• Prior Authorization RN

    Humana (Salt Lake City, UT)
    …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
    Humana (12/18/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (West Valley City, UT)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... , managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
    Molina Healthcare (11/23/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (West Valley City, UT)
    …, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. *… more
    Molina Healthcare (12/13/25)
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  • Lung Transplant Program Specialist

    University of Utah Health (Salt Lake City, UT)
    …that are integral to our mission. EO/AA_ Under the direction of the RN Nurse Coordinator and Transplant Management, the Transplant Program Specialist proactively ... for evaluation. Collaborates with Transplant Financial Coordinators to assure appropriate authorization obtained for patients prior to evaluation visit. +… more
    University of Utah Health (12/19/25)
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  • Cath/EP or Radiology Clinical Coordinator

    University of Utah Health (Salt Lake City, UT)
    …is to be obtained within 30 days of hire. + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire ... it in their chart. Instructs patient regarding their medications prior to the procedure. Orders new medications as needed,...work. + Verifies and obtains all insurance information ensuring pre- authorization is completed. + May see patients in the… more
    University of Utah Health (12/10/25)
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  • Case Management Assistant

    University of Utah Health (Salt Lake City, UT)
    …and supporting coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent interacts with representatives ... agencies and others as indicated. + Collaborates with social worker/ nurse case manager and others to confirm authorization...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS… more
    University of Utah Health (12/12/25)
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