- CHRISTUS Health (Alamogordo, NM)
- …surgery and refer to Front Office Coordinator or Office Manager for insurance authorization . Requirements Education Preferred: Other Licenses & Certifications ... forms and assure that specimens are sent to correct labs per patient insurance contract. Maintain and monitor exam room and procedure room supplies and instruments.… more
- Elara Caring (Rocky Hill, CT)
- …that could include you. Elara Caring is looking for a passionate **Registered Nurse ** ** Authorization & Eligibility Insurance Specialist** to join our ... at the Right Time, in the Right Place. **Job Description:** **ID#JR-108341** **Registered Nurse Clinical Psych Authorization - Part Time 16 hours, Remote**… more
- Centene Corporation (Nashville, TN)
- …the Eastern or Central time zone. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of ... of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with… more
- Medical Mutual of Ohio (OH)
- …perform pre-employment substance abuse and nicotine testing._ **Title:** _Prior Authorization Nurse Reviewer_ **Location:** _Ohio_ **Requisition ID:** _2400509_ ... is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of...Bachelor's degree preferred. *3 years' experience as a Registered Nurse with a combination of clinical and utilization/case management… more
- Atlantic Health System (Morristown, NJ)
- …services to obstetrical patients 2. Communicate effectively with internal departments and insurance companies to obtain necessary authorization 3. Gather and ... medical records, treatment plans, and other relevant documentation required for authorization . 4. Ensure all documentation provided meets insurance company… more
- TEKsystems (Rochester, NY)
- …exception/prior authorization requests that follow standard protocols. Skills: Prior authorization Insurance verification Health care Insurance Data ... Description: The Pharmacy Prior Authorization Technician performs functions as permitted by law...entry Medical terminology Call center Customer service Insurance eligibility Coordination of benefits EMR Pay: $18-$20/hr Shift:… more
- Atlantic Health System (Morristown, NJ)
- …medical procedures, and DME's. 2. Communicate effectively with internal departments and insurance companies to obtain necessary authorization 3. Gather and ... medical records, treatment plans, and other relevant documentation required for authorization . 4. Ensure all documentation provided meets insurance company… more
- Hospice of the Valley (Phoenix, AZ)
- …participates in efforts to gain authorization . + Brings complex cases to Prior Authorization Nurse (s) so they can assist in obtaining authorization . + ... Profile** The Prior Authorization Specialist will obtain prior authorization from non-Medicare insurance companies. **Responsibilities** + Obtains prior… more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ **Prior Authorization Specialist/Payor Relations Specialist ( RN , LPN )** **This is an** ... NO weekends or holidays!** **Advocate for patients to receive insurance coverage for the care and services they need,...the care and services they need, as a Prior Authorization Specialist.** **Responsibilities** As a **Prior Authorization … more
- Baptist Memorial (Memphis, TN)
- Summary The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review and ... Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence based criteria. Areas of work include payer… more
- CVS Health (Springfield, IL)
- …the needs of the department + 3+ years inpatient clinical experience as a Registered Nurse + 3+ years of Managed Care experience + 1+ years of Utilization Management ... available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.… more
- Commonwealth of Pennsylvania (PA)
- …& ELIGIBILITY QUALIFICATIONS Necessary Special Requirements: + This position requires active authorization to practice as a Registered Nurse in Pennsylvania. + ... refer to ourFAQ page (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) . + Yes 02 Registered Nurse - Do you possess active authorization to… more
- Commonwealth of Pennsylvania (PA)
- …& ELIGIBILITY QUALIFICATIONS Necessary Special Requirements: + This position requires active authorization to practice as a Registered Nurse in Pennsylvania. + ... refer to ourFAQ page (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) . + Yes 02 Registered Nurse - Do you possess active authorization to… more
- Martin's Point Health Care (Portland, ME)
- …certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring the receipt of ... inpatient/ outpatient authorizations. This position receives and reviews prior authorization requests for specific inpatient and outpatient medical services,… more
- Baptist Memorial (Memphis, TN)
- Summary Works directly under the supervision of a professional registered nurse . Coordinates and provides care utilizing the critical thinking framework known as the ... nursing process. The nursing process forms the foundation of the nurse 's decision making to help partner with patients/families to attain, maintain and restore… more
- Louisiana Department of State Civil Service (Angola, LA)
- PRACTICAL NURSE -LICENSED 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4452263) Apply PRACTICAL NURSE -LICENSED 1, 2, OR 3 ... has a Special Entrance Rate at each level Practical Nurse - Licensed 1 has an SER of $19.48 per...benefits package including; a defined benefit pension plan, health insurance that is also available post retirement, at least… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE 1, 2, or 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4448909) Apply REGISTERED NURSE 1, 2, or 3 Salary Depends on ... has a Special Entrance Rate at each level Registered Nurse 1 has an SER of $29.84 per hour....benefits package including; a defined benefit pension plan, health insurance that is also available post retirement, at least… more
- Louisiana Department of State Civil Service (Homer, LA)
- PRACTICAL NURSE --LICENSED 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4532086) Apply PRACTICAL NURSE --LICENSED 1, 2, OR 3 ... has a Special Entrance Rate at each level: Practical Nurse -Licensed 1 has an SER of $19.48 per hour....benefits package including; a defined benefit pension plan, health insurance that is also available post retirement, at least… more
- Washington County (Stillwater, MN)
- Licensed Practical Nurse - Correctional Health Unit -$3,000 hiring Incentive. Part Time/Full Time Print ... (https://www.governmentjobs.com/careers/washingtonmn/jobs/newprint/4669560) Apply Licensed Practical Nurse - Correctional Health Unit -$3,000 hiring Incentive. Part… more
- The Arora Group (Bethesda, MD)
- …outpatients in a timely fashion. + The Contractor shall perform pre-cert and authorization of insurance pertaining to patient admission and surgical admission as ... Licensed Practical Nurse (LPN) - Utilization Review Nurse ...& Welfare allowance mostly cover the cost of health insurance , long and short-term disability, and life insurance… more
