• Prior Authorization Licensed

    US Tech Solutions (May, OK)
    …+ * Complete other PA assignments as delegated by the PA leadership team. **Education:** **The Licensed Practical Nurse is a graduate of a school of ... colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate...time the program was completed by the applicant.** **Skills:** LPN , Prior auth **About US Tech Solutions:**… more
    US Tech Solutions (09/13/24)
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  • Prior Authorization Nurse

    CVS Health (Columbus, OH)
    …an MDO or a clinical setting + A LVN ( Licensed Vocational Nurse ) or LPN ( Licensed Practical Nurse ) that must hold an unrestricted license in ... be patient facing. You will provide processing and communication of Specialty medication prior authorization (PA) referrals reviewed by the Case Review Unit… more
    CVS Health (09/29/24)
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  • LVN Clinician: Prior Authorization

    Molina Healthcare (Riverside, CA)
    …an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ) Program OR a bachelor's or master's ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility... Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN more
    Molina Healthcare (08/28/24)
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  • Clinical Review Nurse - Prior

    Centene Corporation (Tallahassee, FL)
    …Knowledge of utilization management processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required Pay ... ROTATIONAL WEEKENDS AND HOLIDAYS IN THE FUTURE.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and… more
    Centene Corporation (09/28/24)
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  • Nurse Flex Tech - LPN Apprenticeship…

    Health First (Melbourne, FL)
    LPN program begins *The Apprentice will be eligible to transition to the Nurse Residency Program following graduation from the LPN Program and passing the ... in Nurse Tech role up to one (1) year after graduation from LPN /RN professional nursing program, until ATT ( Authorization to Test) is received and/or NCLEX… more
    Health First (08/23/24)
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  • Referral/ Authorization Specialist…

    Trinity Health (Rensselaer, NY)
    …+ Works in collaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system. + Maintains up-to-date ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Referral/ Authorization Specialist - Rensselaer - Remote ...knowledge of referral/payer prior authorization requirements, eligibility guidelines and documentation… more
    Trinity Health (09/26/24)
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  • Care Coordinator

    Summit Medical Consultants LLC (Denver, CO)
    …and Psychiatry to provide compassionate and coordinated care. DESCRIPTION Under supervision, the Licensed Practical Nurse acting as a Care Management ... Assisting in paperwork for discharge planning with facility staff + Provide support to remote triage team with completion of a variety of tasks including but not… more
    Summit Medical Consultants LLC (09/24/24)
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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 ... **Job Description:** This is a remote position and requires the ability to effectively...Prior Authorization department. Reporting to the Pharmacy Operations Manager, you… more
    US Tech Solutions (08/09/24)
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  • Reviewer I, Medical

    US Tech Solutions (Columbia, SC)
    …+ Bachelor's degree - Social Work, OR, Graduate of an Accredited School of Licensed Practical Nursing or Licensed Vocational Nursing. + Preferred Education: ... nurse would work remotely from their home reviewing authorization requests from providers for home health visits or...the state of hired, OR, active compact multistate unrestricted LPN license as defined by the Nurse more
    US Tech Solutions (09/13/24)
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  • Clinical Reviewer

    Kepro (Harrisburg, PA)
    …post-acute or rehabilitation environment required + Minimum of one year UR and/or Prior Authorization or related experience + Must be proficient in computer ... contract, work volume, and as directed by Kepro leadership. *Position is remote * Job Responsibilities: + Reviews and interprets patient records and compares against… more
    Kepro (09/26/24)
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