- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. ... This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that...make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin,… more
- Hunterdon Health Care System (Flemington, NJ)
- …conducted through the application of evidence-based criteria or guidelines, and through authorization / prior authorization under the provisions of an ... Degree in nursing OR if Associates Degree or Diploma, RN must provide proof of enrollment in a BSN...must provide proof of enrollment in a BSN program prior to hire, be continuously enrolled and complete within… more
- Centene Corporation (New York, NY)
- …Provides first level RN review for all outpatient and ancillary prior authorization requests for medical appropriateness and medical necessity using ... NYS Driver's License or Identification card.** **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all outpatient and… more
- Medtronic (Manhattan, NY)
- …more of the following fields: + Certified Diabetes Care and Education Specialist (CDCES) + Registered Nurse ( RN ) + Registered Dietitian (RD) + Physician ... (CDE) or Certified Diabetes Care and Education Specialist (CDCES) preferred. + Prior sales experience. + Experience utilizing Microsoft Office Products: Word, Excel,… more