- AmeriHealth Caritas (Newtown Square, PA)
- …(MCO). + 3+ years of experience performing utilization management reviews ( prior authorization and concurrent review) as a Registered Nurse within a managed ... Utilization Management staff. Oversee staff performance with regard to prior authorization , medical necessity determinations, concurrent review, retrospective… more
- AdventHealth (Altamonte Springs, FL)
- …and 125,000 outpatients each year **The role you'll contribute:** **The Care Management Supervisor is under the general leadership of the Care Management Manager or ... supervision of team members in the Care Management department.** **The Care Management Supervisor is responsible for the daily front line operations as assigned by… more
- Louisiana Department of State Civil Service (Jackson, LA)
- REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4824170) Apply REGISTERED NURSE SUPERVISOR A Salary ... employee may be required to serve a trial detail prior to being permanently promoted. + PROBATIONAL APPOINTMENT :...applies to this posting will be interviewed. The hiring supervisor /manager has90 days from the closing dateof the announcement… more
- Sedgwick Government Solutions (Charleston, SC)
- Job Details Supervisor RN Telephonic Triage Nurse Case Manager (Remote) 2025-1397 Charleston, SC, USA Medical Case Management Full Time Description **Overview** ... **RN Telephonic Triage Nurse Case** **Manager Supervisor ** **- Remote Nationwide**...formats, and provide 24-hour follow-up to all communication + Prior to hiring and training you must be able… more
- Reliance Home Health Caregivers (Naperville, IL)
- …any events or activities in the office. The ideal candidate will have prior administrative experience working in an office supporting multiple levels of employees. ... at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Reliance Home Health Caregivers has the… more
- Louisiana Department of State Civil Service (Kinder, LA)
- …patients and/or clients. LEVEL OF WORK: Entry. SUPERVISION RECEIVED: Close from a Registered Nurse Supervisor A or B, but may receive supervision from other ... REGISTERED NURSE 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4780542) Apply...employee may be required to serve a trial detail prior to being permanently promoted + TEMPORARY JOB APPOINTMENT:… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- …patients and/or clients. LEVEL OF WORK: Entry. SUPERVISION RECEIVED: Close from a Registered Nurse Supervisor A or B, but may receive supervision from other ... REGISTERED NURSE 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4776430) Apply...employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT:… more
- Louisiana Department of State Civil Service (Angie, LA)
- …patients and/or clients. LEVEL OF WORK: Entry. SUPERVISION RECEIVED: Close from a Registered Nurse Supervisor A or B, but may receive supervision from other ... REGISTERED NURSE 1, 2 or 3 (WAE) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4777670)...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)
- PRACTICAL NURSE -LICENSED 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4776460) Apply PRACTICAL NURSE -LICENSED 1, 2, OR 3 ... has a Special Entrance Rate at each level Practical Nurse -Licensed 1 has an SER of $19.48 per hour....employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT:… more
- Louisiana Department of State Civil Service (Kinder, LA)
- PRACTICAL NURSE --LICENSED, 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4780632) Apply PRACTICAL NURSE --LICENSED, 1, 2, OR ... 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 Practical Nurse -Licensed 1 has an SER of $19.48 per hour.… more
- Louisiana Department of State Civil Service (Angie, LA)
- PRACTICAL NURSE - LICENSED 1, 2, or 3 (WAE)...license, or DD-214 must be verified by official documentation prior to hire. + Any qualifying experience that is ... Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4777549) Apply PRACTICAL NURSE - LICENSED 1, 2, or 3 (WAE) Salary $2,784.00 - $5,009.00… more
- Veterans Affairs, Veterans Health Administration (Bradenton, FL)
- …from 1/27/2025. This announcement has been amended to remove the telework/remote authorization . As a Licensed Independent Provider, the Nurse Practitioner ... Extended Care Service is seeking an experienced and dynamic Nurse Practitioner (NP) to work in our Home Based...(Note: Work schedules are determined and approved by the supervisor . The incumbent may be required to work various… more
- Walgreens (Deerfield, IL)
- …support, evaluating diagnoses and other clinical criteria to complete requests for prior authorization , specialty care specific to the department and patient ... specific department, other responsibilities as judgment or necessity dictate. + Reviews prior authorization criteria for specified payers related to defined… more
- Health First (Melbourne, FL)
- …(BSN preferred). o Applicants may apply, interview, and receive a contingent offer prior to receiving their Authorization to Test (ATT). o Applicants/new hires ... Registered Nurses (RN's) will participate in an individualized orientation and nurse residency upon starting at Health First. This individualized program offers… more
- Option Care Health (Washington, DC)
- …home setting and may act as the Supervisor in the absence of the Supervisor or Nurse Manager as applicable in accordance with state and federal regulations. ... Actively participates in facility process improvement program and assists Supervisor or Nurse Manager with chart audit...at least 1 year of experience as a registered nurse or recent graduate with prior experience… more
- Johns Hopkins University (Baltimore, MD)
- …locations of the GI practices in the Greater Baltimore region. The Nurse Practitioner works collaboratively within a multidisciplinary health team to optimize team ... comprehensive and age-appropriate care to both well and/or ill patients. The Nurse Practitioner educates patients and/or intervenes in acute or chronic illness, as… more
- Johns Hopkins University (Washington, DC)
- …as well as the ambulatory locations of the GI practices. The Nurse Practitioner works collaboratively within a multidisciplinary health team to optimize team ... comprehensive and age-appropriate care to both well and/or ill patients. The Nurse Practitioner educates patients and/or intervenes in acute or chronic illness,… more
- Mayo Clinic (Rochester, MN)
- …ahead of a provider visits, researching prescription discrepancies, and/or facilitating prior authorization denials. The LPN collaborates daily with providers, ... assigned patients under the direct supervision of the registered nurse (RN) or other assigned supervisor and...the registered nurse (RN) or other assigned supervisor and accepts delegation from the RN/assigned supervisor… more
- Centene Corporation (Oklahoma City, OK)
- …**Join us in making a difference-apply today!** **Position Purpose:** Supervises Prior Authorization , Concurrent Review, and/or Retrospective Review Clinical ... communication between utilization management team, members, and providers + Monitors prior authorization , concurrent review, and/or retrospective clinical review… more
- BAYADA Home Health Care (Gaithersburg, MD)
- **BAYADA Home Health Care** is seeking a full-time **Registered Nurse (RN),** **Physical Therapist (PT), Occupational Therapist (OT) or Speech Language Pathologist ... Physical Therapist, Occupational Therapist or Speech Language Pathologist should have prior experience in Medicare Home Health. This position offers the successful… more
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