• Altru Health (Emerado, ND)
    …90 days of start date | Learning Management System Notes: Temporary RN license accepted prior to start. ND RN Graduate Work Authorization considered prior to ... assistance * A supportive and collaborative work environment The Registered Nurse provides direct nursing care in accordance with established policies, procedures… more
    JobGet (11/04/24)
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  • Altru Health (Park River, ND)
    …90 days of start date | Learning Management System Notes: Temporary RN license accepted prior to start. ND RN Graduate Work Authorization considered prior to ... Forks, ND 58201 Pay Range: $32.19 - $48.28 Summary: The Registered Nurse provides direct nursing care in accordance with established policies, procedures and… more
    JobGet (11/04/24)
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  • CHRISTUS Health (Alamogordo, NM)
    …that patient results, x-rays, labs and procedure reports are in patient charts prior to seeing doctor. Gather patient's vitals and complaints, document in patient ... portions of chart preparation. Schedule surgery and give patient appropriate instructions prior to surgery and refer to Front Office Coordinator or Office Manager… more
    JobGet (11/04/24)
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  • Prior Authorization Nurse

    Medical Mutual of Ohio (OH)
    …perform pre-employment substance abuse and nicotine testing._ **Title:** _Prior Authorization Nurse Reviewer_ **Location:** _Ohio_ **Requisition ID:** _2400418_ ... Board. Bachelor's degree preferred. *3 years' experience as a Registered Nurse with a combination of clinical and utilization/case management experience, preferably… more
    Medical Mutual of Ohio (11/01/24)
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  • Clinical Review Nurse - Prior

    Actalent (Dallas, TX)
    Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse is responsible for analyzing all prior authorization ... to promote quality and cost-effectiveness of medical care. Responsibilities + Analyze prior authorization requests to determine medical necessity of services and… more
    Actalent (10/31/24)
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  • Nurse Clinician: Prior

    Molina Healthcare (Temecula, CA)
    **_JOB TITLE: CARE REVIEW CLINICIAN, PRIOR AUTHORIZATION (REGISTERED NURSE , OR LVN)_** **For this position we are seeking a Nurse with previous ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
    Molina Healthcare (10/17/24)
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  • Utilization Management Nurse , Prior

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews ... on prior authorization requests in accordance with national standards, contractual requirements,...preferred. Essential Qualifications * Current licensed LPN or Registered Nurse (RN) with state licensure. Must retain active and… more
    Brighton Health Plan Solutions, LLC (10/18/24)
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  • Prior Authorization Specialist

    Hospice of the Valley (Phoenix, AZ)
    …and participates in efforts to gain authorization . + Brings complex cases to Prior Authorization Nurse (s) so they can assist in obtaining ... Paid Time Off. + Flexible schedules for work/life balance. **Position Profile** The Prior Authorization Specialist will obtain prior authorization more
    Hospice of the Valley (09/07/24)
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  • Prior Authorization Licensed…

    US Tech Solutions (May, OK)
    …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... policy and procedure. + * Provide on-call after hours nurse availability for urgent PA requests. + * Provide... prior authorization . + * Train and mentor... prior authorization . + * Train and mentor representatives on the… more
    US Tech Solutions (10/18/24)
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  • Registered Nurse

    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...indicated by staffing and business needs. **Duties:** + **Registered Nurse with current license in LA state of employment.… more
    US Tech Solutions (10/18/24)
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  • Certified Medical Assistant Prior

    Atlantic Health System (Morristown, NJ)
    Overview: We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining prior ... entire authorization process. Responsibilities: 1. Initiate and manage the prior authorization process for all obstetrical patients and gynecological… more
    Atlantic Health System (10/01/24)
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  • Certified Medical Assistant I/ Prior

    Atlantic Health System (Morristown, NJ)
    We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining prior authorizations ... specialized tasks. Position Principal Accountabilities: 1. Initiate and manage the prior authorization process to include medications, diagnostic testing,… more
    Atlantic Health System (10/18/24)
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  • Prior Authorization Specialist…

    Select Medical (West Orange, NJ)
    **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist/Payor Relations Specialist ( RN , LPN )** **This is an** ... for the care and services they need, as a Prior Authorization Specialist.** **Responsibilities** As a **...admission to the acute inpatient rehabilitation hospital. + Registered Nurse (RN) or Licensed Practical Nurse (LPN)… more
    Select Medical (09/07/24)
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  • Utilization Management Specialist (Home-Based)…

    Sanford Health (MN)
    …relating to the implementation, ongoing evaluation, and improvements to UM and/or prior authorization processes with applicable. Completes activities relating to ... regulations and internal policies that effect resource utilization and potentially, prior authorization . Assists the department in monitoring the utilization… more
    Sanford Health (11/02/24)
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  • Associate Manager - Duals Utilization Management…

    CVS Health (Springfield, IL)
    …the needs of the department + 3+ years inpatient clinical experience as a Registered Nurse + 3+ years of Managed Care experience + 1+ years of Utilization Management ... experience + 1+ year Leadership experience (formal or informal roles) + Travel Required up to 5% for meetings/audits + 1+ years of MS office suites experience **Preferred Qualifications:** + Experience with MedCompass + Medicaid/Medicare/Duals experience +… more
    CVS Health (10/26/24)
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  • Coordinator- Authorization - ME Case…

    Baptist Memorial (Memphis, TN)
    …strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence based criteria. Areas of ... Summary The Authorization Coordinator is responsible for facilitating information documentation...payer with patient access + Communicate with Utilization Review Nurse + Works assigned queues in the electronic medical… more
    Baptist Memorial (10/08/24)
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  • Licensed Vocational Nurse

    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
    US Tech Solutions (10/18/24)
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  • Practical Nurse -Licensed 1, 2, Or 3

    Louisiana Department of State Civil Service (Kinder, LA)
    PRACTICAL NURSE -LICENSED 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4567726) Apply  PRACTICAL NURSE -LICENSED 1, 2, OR 3 ... employee may be required to serve a trial detail prior to being permanently promoted. + PROBATIONAL APPOINTMENT: Current...has a Special Entrance Rate at each level Practical Nurse -Licensed 1 has an SER of $19.48 per hour.… more
    Louisiana Department of State Civil Service (10/27/24)
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  • Registered Nurse 1, 2, Or 3

    Louisiana Department of State Civil Service (Homer, LA)
    REGISTERED NURSE 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4532184) Apply  REGISTERED NURSE 1, 2, OR 3 Salary Depends on ... employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT:...has a Special Entrance Rate at each level Registered Nurse 1 has an SER of $29.84 per hour.… more
    Louisiana Department of State Civil Service (10/22/24)
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  • Practical Nurse --Licensed 1, 2, Or 3

    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, 2, OR 3 ... employee may be required to serve a trial detail prior to being permanently promoted. + PROBATIONAL APPOINTMENT: Current...has a Special Entrance Rate at each level: Practical Nurse -Licensed 1 has an SER of $19.48 per hour.… more
    Louisiana Department of State Civil Service (10/20/24)
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