- CVS Health (Baton Rouge, LA)
- …it all with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical ... Lead, coach, and develop a multidisciplinary team responsible for utilization review, prior authorization , and case management functions. + Monitor team… more
- 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
- Mayo Clinic (Rochester, MN)
- …Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary team ... utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical… 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 Case Manager (Long Term Care...well as insurance companies to manage insurance verifications and prior authorizations + Continual review and authorization … more
- Mayo Clinic (Rochester, MN)
- …Patients receive additional support via a multidisciplinary care model team model. The registered nurse ( RN ) is accountable for the coordination of ... provision of patient care. The team is comprised of nurse manager , clinical nurse specialist,...for Nursing Education Accreditation (NLN CNEA). One year of RN experience required. All entry-level associate degree registered… more
- Louisiana Department of State Civil Service (Kinder, 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/4780542) Apply REGISTERED NURSE 1, 2, OR 3 Salary...license, or DD-214 must be verified by official documentation prior to hire. + Any qualifying experience that is… 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
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE 1, 2, or 3 Print...promotion may be required to serve a trial detail prior to being permanently promoted. + This posting may also ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5176419) Apply REGISTERED NURSE 1, 2, or 3 Salary Depends on Qualifications Location St.… 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
- Sevita (Lee's Summit, MO)
- …motivate us all every day. Join us today, and experience a career well lived. ** Registered Nurse - Part-Time** **$36/hr + $3,000 Sign-On Bonus | Hybrid Work ... and the unique impact Missouri nurses provide."_** As a Registered Nurse in Missouri, you deserve a...Do** + Conduct intake assessments and submit documentation for prior authorization based on pay sources +… more
- Fallon Health (Worcester, MA)
- **Overview** **This is 3 months temporary contract position for a Prior Authorization RN .** **About us:** Fallon Health is a company that cares. We ... Nurse in a clinical setting required. * 2 years' experience as a Utilization Management/ Prior Authorization nurse in a managed care payer preferred. * One… 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
- Louisiana Department of State Civil Service (Angie, LA)
- …to lead in a dynamic, secure healthcare environment? Join our team as a Registered Nurse Supervisor A at Rayburn Correctional Center, a male correctional ... RN SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5186989) Apply ...our mission. Minimum Qualifications Possession of a current Louisiana Registered Nurse license or a temporary permit… more
- University of Southern California (Los Angeles, CA)
- …+ Pref 2 years Experience in an HMO/IPA/Managed care setting Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic Life Support ... 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
- 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
- Highmark Health (Monroeville, PA)
- …also building relationships across the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care ... from third party payers and placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party guidelines. Obtains… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER : University Hospital (Care Management) Apply Now **Job Summary** The RN Case Manager assesses, develops, implements, coordinates and ... effective utilization of resources while promoting quality outcomes. **Organizational Relationships** The RN Case Manager reports directly to the Manager … more
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