrals, sustaining up-to-date Specialty Clinic Referral Review tools and booking guidance, complying with Referral and...RM Team. Requirements Qualified candidate must be a Licensed Registered Nurse ( RN ), with an… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …The Sioux Falls Veteran's Affair Healthcare System (SFVAHCS) Community Care (CC) Registered Nurse ( RN ) Clinical Coordinator who functions independently ... Falls Veteran's Affair Healthcare System (SFVAHCS) Community Care (CC) Registered Nurse ( RN ) Clinical Coordinator...RN Clinical Coordinator is responsible for providing clinical review and have the expertise for the coordination of… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …staff to the program. -Responsible for completion of documentation of assessments required by the RN to include medical review in CPRS and JLV. Pay: ... Summary This Registered Nurse - PTRP/STAR/IETP Admissions Coordinator...Coordinator position is located at the Richmond Veterans Affairs Medical Center in Richmond, Virginia. Please learn more about… more
- Family Service Association - Fall River (Mashpee, MA)
- …schedule is Monday through Friday 8:00 am - 1:00 pm The Registered Nurse is r esponsible for ensuring proper medical care for participants, including acting ... between physician and participant for medical information and service authorization of participants. Obtain, review , and implement primary care provider… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Adult Services Full Time Days - 2406004417 Description : **$25,000 Sign on Bonus, with required relevant experience** DMC Harper ... medical necessity screening and submission for Physician Advisor review , b) care coordination, c) transition planning assessment and...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- The Cigna Group (Houston, TX)
- The RN serves as the key contact point for the...as needed 3) 3+ years of experience as a Registered Nurse with experience in internal medicine or ... coordinate and streamline all services offered within Evernorth. The RN will educate the patient on healthcare options, provide...and make specific recommendations based on their goals 4. Review paperwork for patients to ensure it meets all… more
- US Tech Solutions (Columbia, SC)
- …to elicit behavior change and increase member program engagement. 20% Performs medical or behavioral review / authorization process. + Ensures coverage ... will be providing telephonic case management for our members. + Past job instability. Registered nurses MUST have 4 years or more of RECENT clinical experience. +… more
- Molina Healthcare (IA)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information… more
- Logan Health (Chester, MT)
- …compassion will have a profound impact on patients and their families. As a Registered Nurse in the Med/Surg Unit, you will collaborate closely with physicians ... + Current Montana RN license or a multi-state compact license with authorization to practice nursing within the state of Montana; required. + BSN degree… more
- US Tech Solutions (LA)
- **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a hospital setting in a specialty area of the nursing field providing ... as indicated by staffing and business needs. **Duties:** + ** Registered Nurse with current license in LA...a minimum of 1 year in utilization management/ prior authorization review experience. **Experience** : Utilization Management.… more