- CVS Health (Phoenix, AZ)
- …in the USA opportunity and will not be patient facing. The Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) will provide processing and ... prior authorizations following policy and procedure - Provide on-call after hours nurse availability for urgent PA requests - Provide internal nurse … more
- University of Miami (Miami, FL)
- …Manager RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct initial chart ... reviews for medical necessity and identify the need for authorization . The nurse coordinates with the healthcare team for optimal and efficient patient outcomes,… more
- US Tech Solutions (May, OK)
- …prior authorizations following policy and procedure. + * Provide on-call after hours nurse availability for urgent PA requests. + * Provide internal nurse ... healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each...by the PA leadership team. **Education:** **The Licensed Practical Nurse is a graduate of a school of Practical… more
- US Tech Solutions (LA)
- **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a hospital setting in a specialty area of the nursing field providing ... utilization management prior authorization reviews. Build strong direct relationships with providers and...indicated by staffing and business needs. **Duties:** + **Registered Nurse with current license in LA state of employment.… more
- Centene Corporation (Austin, TX)
- …in the US. **Position Purpose:** Routinely reviews more challenging prior authorization requests to determine medical necessity of service and appropriate level ... contractual requirements, and a member's benefit coverage. Assesses more complex authorization requests and provides recommendations to the appropriate medical team… more
- Centene Corporation (Phoenix, AZ)
- …LPN license or Compact RN license.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level ... of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with… more
- CVS Health (Phoenix, AZ)
- …3+ years clinical practice experience **Preferred Qualifications** : + Prior authorization experience + Utilization management experience + Acute care setting ... experience + Clinical experience in Emergency Department, Home Health, ICU, Telemetry, or Medical / Surgical **Education** : + Minimum of Associate degree required + BSN preferred **Pay Range** The typical pay range for this role is: $29.10 - $62.32 This pay… more
- Trinity Health (Springfield, MA)
- …approved nursing program to practice nursing prior to obtaining licensure as a registered nurse . This authorization to practice is intended as an interim plan to ... **Trinity Health Of New England** is looking for **Student Nurse ** **Professional/Graduate** **Nurses** to join our team of mission-driven healthcare… more
- Roper St. Francis (Summerville, SC)
- …reasonable accommodation. **Licensing/Certification** New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 days of ... standards and practices in accordance with the South Carolina Nurse Practice Act. To apply professional nursing theory and...other RNs must be currently licensed as a Registered Nurse in the state of South Carolina or holds… more
- CUNY (New York, NY)
- …current New York State Education Department Certification to practice as a Nurse Practitioner including authorization to issue prescriptions to Section 6902 ... Nurse Practitioner Level 2 - Health Services **GENERAL...Attends meetings and prepares reports as necessary. **CONTRACT TITLE** Nurse Practitioner **FLSA** Exempt **CAMPUS SPECIFIC INFORMATION** ABOUT JOHN… more
- Select Medical (Columbus, OH)
- …Hospitals - Columbus** **Critical Illness Recovery Hospital** **Columbus, OH** **Prior Authorization Specialist / Payor Relations Specialist (Precert Nurse )** ... Relations Specialist, you will manage the pre-certification and prior authorization of referrals scheduled for admission to our hospital....in third party reimbursement. + Must be a Registered Nurse (RN) or Licensed Practical Nurse (LPN).… more
- Beth Israel Lahey Health (Gloucester, MA)
- …as liaison for oncologists and hospitalists/in-house providers. * Works in collaboration with authorization and billing team, Resource nurse and pharmacy as the ... clinical representative to ensure prior authorization and delivery of chemotherapy agents. * Assesses the physical and psychosocial status of clients by means of… 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
- 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
- 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
- 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
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