- Intermountain Health (Trenton, NJ)
- **Job Description:** The Pre-Access Prior Authorization RN provides timely review of authorization requests and/or review of denials to ensure medical ... to verify, prepare and compile necessary clinical documentation required and initiate prior authorization , pre-determination and/or dispute denials via retro … more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance management with various ... and providing patients with the IM Letter from Medicare prior to discharge. **Responsibilities** A day in the life...day in the life of an Integrated Case Management Specialist at Hackensack Meridian _Health_ includes: 1. In collaboration… more
- CVS Health (Trenton, NJ)
- …the following: Licensed Clinical Social Worker (LCSW), Registered Nurse ( RN ), Clinical Nurse Specialist (CNS), Licensed Clinical Psychologist (LCP) - ... 4+ years demonstrated experience in managed care Utilization Management to include prior authorization , concurrent review OR demonstrated experience in providing… more