- SUNY Upstate Medical University (Syracuse, NY)
- …and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care ... of activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance… more
- Centene Corporation (Baton Rouge, LA)
- …Knowledge of utilization management processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required Pay ... serves our Louisiana Healthcare Connection population. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service… more
- Select Medical (West Orange, NJ)
- …admission to the acute inpatient rehabilitation hospital. + Registered Nurse (RN) or Licensed Practical Nurse ( LPN ) required. + Initiates, completed ... Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist/Payor Relations Specialist ( RN , LPN...TOC. **Qualifications** **Minimum Qualifications** + Licensure as a Registered Nurse or LVN/ LPN is required + 2… more
- US Tech Solutions (May, OK)
- …+ * Complete other PA assignments as delegated by the PA leadership team. **Education:** **The Licensed Practical Nurse is a graduate of a school of ... colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate...time the program was completed by the applicant.** **Skills:** LPN , Prior auth **About US Tech Solutions:**… more
- Select Medical (St. Charles, MO)
- …in third party reimbursement. + Must be a Registered Nurse (RN) or Licensed Practical Nurse ( LPN ). Preferred Experience: + Experience working ... characteristic protected under applicable law. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/309063/ prior - authorization -specialist %28-rn-%2c- lpn -%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job… more
- Molina Healthcare (San Francisco, CA)
- …an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ) Program OR a bachelor's or master's ... **_JOB TITLE: CARE REVIEW CLINICIAN, PRIOR AUTHORIZATION (REGISTERED NURSE ,... Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN… more
- Select Medical (Peoria, AZ)
- …A joint venture with Select Medical & Banner Health Phoenix, Arionza ** Prior Authorization Specialist / Payor Relations Specialist** **Remote position - ... and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
- Molina Healthcare (WI)
- …an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ) Program OR a bachelor's or master's ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility... Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse ( LPN ) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse ( LPN /LVN) - Utilization ... will be required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE ( LPN...timely fashion. + The Contractor shall perform pre-cert and authorization of insurance pertaining to patient admission and surgical… more
- Dartmouth Health (Keene, NH)
- …transmitting of prescriptions, notification of test results, nursing advice. Obtain prior authorization or pre-certification as required. Graduate of accredited ... and families within the scope of practice of the LPN license as defined by the State of New...practical nursing program. 0-2 years experience as a LPN required. Must maintain NH LPN License.… more
- University at Albany (Albany, NY)
- …Tue Sep 19 2023 Job Description: Vacancy #: WF230115 Apply by: Open Until Filled Title: Licensed Practical Nurse ( LPN ) - Temp Hourly Location: Student ... eligible to obtain a license to practice as a Licensed Practical Nurse in New...and provide appropriate professional nursing care per clinical guidelines prior to provider visit with patient: collects patient data,… more
- Blessing Hospital (Crosby, MN)
- …Education and Experience: + LPN or CMA with experience in Medication Prior Authorization . Must have excellent customer service and communication skills. + ... POSITION SUMMARY + The Medication Prior Authorization Specialist is responsible for...License/Certificates: + Current LPN license for State of Minnesota. CMA certification/registration. American… more
- University of Colorado (Aurora, CO)
- **Bilingual Medical Assistant (Health Care Tech I) or Bilingual Licensed Practical Nurse (Health Care Tech III)** **Description** **University of Colorado ... of Nursing** **Job Title: Bilingual Medical Assistant (Health Care Tech I) or Bilingual Licensed Practical Nurse (Health Care Tech III)** **Specialty Areas:… more
- Guthrie (Binghamton, NY)
- …for the coordinates Utilization Management (UM) processes and requirements for prior authorization /certification for reimbursement of patient care services. The ... LPN - Utilization Management (Days) Full Time Position...Utilization Reviewer: * Secures authorization as appropriate * Documents payer authorization … more
- Mayo Clinic (Rochester, MN)
- …+ Menopause/ Women's Sexual Health Clinic + Home Parenteral Nutrition + Breast Clinic The licensed practical nurse ( LPN ) provides nursing care to ... information ahead of a provider visits, researching prescription discrepancies, and/or facilitating prior authorization denials. The LPN collaborates daily… more
- US Tech Solutions (GA)
- …from distractions. You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Specialty Medical ... Prior Authorization department. Reporting to the Pharmacy Operations Manager, you...following policy and procedure. + Provide on-call after hours nurse availability for urgent PA requests. + Provide internal… more
- Fenway Health (Boston, MA)
- …patients including primary care and specialty visits, VNA, Infusion companies, and prior authorization for services + Coordinates preventative services for ... LPN Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+02215) * Nursing Job Type...primary care and specialty visits, VNA, Infusion companies, and prior authorization for services + Helps coordinate… more
- Oak Orchard Health (Warsaw, NY)
- …both written and verbally Education and Experience: + Graduate of an accredited program for Licensed Practical Nurse with a current valid license to practice ... LPN - $2,000 SIGN ON BONUS, Sundays and Major...Providers/patients. + Initiates and completes all parts of medication prior - authorization requests based on insurance requirements. +… more
- Actalent (Rockville, MD)
- …school for practical nursing. + Minimum of 3 years of experience as a practical nurse . + Current LPN state license and registration with the State ... IV fluids and IV therapeutic medications in accordance with LPN /LVN state nurse practice act. Essential Skills...and discharge planning. + Knowledge of utilization management and prior authorization processes. + Experience in acute… more
- Adecco US, Inc. (Minneapolis, MN)
- …**Qualifications for the Utilization Management LPN :** * Graduation from an accredited Licensed Vocational/ Practical Nurse program * Current LVN/ LPN ... & Life Sciences is hiring for a **Utilization Management** ** LPN ** to work **remotely** ! This is a work...Residence * 2+ years of care management, utilization review ( prior authorization ) or discharge planning experience **Why… more