- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... and is determined by employment status Job Description: The RN Case Manager is responsible to facilitate...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse ( RN ) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: ... + Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and… more
- Commonwealth Care Alliance (Boston, MA)
- …Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... **Required Knowledge, Skills & Abilities (must have):** + Experience with prior authorization and retrospective reviews + Proficiency reviewing clinical/medical… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5156902) Apply REGISTERED NURSE SUPERVISOR A Salary ... teamwork are essential. This position will serve as a RN Supervisor A in the 64-bed Skilled Nursing Unit...our mission. Minimum Qualifications Possession of a current Louisiana Registered Nurse license or a temporary permit… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT: This ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4776430) Apply REGISTERED NURSE 1, 2, OR 3 Salary Depends on Qualifications Location St.… more
- Louisiana Department of State Civil Service (Angie, LA)
- REGISTERED NURSE 1, 2 or 3 (WAE)...license, or DD-214 must be verified by official documentation prior to hire. + Any qualifying experience that is based ... Print (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… more
- North Shore Community Health (Salem, MA)
- …opening for a Registered Nurse . Under the general direction of the Clinical Nurse Manager , the Registered Nurse will provide direct and indirect ... Registered Nurse Salem, MA (http://maps.google.com/maps?q=47+Congress+Street+Salem+MA+USA+01970) Description...when needed within the scope of nursing practice, including prior authorization forms . Provides health education… more
- Mayo Clinic (Jacksonville, FL)
- …Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary team ... management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
- Trinity Health (Albany, NY)
- …ass needed **What you will need:** **Required:** + A current license to practice as a Registered Nurse ( RN ) in the State of New York + Associate's degree ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** RN Care Manager (Long Term Care...well as insurance companies to manage insurance verifications and prior authorizations + Continual review and authorization … more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services ... operation of the department. * Guides member through the Prior Authorization and Appeals process. * Engage...of care between settings. Required Skills and Experience * Registered nurse with current MN license and… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages ... from third party payers and placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party guidelines. Obtains… more
- Sharp HealthCare (La Mesa, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA...services are directed to appropriate network providers, and obtains prior authorization for in network and out… more
- Stony Brook University (Stony Brook, NY)
- …with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation ... RN Case Manager **Position Summary** At...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN… more
- Carle Health (Urbana, IL)
- …Care, Convenient Care and a wide variety of specialty clinics Under the direction of a Registered Nurse ( RN ), the Nurse Resident functions as a support ... Overview ACCEPTING APPLICATIONS 12 MONTHS PRIOR TO GRADUATION DATE Our Carle Nurse...Nursing Assistant (CNA) or Completion of first semester of Registered Nurse ( RN ) education program… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Pediatrics All Locations: 10 Gove Street - Taylor Building Position Summary: A registered nurse holds ultimate responsibility for direct and indirect nursing ... the department's immediate needs and long-term goals. In addition, the registered nurse demonstrates initiative, critical thinking, problem solving, leadership… more
- Mohawk Valley Health System (Utica, NY)
- …regulations. + Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New York, Bachelor's ... RN Supervisor Case Management - Full Time - Days...and currently registered to practice as a Registered Nurse in New York State. Disclaimer Qualified… more
- Fairview Health Services (St. Paul, MN)
- …with five years of clinical experience and ability to learn new specialty area + MN Registered Nurse ( RN ) License + Basic Life Support (American Heart Assoc ... Fairview Care Coordination team has an opening for a RN Care Coordinator to support patients within M Health...program and assists with marketing efforts. Oversees or manages prior authorization process and results verification process… more
- Carle Health (Olney, IL)
- …only) Under the supervision of the Nurse Manager , the staff Registered Nurse ( RN ) is a professional caregiver who assumes responsibility for ... - American Heart Association (AHA)American Heart Association (AHA); Licensed Registered Professional Nurse ( RN ) -...using safety precautions, performs timeouts upon entry of suite, prior to incision, and prior to exiting… more
Related Job Searches:
Authorization,
Manager,
Manager Prior,
Prior,
Prior Authorization,
Prior Authorization Manager,
Prior Authorization RN,
RN,
RN Manager