- Health First (Rockledge, FL)
- …skills. **Job:** **Medical Management* **Organization:** **HF Administrative Plan Inc* **Title:** * Prior Authorization Nurse Specialist HFHP - Clinical ... acute care setting is preferred. * Prior Authorization Experience is preferred. * RN or LPN with current unrestricted Florida Licensure. *PHYSICAL DEMANDS:*… more
- Molina Healthcare (San Bernardino, CA)
- _JOB TITLE: CARE REVIEW CLINICIAN, PRIOR AUTHORIZATION ( REGISTERED NURSE , OR LVN)_ **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) ... **JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN)… more
- Humana (Enid, OK)
- …looking for an internship that supports the goal to put health first? The Prior Authorization , Registered Nurse , RN , Intern will review prior ... of professional onsite, field, or remote based opportunities. The Prior Authorization , Registered Nurse , RN , Intern will utilize Humana's Medicaid… more
- 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...as indicated by staffing and business needs. **Duties:** + ** Registered Nurse with current license in LA… more
- Centene Corporation (Sacramento, CA)
- …Candidate must have CA RN Licensure.** **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
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Pre- Authorization Nurse 2 reviews prior authorization requests for appropriate ... services or forward requests to the appropriate stakeholder. The Pre- Authorization Nurse 2 work assignments are varied...Qualifications - What it takes to Succeed** + Licensed Registered Nurse ( RN ) in the… more
- SSM Health (Janesville, WI)
- …Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse ( RN ) - Missouri Division of Professional Registration + ... accuracy and timeliness on all functions related to insurance prior authorization , plan benefits, and medical necessity...Or + Registered Nurse ( RN ) Issued by...Or + Registered Nurse ( RN ) Issued by Compact State State… more
- Health First (Melbourne, FL)
- …your professional nursing career; Join Health First! PLEASE NOTE: You need only apply for the Registered Nurse ( RN ) - New to Practice position and do not ... Applicants may apply, interview, and receive a contingent offer prior to receiving their Authorization to Test...Nurse * **Organization:** **Health First Shared Svcs Inc* **Title:** * Registered Nurse ( RN ) - … more
- Bon Secours Mercy Health (Richmond, VA)
- …and treatment plans; provides direction to licensed and unlicensed clinic staff. **Triage Registered Nurse ( RN ) - Physician Office - Tuckahoe Orthopaedics ... & Physical Therapy** **DUTIES OF THE REGISTERED NURSE ( RN ) - ORTHOPEDICS:**...and followed. + Assist clinical team with chart prep prior to patient arrival for clinical which may include… more
- Premier Health (Dayton, OH)
- **Position: Registered Nurse ( RN )** **Facility: Miami Valley Hospital & Miami Valley Hospital South** **Department:** **Pain Center** **Shift: PRN Support/ ... policy, diagnostic testing and other information by phone; and insurance prior authorization for procedures, medications, and emergent diagnostic testing.… more
- Louisiana Department of State Civil Service (Kinder, LA)
- REGISTERED NURSE 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4567658) Apply REGISTERED NURSE 1, 2, OR 3 Salary ... Qualifications Location Kinder, LA Job Type Classified Job Number 408-24- RN -CTS Department DOC-Allen Correctional Center Opening Date 07/03/2024 Closing...position has a Special Entrance Rate at each level. Registered Nurse 1 has an SER of… more
- Ascension Health (Tulsa, OK)
- …inpatient utilization management programs. + Oversee implementation and maintenance of prior authorization codes for all clients. **Requirements** Licensure / ... Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board... credentialed from the Oklahoma Board of Nursing obtained prior to hire date or job transfer date required.… more
- Louisiana Department of State Civil Service (Angie, LA)
- REGISTERED NURSE 3-WAE Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4686287) Apply REGISTERED NURSE 3-WAE Salary $4,784.00 - ... license, or DD-214 must be verified by official documentation prior to hire. + Any qualifying experience that is...LEVEL OF WORK: Advanced. SUPERVISION RECEIVED: General from a Registered Nurse Supervisor A or B, but… more
- Molina Healthcare (IA)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
- Beth Israel Lahey Health (Beverly, MA)
- …team, Resource nurse and pharmacy as the clinical representative to ensure prior authorization and delivery of chemotherapy agents. * Assesses the physical ... and psychosocial status of clients by means of interview, health history, physical examination, and diagnostic studies. * Completes objective and accurate documentation of patient care in the electronic health record * Collaborate in organizing community… more
- Atlantic Health System (Morristown, NJ)
- Registered Nurse , Women's Health Authorization Specialist Responsibilities: + Coordinate and oversee all obstetrical and gynecological authorizations with ... CMA Prior Authorization Specialist. Primary responsibility will be...authorization requirements and processes. + Work in an RN role with patients in various Women's Health departments… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Registered Nurse - Pulmonary **Cost Center:** 301351262 Mfld-Pulmonary **Scheduled Weekly ... day shifts, variable days (United States of America) **Job Description:** **JOB SUMMARY** The Registered Nurse functions as a vital member of the healthcare team… more
- Trinity Health (Springfield, MA)
- …approved nursing program to practice nursing prior to obtaining licensure as a registered nurse . This authorization to practice is intended as an interim ... for licensure. **The graduate may not practice under this authorization if they receive a failing score on the...For** : + Under direct supervision of a licensed registered nurse , provides direct care to patients… more
- US Tech Solutions (Wichita, KS)
- …and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have ... + MUST HAVE 6 months of Prior Authorization . **Education:** + Active and unrestricted RN ...with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:**… more
- MD Anderson Cancer Center (Houston, TX)
- …by the National Cancer Institute. Summary: The primary purpose of the Advanced Practice Registered Nurse (APRN) in the Oncology Fellowship is to promote and ... for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board...Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board… more
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