- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... prior authorization . + * Train and mentor... prior authorization . + * Train and mentor representatives on the...as delegated by the PA leadership team. **Education:** **The Licensed Practical Nurse is a graduate of… more
- Louisiana Department of State Civil Service (Homer, LA)
- PRACTICAL NURSE-- LICENSED 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4532086) Apply PRACTICAL NURSE-- LICENSED 1, ... employee may be required to serve a trial detail prior to being permanently promoted. + PROBATIONAL APPOINTMENT: Current...position has a Special Entrance Rate at each level: Practical Nurse- Licensed 1 has an SER of… more
- Louisiana Department of State Civil Service (Jackson, LA)
- PRACTICAL NURSE- LICENSED 1/2/3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4266808) Apply PRACTICAL NURSE- LICENSED 1/2/3 ... position has a Special Entrance Rate at each level Practical Nurse- Licensed 1 has an SER of...employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT:… more
- Washington County (Stillwater, MN)
- Licensed Practical Nurse - Correctional Health Unit -$3,000 hiring Incentive. Part Time/Full Time Print ... (https://www.governmentjobs.com/careers/washingtonmn/jobs/newprint/4669560) Apply Licensed Practical Nurse - Correctional Health Unit -$3,000 hiring Incentive.… more
- University of Colorado (Aurora, CO)
- Bilingual Medical Assistant (Health Care Tech I) or Bilingual Licensed Practical Nurse (Health Care Tech III) - 29406 University Staff **Description** ... **Job Title: Bilingual Medical Assistant (Health Care Tech I) or Bilingual Licensed Practical Nurse (Health Care Tech III)** **Specialty Areas: Adult/OB**… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, ... will be required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW:...timely fashion. + The Contractor shall perform pre-cert and authorization of insurance pertaining to patient admission and surgical… more
- Baystate Health (Springfield, MA)
- **Position** Licensed Practical Nurse **SCHEDULE:** + Full time + Monday - Friday + No weekends no holidays **LOCATION** : + Springfield, MA The Licensed ... related to outlier cases, long LOS cases or complicated prior authorization requests + Understand member insurance...Basic Life Support - American Heart Association + . Licensed Practical Nurse - National Council of… more
- University at Albany (Albany, NY)
- …19 2023 Job Description: Vacancy #: WF230115 Apply by: Open Until Filled Title: Licensed Practical Nurse (LPN) - Temp Hourly Location: Student Health Services ... eligible to obtain a license to practice as a Licensed Practical Nurse in New York State....and provide appropriate professional nursing care per clinical guidelines prior to provider visit with patient: collects patient data,… more
- Catholic Health (Buffalo, NY)
- …Overtime: Exempt: No Work Schedule: Days Hours: 8:00am to 4:00pm Summary: The Licensed Practical Nurse assigned to Sister's Health Center Neurology Clinic ... EXPERIENCE + One (1) year relevant current out-patient experience + Obtaining prior authorization experience preferred KNOWLEDGE, SKILLS AND ABILITY: +… more
- Actalent (Middletown, CT)
- …IN MIDDLETOWN CT (COMPETITIVE PAY$$) Job Description: Are you a dedicated and compassionate Licensed Practical Nurse (LPN) looking to make a meaningful impact in ... Hard Skills: Proficiency in patient charting, rooming patients, phone triage, and prior authorization processes. - Soft Skills: Ability to thrive in a fast-paced… more
- Rowan University (Stratford, NJ)
- …including patient encounter, check-in/check-out of patients, insurance verification, and obtaining prior authorization . + Notifies provider of abnormal test ... woman exams * Triage phone calls (sick vs non sick) EDUCATION and/or EXPERIENCE: Licensed Practical Nurse licensure in the State of New Jersey is required with a… more
- CVS Health (Columbus, OH)
- …be patient facing. You will provide processing and communication of Specialty medication prior authorization (PA) referrals reviewed by the Case Review Unit ... in accordance with CVS/Caremark policies and procedures. + Refer prior authorization cases not meeting clinical criteria...A LVN ( Licensed Vocational Nurse) or LPN ( Licensed Practical Nurse) that must hold an… more
- Molina Healthcare (Riverside, CA)
- …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. +...Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR a… more
- Centene Corporation (Tallahassee, FL)
- …ROTATIONAL WEEKENDS AND HOLIDAYS IN THE FUTURE.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... interdepartmental teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine… more
- Staffing Solutions Organization (Augusta, ME)
- …PA reviews/dispositions based on business rules and workflow policies. + Work with the Prior Authorization unit staff members to monitor work queues and complete ... Registered Nurse - Authorization Review Augusta, ME 04330, USA Req #964... Licensed as a Registered Professional Nurse or Licensed Practical Nurse (LPN) in the State… more
- Carle (Urbana, IL)
- ED Tech, Non- Licensed - CMH Emergency + Department: Emergency - CMH_10_322 + Entity: Peoria Service Area + Job Category: Patient Care + Employment Type: Full - Time + ... groups with both acute and chronic health problems. The Non- Licensed Emergency Department Technician provides direct patient care that...CNA program must be completed within past 2 years, prior to 2 years completion must need CNA certification… more
- Ventura County (Ventura, CA)
- …a fully licensed Plan, was established in 1993 as a practical , cost-effective and innovative alternative to private health care services to eligible employees ... 368 hours after 15 years of service. *Credit for prior public service may be considered (Sec. 616A). +...for VCHCP, a Department of Managed Health Care (DMHC) licensed Commercial HMO. This position is part of a… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …for ICD, HCPCS and CPT preferred. **Licenses and Certifications** + Health Services\LPN - Licensed Practical Nurse - State Licensure currently licensed to ... and ICD 10 codes required + 1 year of medical review and/or authorization experience preferred **Skills and Abilities** + Prefer knowledge of insurance, reinsurance,… more
- Sanford Health (Thief River Falls, MN)
- …**Qualifications** Graduate from an accredited practical nursing program as a Licensed Practical Nurse (LPN). Registered Nurse (RN) preferred. Five years' ... with experience in utilization or with CPT/ICD knowledge. Currently holds an unencumbered Licensed Practical Nurse (LPN) license with State Nursing board and/or… more
- US Tech Solutions (Columbia, SC)
- …+ Bachelor's degree - Social Work, OR, Graduate of an Accredited School of Licensed Practical Nursing or Licensed Vocational Nursing. + Preferred Education: ... skill sets/qualities: I would love to have someone with prior insurance/utilization review experience, but I know that is...The nurse would work remotely from their home reviewing authorization requests from providers for home health visits or… more