- CVS Health (Springfield, IL)
- …care more personal, convenient and affordable. **Position Summary:** The Associate Manager is responsible for oversight of Utilization Management/Case Management ... teams. Works closely with functional area leadership team (department Associate Managers, Manager, and other key stakeholders such as...+ 3+ years inpatient clinical experience as a Registered Nurse + 3+ years of Managed Care experience +… more
- Atlantic Health System (Morristown, NJ)
- We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining prior authorizations ... specialized tasks. Position Principal Accountabilities: 1. Initiate and manage the prior authorization process to include medications, diagnostic testing,… more
- US Tech Solutions (GA)
- …from distractions. You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Specialty Medical ... Prior Authorization department. Reporting to the Pharmacy Operations Manager, you...following policy and procedure. + Provide on-call after hours nurse availability for urgent PA requests. + Provide internal… more
- Health First (Melbourne, FL)
- …(BSN preferred). o Applicants may apply, interview, and receive a contingent offer prior to receiving their Authorization to Test (ATT). o Applicants/new hires ... Registered Nurses (RN's) will participate in an individualized orientation and nurse residency upon starting at Health First. This individualized program offers… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. The **Clinical Research Nurse ** is responsible for coordinating and overseeing clinical research operations for all ... Patient Care in clinical research trials. The Clinical Research Nurse carries out the research and works under the...for feasibility and evaluates potential competition with other protocols prior to submitting study. + Reviews study with principal… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader ofpositive change. The Clinical Research Nurse is responsible for coordinating and overseeing clinical operations of a clinical ... Patient Care in clinical research studies. The Clinical Research Nurse carries out the research and works under the...for feasibility and evaluates potential competition with other protocols prior to submitting study + Reviews study with principal… more
- LA Care Health Plan (Los Angeles, CA)
- …physical health, behavioral health, social services, and MLTSS. Responsible for UM authorization functions for services requiring prior auths. Provides direction ... Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los Angeles, CA,… more
- Hillside Family of Agencies (Rochester, NY)
- …process to obtain medical/psychiatric history, establish health care needs, and complete prior authorization for medications or medical necessity based on ... $5,000 FULL TIME REGISTERED NURSE SIGN ON BONUS! Job Summary The ...Education & Experience + Successful completion of an accredited Associate or Bachelor's Degree Nursing Program required. + Minimum… more
- Bon Secours Mercy Health (Richmond, VA)
- …, a physician orthopedic practice, is seeking a full-time Triage registered nurse in our orthopedics department to provide a high-quality experience for our ... for patients in a clinic setting, including nursing triage, nurse visits; initiates, plans, and evaluates nursing care and...and followed. + Assist clinical team with chart prep prior to patient arrival for clinical which may include… more
- Marshfield Clinic (Marshfield, WI)
- …medication support to patients, including medication refill requests, automatic refills and prior authorization requests as ordered or directed by provider and ... for Higher Education and Accreditation._ **Minimum Required:** Licensed Practical Nurse (LPN) diploma. **Preferred/Optional:** Associate degree in nursing.… more
- Hillside Family of Agencies (Rochester, NY)
- …pre-placements to obtain medical/psychiatric history, establish health care needs, and complete prior authorization for medications or medical necessity based on ... $5,000 FULL TIME REGISTERED NURSE SIGN ON BONUS! Competitive pay, benefits, &...Education & Experience + Successful completion of an accredited Associate or Bachelor's Degree Nursing Program required. + Minimum… more
- University of Rochester (Rochester, NY)
- …and medication review, pre- and post-procedural education, disability paperwork, and prior authorization documentation. Time management and good organization ... physician director. **Qualifications** Bachelor in Nursing required; if currently an Associate 's Degree RN, nurse has 5 years to complete the BSN. Three to Five… more
- CVS Health (Santa Fe, NM)
- …6 hours a day working with providers to secure additional information for prior authorization review. This candidate will utilize clinical skills to coordinate, ... UM (utilization management) experience within an inpatient/outpatient setting, concurrent review or prior authorization . + 1+ years Managed Care (MCO) preferred.… more
- University of Rochester (Rochester, NY)
- …patients. Additional responsibilities include call triage, disability paperwork, and prior authorization documentation. Time management and good organization ... physician directors. **Qualifications** Bachelor in Nursing required; if currently an Associate 's Degree RN, nurse has 5 years to complete the BSN. Three to Five… more
- LifePoint Health (Sanford, NC)
- …Ability to operate basic lab equipment, perform and document results 6. Obtain prior authorization of medications, testing and procedures 7. Knowledge of current ... protected by applicable federal, state or local law. *Required Education*: Associate 's degree is required Bachelor's degree is preferred *Required Certification: *… more
- Reliance Home Health Caregivers (Naperville, IL)
- …any events or activities in the office. The ideal candidate will have prior administrative experience working in an office supporting multiple levels of employees. ... + A high school diploma or equivalent is required; Associate degree preferred + Three years of previous office...for any reason, with or without cause and without prior notice. I understand that no representative of Reliance… more
- Parkview North Hospital (Fort Wayne, IN)
- …60% and reporting any issues to management and PM&R Medical Director. Education Registered Nurse : Associate of Science in Nursing (ASN); Bachelor of Science in ... families and other decision-makers. Understands or facilitates pre-admission insurance authorization process. Utilizes expert insurance authorization process… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …Senate. The position is open rank in consideration of appointments at the Assistant, Associate or full Teaching Professor levels. Ranks of Associate or full ... and or scholarly activities that enhance instruction, thereby helping to produce the nurse leaders needed both statewide and nationally to work in the rapidly… more
- Northern Light Health (Bangor, ME)
- …in an intensive orientation that involves learning Psychiatric Nurse specific skills. Authorization to Test has been provided prior to hire and test date ... and timely age specific patient assessment(s) under the supervision of a registered nurse + Observes the nursing component of discharge plan with assigned registered… more