- Essentia Health (Duluth, MN)
- …all aspects of managed care, including the referral, prior authorization /precertification processes, using and revising Essentia Health's established policies and ... coordination and referral management. Works collaboratively with the Essentia Health customer service personnel to provide efficient service for insurance issue… more
- Humana (Enid, OK)
- …Spouse looking for an internship that supports the goal to put health first? The Prior Authorization , Registered Nurse , RN , Intern will review prior ... offering a variety of professional onsite, field, or remote based opportunities. The Prior Authorization , Registered Nurse , RN , Intern will utilize… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Pre - Authorization Nurse 2 reviews prior authorization requests for appropriate ... services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse 2 work assignments...Qualifications - What it takes to Succeed** + Licensed Registered Nurse ( RN ) in the… more
- Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
- Registered Nurse ( RN ) Case Manager - Monday thru Friday, On Site **The position is on site at the facility, and remote work will not be considered.** ... Benefits of the Registered Nurse ( RN ) Case Manager:...appropriate + Resolves insurance/managed care operational issues such as authorization and payment level of service Take… more
- Ramsey County (St. Paul, MN)
- Registered Nurse ( RN ) - Correctional Health Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/4734693) Registered Nurse ( RN ) - ... become benefits eligible based on your schedule. A licensed Registered Nurse who utilizes the nursing process..."The appointing authority may discharge employees in the unclassified service with or without cause. Employees in the unclassified… more
- Bon Secours Mercy Health (Richmond, VA)
- …and treatment plans; provides direction to licensed and unlicensed clinic staff. **Triage Registered Nurse ( RN ) - Physician Office - Tuckahoe Orthopaedics ... committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates...& Physical Therapy** **DUTIES OF THE REGISTERED NURSE ( RN ) - ORTHOPEDICS:**… more
- HCA Healthcare (Richmond, VA)
- …**Introduction** Do you have the career opportunities as a(an) Neuroscience Nurse Navigator Registered Nurse RN you want in your current role? We invest ... continuing of care. Provides necessary clinical information required for pre - authorization and validates that pre -...to apply for our Neuroscience Nurse Navigator Registered Nurse RN opening. We… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …referral management process and the RM Team. Requirements Qualified candidate must be a Licensed Registered Nurse ( RN ), with an unencumbered active RN ... Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its...Review tools and booking guidance, complying with Referral and Authorization Business rules, tracking, and resulting of referrals, and… more
- AssistRx (Overland Park, KS)
- …90-120 days, with the opportunity to be hybrid after that. Requirements Education required: . Registered Nurse (BSN or RN ); valid nursing license in Orlando ... Schedule: 10:30am-7:00pm The purpose of the Bilingual Call Center Registered Nurse is to provide and document clinical call center services for patients. The… more
- AssistRx (Overland Park, KS)
- …friends about us! If hired, receive a $750 referral bonus! Requirements Education required: . Registered Nurse (BSN or RN ); valid nursing license in Kansas ... The purpose of the Call Center Registered Nurse is to provide and...family medical history or genetic information, political affiliation, military service , or other non-merit based factors, or any other… more
- CAI (Dover, DE)
- …**Employment Type** Full time **Worksite Flexibility** Hybrid **Job Summary** As the Registered Nurse Case Manager you will provide community-based care ... of Delaware **Job Description** We are looking for a ** Registered Nurse Case Manager** to provide community-based...eligible members with chronic and complex health care, social service and custodial needs in a nursing facility or… more
- The Cigna Group (Houston, TX)
- …within 24 hrs. of order placement **Diagnostics and Lab Result Management** 1. Obtain Pre Authorization for all CT, MRI, Echo's ordered by providers and schedule ... 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… 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 ... RN license or a multi-state compact license with authorization to practice nursing within the state of Montana;...CPR and/or BLS certification required as dictated by each service area. + Certifications as applicable to assignment: +… more
- Option Care Health (Tampa, FL)
- …supplies or appliances to be available. BASIC EDUCATION AND EXPERIENCE REQUIREMENTS Licensed Registered Nurse ( RN ) or licensed Pharmacist in the state ... external (case managers, discharge planners) partners to ensure quality of service and implementation of an effective treatment plan. Clinical Transition Specialists… more
- Trinity Health (Muskegon, MI)
- …college or university preferred + Active license in the State of Michigan as a Registered Nurse ( RN ) + 3-5 years' experience working with inpatient ... to obtain preauthorization's for inpatient treatment. Must demonstrate excellent customer service in working with both internal and external agencies. **What the… more
- Logan Health (Cut Bank, MT)
- …+ Current Montana RN license or a multi-state compact license with authorization to practice nursing within the state of Montana; required. + BSN degree ... assigned team members, as applicable. Qualifications: + Graduate of RN program from an accredited school of nursing required....CPR and/or BLS certification required as dictated by each service area. + Certifications as applicable to assignment: +… more
- Boston Health Care for the Homeless Program (Jamaica Plain, MA)
- …documentation, reporting to appropriate personnel as indicated (ie, on-call provider, nurse manager, Director of Nursing, etc.). + Responsible for administering ... promote their physical and mental well-being. + Participate in orientation and in- service training for personnel, student nurses and other health professions as… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Pre -Transplant Coordinator position a registered nurse , responsible for participating in department initiatives, facilitating, and ... transplant acute care and/or ICU experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or… more
- LA Care Health Plan (Los Angeles, CA)
- …care, initial coding of member grievance and evaluation and/or require immediate pre - service authorization evaluation. Investigate Provider Disputes/PDR and ... under the direct supervision and management of the A&G Nurse Specialist, RN and/or Medical Director. This...Care Health Plan Lines of Business. Duties Work with Registered Nurses and Medical Directors to appropriately investigate, review… more
- Houston Methodist (Houston, TX)
- …transplant acute care and/or ICU experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or ... Compact State Licensure within 60 days **OR** + RN -Temp - Registered Nurse - Temporary State Licensure within 60 days **AND** + BLS - Basic Life Support… more