- Select Medical (St. Charles, MO)
- …under applicable law. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/309063/ prior - authorization - specialist %28- rn ... Specialty Hospitals - St Louis** **Critical Illness Recovery Hospital** ** Prior Authorization Specialist / Payor...experience in third party reimbursement. + Must be a Registered Nurse ( RN ) or Licensed… more
- Health First (Rockledge, FL)
- …skills. **Job:** **Medical Management* **Organization:** **HF Administrative Plan Inc* **Title:** * Prior Authorization Nurse Specialist HFHP ... acute care setting is preferred. * Prior Authorization Experience is preferred. * RN or LPN with current unrestricted Florida Licensure. *PHYSICAL DEMANDS:*… 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...authorization requirements and processes. + Work in an RN role with patients in various Women's Health departments… 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
- STG International (Bloomington, IN)
- THIS IS FOR A FUTURE OPENING Advanced Registered Nurse Practitioner (APRN)/ Physician Assistant (PA) STGi is currently seeking a Nurse Practitioner (NP) or ... to their need and learning capacity. + Assists the Registered Nurse to ensure all patient information...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more
- Baptist Memorial (Memphis, TN)
- Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... education + Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Denial… more
- Ascension Health (Baltimore, MD)
- …Connect with your Talent Advisor for additional specifics._ **Responsibilities** Manage assigned Registered Nurse ( RN ) case managers, related activities and ... for complexcase management issues. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board of Nursing… more
- Catholic Health Initiatives (Woodbine, IA)
- …an accredited school of nursing required. **Required Licensure and Certifications** Active, unencumbered Registered Nurse license BLS required prior to hire ... within this community. **Responsibilities** **Job Summary / Purpose** The Registered Nurse works under the general supervision...reports to work on time + Completes CPR training prior to annual evaluation. + Adheres to all regulatory… more
- Catholic Health Initiatives (Missouri Valley, IA)
- …an accredited school of nursing required. Required Licensure and Certifications Active, unencumbered Registered Nurse license BLS required prior to hire ... within this community. **Responsibilities** **Job Summary / Purpose** The Registered Nurse works under the general supervision...reports to work on time + Completes CPR training prior to annual evaluation. + Adheres to all regulatory… more
- North Shore Community Health (Salem, MA)
- …+ Assists providers in providing care: procedures, injections, EKGs, referrals, prior authorization , specialty pharmacy, security, and documentation of ... Clinical Outreach and Recovery RN Care Manager Salem, MA (http://maps.google.com/maps?q=47+Congress+Street+Salem+MA+USA+01970) Job Type...trauma-informed care and harm reduction + Certified as a registered nurse with a minimum of 3… more
- Tarrytown Rehabilitation & Nursing Center (Everett, MA)
- …the recruitment/interview process for MDS and MMQ vacancies. Qualifications: + Licensed as a Registered Nurse in the State of Massachusetts + Three to Five years ... CLINICAL REIMBURSEMENT SPECIALIST / MULTI FACILITY We offer competitive compensation and...+ Demonstrated knowledge (Medicaid, Medicare) and case management process ( prior authorization and appeals) required + Ability… more
- Providence (Anaheim, CA)
- …in healthcare or insurance carrier setting. **Preferred Qualifications:** + Upon hire: Licensed Vocational Nurse or Registered Nurse License. + 1 year Home ... **Description** The Patient Services Specialist performs daily new referral patient benefits verification. Obtain all necessary authorization for all services… more
- University of Utah Health (Salt Lake City, UT)
- …trust that are integral to our mission. EO/AA_ Under the direction of the RN Nurse Coordinator and Transplant Management, the Transplant Program Specialist ... for evaluation. Collaborates with Transplant Financial Coordinators to assure appropriate authorization obtained for patients prior to evaluation visit. +… more
- HCA Healthcare (Dallas, TX)
- **Description** **Clinical Pharmacist Specialist BMT** **BMT Experience required** **PRN Position** **Introduction** Are you looking for a work environment where ... inclusion thrive? Submit your application for our Clinical Pharmacist Specialist BMT PRN opening with Medical City Dallas today...pharmacy Licenses/Certifications + Must have ONE of the following prior to the first day of employment: 1. Current… more
- PeaceHealth (Vancouver, WA)
- …hire.** **Job Summary** Responsible for receiving, processing and documenting referral or prior authorization requests from the clinical areas. Provides customer ... **Description** PeaceHealth is seeking a **Referral/Pre-Auth Specialist - Remote for a Full Time, 1.00...for the clinical areas and patients for referrals and prior authorizations. **Essential Functions** + Oversees the data entry… more
- Hackensack Meridian Health (North Bergen, NJ)
- …the CC to potential problems with any of the above. + If the authorization /precert information is missing or incorrect, the Specialist will contact admitting to ... and serve as a leader of positive change. The **Care Coordination Specialist ** performs selected services and functions related Transitions of Care & Utilization… more
- HCA Healthcare (San Antonio, TX)
- …4) Mandatory: Required prior to the first day of employment: Current Registered Pharmacist licensed by the Texas State Board of Pharmacy or Licensed pharmacist ... inclusion thrive? Submit your application for our Clinical Pharmacist Specialist Transplant opening with Methodist Hospital today and find...in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- University of Connecticut (UConn) (Storrs, CT)
- …and graduate programs. They will also research all state requirements for RN licensing and APRN licensing and credentialing to ensure incoming and current ... from all backgrounds. DUTIES AND RESPONSIBILITIES + Researches and investigates state RN and APRN licensing requirements. Maintains an up-to-date database of state… more
- VNS Health (Manhattan, NY)
- …Prepares records for physician review as needed. + Conducts review of requests for prior authorization of health services, as required in certain product lines, ... Fair Hearings. Attends Fair Hearings in person with the Grievance and Appeals' RN Specialist and presents arguments in defense of the appeals. + Works directly… more