- Health First (Rockledge, FL)
- …**Medical Management* **Organization:** **HF Administrative Plan Inc* **Title:** *Prior Authorization Nurse Specialist HFHP - Clinical Operations* **Location:** ... a sustainable, measurable, accurate, reliable and timely execution of the Prior Authorization Process. Success in this position will be based on the individual's… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Pre- Authorization Nurse 2 reviews prior authorization requests for appropriate care ... and approves services or forward requests to the appropriate stakeholder. The Pre- Authorization Nurse 2 work assignments are varied and frequently require… more
- Humana (Enid, OK)
- …for an internship that supports the goal to put health first? The Prior Authorization , Registered Nurse , RN, Intern will review prior authorization requests ... variety of professional onsite, field, or remote based opportunities. The Prior Authorization , Registered Nurse , RN, Intern will utilize Humana's Medicaid… more
- Molina Healthcare (San Bernardino, CA)
- _JOB TITLE: CARE REVIEW CLINICIAN, PRIOR AUTHORIZATION (REGISTERED NURSE , OR LVN)_ **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and… 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 (Sacramento, CA)
- …must have CA RN Licensure.** **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
- 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 (Charleston, SC)
- …(http://www.llr.state.sc.us/) **Licensure/Certification: New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 days ... 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
- Roper St. Francis (Charleston, SC)
- …None required. **Licensure/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
- Roper St. Francis (Charleston, SC)
- …None required.** **Licensure/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
- Atlantic Health System (Morristown, NJ)
- Registered Nurse , Women's Health Authorization Specialist Responsibilities: + Coordinate and oversee all obstetrical and gynecological authorizations with CMA ... Prior Authorization Specialist. Primary responsibility will be to enter information...a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations… more
- State of Massachusetts (Pocasset, MA)
- …nurse under the Massachusetts Board of Registration in Nursing. Current and valid authorization to practice as a Nurse Practitioner by the Massachusetts Board ... Department of Mental Health (DMH), is seeking a dynamic, exceptional, and experienced Nurse Practitioner (NP) to serve as a psychiatric provider for patients with… 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
- Nantucket Cottage Hospital (Nantucket, MA)
- …a Registered Nurse in the Commonwealth of Massachusetts required. * Current authorization to practice as a Nurse Practitioner in Massachusetts required. * ... *Job Summary:* The Psychiatric Nurse Practitioner provides treatment for patients with psychiatric...systems. * Master's degree in Mental Health Nursing, Clinical Nurse Specialist/ Nurse Practitioner, from an accredited school… more
- State of Massachusetts (Boston, MA)
- …nurse under the Massachusetts Board of Registration in Nursing. Current and valid authorization to practice as a Nurse Practitioner by the Massachusetts Board ... of Public Health (DPH), is seeking an experienced and dynamic Psychiatric Nurse Practitioner. This role involves providing psychiatric services with a focus on… more
- Defense Health Agency (Christian County, KY)
- …required Candidate must have a current, active, valid, certificate, unrestricted license, or authorization to practice as a Nurse Practitioner in a US State, ... **Overview** **Advanced Practice Registerd Nurse (Family Medicine), Ft Campbell, KY** Occupying a...least 1 year of licensed experience as an Advanced Nurse Practitioner (Family Medicine) Apply for this Job Online… more
- Beth Israel Lahey Health (Beverly, 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
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