- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist - This is an** ... independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
- Select Medical (Frisco, TX)
- …- Frisco** A joint venture with Select Medical & Baylor Scott & White Health ** Prior Authorization Specialist -** **onsite only** **This position must work** ... independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… 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
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE 1, 2, or 3...employee may be required to serve a trial detail prior to being permanently promoted. + PROBATIONAL APPOINTMENT: Current ... Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4448909) Apply REGISTERED NURSE 1, 2, or 3 Salary Depends on Qualifications Location St.… more
- Veterans Affairs, Veterans Health Administration (Jacksonville, NC)
- …Scope of Assigned Duties: The Nurse II Maternity Care Coordinator (MCC) Registered Nurse ( RN ) is responsible for providing competent, evidence-based care ... The Nurse III Maternity Care Coordinator (MCC) Registered Nurse ( RN ) executes position...have opportunity to become registered as a nurse with a state licensing board prior … more
- STG International (Bloomington, IN)
- THIS IS FOR A FUTURE OPENING Advanced Registered Nurse Practitioner (APRN)/ Physician Assistant (PA) STGi is currently seeking a Nurse Practitioner (NP) or ... to their need and learning capacity. + Assists the Registered Nurse to ensure all patient information...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more
- LA Care Health Plan (Los Angeles, CA)
- Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los ... Summary The Managed Long Term Services and Supports (MLTSS) Nurse Specialist RN II applies...behavioral health, social services, and MLTSS. Responsible for UM authorization functions for services requiring prior auths.… more
- Carle (Urbana, IL)
- …Location: Carle at The Fields + Weekend Requirements: no + Other Posting Information: Registered Professional Nurse ( RN ) License Illinois upon hire. + ... EDUCATIONAL REQUIREMENTS Bachelor's Degree in Nursing CERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse ( RN ) License Illinois upon… more
- Fairview Health Services (St. Paul, MN)
- …M Health Fairview has an immediate opening for a Utilization Management Specialist RN . This position provides comprehensive assessment, planning, coordination, ... implementation, and reporting of complex clinical data. The utilization management specialist is responsible for the completion of admissions and continued stay… more
- Carle (Urbana, IL)
- …REQUIREMENTS Associate's Degree in or diploma in nursing CERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse ( RN ) License Licensed and ... RN - Clinical Admission Specialist + Department:...prior to provider-to-provider call.* Facilitates and records the nurse -to- nurse report from sending to receiving hospital… more
- Carle (Urbana, IL)
- …Nursing required within five (5) years of start date CERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse ( RN ) License Illinois upon hire and ... Clinical Transition Specialist RN - Weekend Program +...well and has what they need for success. Obtain prior authorizations for swing bed patients, maintain the work… more
- State of Indiana (Indianapolis, IN)
- …The ideal candidate in this role should minimally have either + a Bachelor's Degree with a Registered Nurse ( RN ) license, or + an Associate's Degree with a ... Public Health Nurse Specialist Date Posted: Sep 5,...you will determine medical eligibility of applicants and provide prior authorization of services to families of...Registered Nurse ( RN ) license plus… more
- Ascension Health (Baltimore, MD)
- …Connect with your Talent Advisor for additional specifics._ **Responsibilities** Manage assigned Registered Nurse ( RN ) case managers, related activities and ... for complexcase management issues. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board of Nursing… more
- Catholic Health Initiatives (The Woodlands, TX)
- …of nursing required. Active, unencumbered Registered Nurse license BLS required prior to hire Preferred One year RN expereince Expereince in fast paced ... to collaborate with a talented healthcare team! **Responsibilities** The Registered Nurse works under the general supervision...reports to work on time * Completes CPR training prior to annual evaluation. * Adheres to all regulatory… more
- Catholic Health Initiatives (Missouri Valley, IA)
- …nursing required. + Required Licensure and Certifications + Active, unencumbered Registered Nurse license + BLS required prior to hire **Pay Range** $26.38 - ... within this community. **Responsibilities** **JOB SUMMARY / PURPOSE** The Registered Nurse works under the general supervision...reports to work on time + Completes CPR training prior to annual evaluation. + Adheres to all regulatory… more
- Sanford Health (Thief River Falls, MN)
- …from an accredited practical nursing program as a Licensed Practical Nurse (LPN). Registered Nurse ( RN ) preferred. Five years' experience in a clinical ... **Department Details** Come join our Behavioral Health team as a Utilization Review Specialist utilizing a team-based approach to patient care in a fun and… more
- Tarrytown Rehabilitation & Nursing Center (Everett, MA)
- …the recruitment/interview process for MDS and MMQ vacancies. Qualifications: + Licensed as a Registered Nurse in the State of Massachusetts + Three to Five years ... CLINICAL REIMBURSEMENT SPECIALIST / MULTI FACILITY We offer competitive compensation and...+ Demonstrated knowledge (Medicaid, Medicare) and case management process ( prior authorization and appeals) required + Ability… more
- University of Utah Health (Salt Lake City, UT)
- …trust that are integral to our mission. EO/AA_ Under the direction of the RN Nurse Coordinator and Transplant Management, the Transplant Program Specialist ... for evaluation. Collaborates with Transplant Financial Coordinators to assure appropriate authorization obtained for patients prior to evaluation visit. +… more
- Baystate Health (Springfield, MA)
- **Summary:** Utilizing strong customer services skills the intake specialist is responsible for facilitating all referrals via phone lines, allscripts (electronic ... of eligibilty for all payors is obtained and pending authorization is entered for assigned ordered disciplines. Complex clinical...Complex clinical referrals are handed off to the intake RN for further clinical review. This postion works with… more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance management with various ... and providing patients with the IM Letter from Medicare prior to discharge. **Responsibilities** A day in the life...day in the life of an Integrated Case Management Specialist at Hackensack Meridian _Health_ includes: + In collaboration… more