- MUSC (Lancaster, SC)
- …SummaryWe are looking for a scrub-wearing, baby-monitoring, parent-teaching, compassionate mother-baby Registered Nurse . Does this sound like you? If so, ... nursing and a minimum of one year of work experience as a Registered Nurse required. Bachelor of Nursing degree preferred.Required Licensure, Certifications,… more
- A-Line Staffing Solutions (Dallas, TX)
- …RN Care Manager, CCM, InterQual, ICD-10, Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, ... Full time Case Manager Nurse RN openings in the Dallas, TX 75244...Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization , Patient Counselor, Healthcare, Inbound Calls, Outbound… more
- A-Line Staffing Solutions (San Antonio, TX)
- …Pay Rate Keywords: CCM, InterQual, ICD-10, Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, ... Full time Case Manager Nurse RN openings in the San Antonio, TX...Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization , Patient Counselor, Healthcare, Inbound Calls, Outbound… more
- A-Line Staffing Solutions (Shaker Heights, OH)
- …Coding, BSN, Medical Management, Utilization Review , Utilization Management, Waiver Program, Registered Nurse , MCO, RN, Nurse , Managed Care, Medical ... Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, … more
- A-Line Staffing Solutions (Mcallen, TX)
- …Hours! Monday through Friday, 40 hours per week Competitive Pay Rate! Keywords: RN, Registered Nurse , BSN, MSN, ADN, Case Manager, Utilization Manager, UR, UM, ... Utilization Review , Case Management, Medicare, Medicaid, CMS, URAC, Rx, CCM,...Medical Customer Service, Healthcare, Inbound Calls, Outbound Calls, RN, Registered Nurse , BSN, MSN, ADN, Case Manager,… more
- A-Line Staffing Solutions (Irving, TX)
- …and inventory control. Tasks are subject to sequential or final verification by a registered nurse or a registered pharmacist. Supports and adheres to ... A-Line! Description: The Pharmacy Tech, under direct supervision of a registered pharmacist working within a licensed pharmacy, performs the technical, nonjudgmental… more
- A-Line Staffing Solutions (Tampa, FL)
- …Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, HMO, ... Keywords: Long Term Support Services, LTSS, LCSW, LCPC, LSW, LPC, Concurrent Review , Retrospective Review , CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid,… more
- A-Line Staffing Solutions (Haverhill, FL)
- …Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, HMO, ... Keywords: Long Term Support Services, LTSS, LCSW, LCPC, LSW, LPC, Concurrent Review , Retrospective Review , CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid,… more
- Public Consulting Group (Augusta, ME)
- **Overview** ** Registered Nurse - Health Services Consultant** ** Authorization Review - Office of MaineCare Services in Augusta, ME** This role will be ... by the PA supervisor, utilizing PA software tools; + Review and authorize provider requests for the following services...to develop and implement corrective actions. **Minimum Qualifications:** + Registered Nurse and three (3) years of… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …and/or elective surgical cases preferred. Essential Qualifications * Current licensed LPN or Registered Nurse (RN) with state licensure. Must retain active and ... BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE 1, 2, or 3 Print...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4448909) Apply REGISTERED NURSE 1, 2, or 3 Salary...appointed from this announcement, I also understand that this authorization will remain valid for the duration of my… more
- Louisiana Department of State Civil Service (Homer, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4532184) Apply REGISTERED NURSE 1, 2, OR 3 Salary...appointed from this announcement, I also understand that this authorization will remain valid for the duration of my… more
- Intermountain Health (Murray, UT)
- …Marketplace Qualified Health Plans and commercial health plans. Utilization review behavior health professional proactively manage inpatient and outpatient ... evidence-based guidelines (eg InterQual) and medical policies with prior authorization and concurrent reviews and follows the applicable regulatory guidelines… more
- MD Anderson Cancer Center (Houston, TX)
- …professionals, employees and the public. The primary purpose of the Advanced Practice Registered Nurse (APRN) in the Department of General Internal Medicine, ... Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003.… more
- MyFlorida (Jacksonville, FL)
- REGISTERED NURSE SPECIALIST - 64048033 Date: Jun 6, 2024 Location: JACKSONVILLE, FL, US, 32256 TALLAHASSEE, FL, US, 32399 ORLANDO, FL, US, 32803 MIAMI, FL, US, ... . Requisition No: 828728 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64048033 Pay Plan: Career Service… 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 ... as indicated by staffing and business needs. **Duties:** + ** Registered Nurse with current license in LA...a minimum of 1 year in utilization management/ prior authorization review experience. **Experience** : Utilization Management.… more
- AdventHealth (Tampa, FL)
- …Center. **The rol** **e you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing patient ... to the Physician Advisor or designated leader for additional review as determined by department standards. Additionally, the UM.... Current and valid license to practice as a Registered Nurse (ADN or BSN) required. .… more
- Arc Jefferson - St. Lawrence (Canton, NY)
- Registered Nurse (RN) - St. Lawrence County - SIGN ON BONUS Job Details Job Location St.Lawrence County - Canton, NY Salary Range $29.36 - $39.34 Hourly ... - Licensed and registered with NYS Education Department as a Registered Professional Nurse . Minimum Qualifications -Will accept GN (Graduated Nurse… more
- HCA Healthcare (Tampa, FL)
- …Hospital have the opportunity to make a real impact. As a(an) Behavioral Health Intake Registered Nurse you can be a part of change. **Benefits** HCA Florida ... for your patients as a (an) Behavioral Health Intake Registered Nurse . We want your knowledge and...collaborate medical treatment with third party payers and utilization review department to qualify patients for current or continued… more
- Louisiana Department of State Civil Service (Jackson, LA)
- REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4558012) Apply REGISTERED NURSE SUPERVISOR A Salary ... which can be used for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + IMPORTANT: In the supplemental… more
