- Sanford Health (Sioux Falls, SD)
- …experience. Minimum of three years nursing experience is required. Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... guidelines and timelines. Provide information to providers and members in regards to authorization and/or denial of services. Ability to review , analyze and… more
- Ascension (Towson, MD)
- …performance and salary range at the time of the offer.Responsibilities Manage assigned Registered Nurse ( RN ) case managers, related activities and workflow ... a resource for complexcase management issues.Requirements Licensure / Certification / Registration: Registered Nurse credentialed from the Maryland Board of… more
- AmeriHealth Caritas (Newtown Square, PA)
- …years of experience performing utilization management reviews (prior authorization and concurrent review ) as a Registered Nurse within a managed care ... Utilization Management staff. Oversee staff performance with regard to prior authorization , medical necessity determinations, concurrent review ,… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …help resolve more complex inquiries. + Assists Drug Authorization Specialists with medical necessity denial review : + Ensures that all necessary medical ... experience is preferred. + **Certification/Licensure/Registration:** + Licensed as a Registered Nurse in the Commonwealth of Massachusetts preferred.… more
- Roper St. Francis (Moncks Corner, SC)
- …to reasonable accommodation. **Licensing/Certification** New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 ... needs and functional abilities through the systematic collection and review of patient-specific data and communicate assessments appropriately. +...All other RNs must be currently licensed as a Registered Nurse in the state of South… more
- Louisiana Department of State Civil Service (Jackson, LA)
- REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4808220) Apply REGISTERED NURSE SUPERVISOR A Salary ... for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT....Minimum Qualifications MINIMUM QUALIFICATIONS: Possession of a current Louisiana Registered Nurse license or a temporary permit… more
- Community Health Systems (Milton, FL)
- …and overall effectiveness. + Oversight and evaluation of the discharge planner/ utilization review nurse . + Perform and oversee needs analysis and planning. Work ... **At Santa Rosa Medical Center, we've cultivated an environment that nurtures...purpose with our fundamental mission.** **Position Requirements** + Florida RN License-active + Case Management experience 2+ years +… more
- Louisiana Department of State Civil Service (Kinder, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4780542) Apply REGISTERED NURSE 1, 2, OR 3 Salary Depends on Qualifications Location Kinder, LA… more
- Louisiana Department of State Civil Service (Jackson, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4778929) Apply REGISTERED NURSE 1, 2, OR 3 Salary Depends on Qualifications Location Jackson,… more
- Louisiana Department of State Civil Service (Angie, LA)
- REGISTERED NURSE 1, 2 or 3 (WAE) Print...used for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4777670) Apply REGISTERED NURSE 1, 2 or 3 (WAE) Salary $4,177.00 - $7,518.00 Monthly Location… 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
- MD Anderson Cancer Center (Houston, TX)
- …Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003. ... patient population. **EXPERIENCE** Preferred: Prior experience as Advanced Practice Registered Nurse . Prior Oncology experience. **LICENSURE / CERTIFICATION**… 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
- Family Service Association - Fall River (Mashpee, MA)
- …to reach their highest level of independence and functioning. We are currently seeking a Registered Nurse ( RN ) Per Diem at our Seaview Adult Day Health ... with no weekend or no major holiday shifts. The Registered Nurse ( RN ) monitors participant's...and participant for medical information and service authorization of participants. Obtain, review , and implement… more
- Family Service Association - Fall River (Fall River, MA)
- …schedule is Monday through Friday 8:00 am - 4:00 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
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- Summary This Registered Nurse - SCI/D Case Manager (Unit 1W) position is located at the Richmond Veterans Affairs Medical Center in Richmond, Virginia. ... Please learn more about the position below, along with the duties. Responsibilities The Registered Nurse - SCI/D Case Manager (Unit 1W) is directly responsible… 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
- MyFlorida (Fort Myers, FL)
- REGISTERED NURSE SPECIALIST - 64030599 1 Date: Jan 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 842208 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64030599 1 Pay Plan: Career… more
- KidsPeace Childrens Hospital (Varina, IA)
- The Certified Registered Nurse Practitioner (CRNP) is responsible for overseeing the psychiatric needs of children, adolescents, and/or adults, with primary ... current and unrestricted license to practice as a Certified Registered Nurse Practitioner. Must be credentialed to... Practitioner. Must be credentialed to serve on the Medical Staff (provide all related information as requested and… more
- Trinity Health (Farmington Hills, MI)
- …**MINIMUM QUALIFICATIONS** Must possess a demonstrated knowledge of denial management functions. Registered Nurse and a graduate of an accredited school of ... Responsible for reviewing all post-billed denials (inclusive of clinical denials) for medical necessity and appealing them based upon clinical expertise and clinical… more
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