- Humana (Albany, NY)
- …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
- Molina Healthcare (Albany, NY)
- 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 (Albany, NY)
- …, 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
- Trinity Health (Albany, NY)
- …electronically and send prescriptions to providers for review and submission. + Obtains prior authorization for diagnostic testing and medication and enters into ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** RN Clinical Lead - Albany Internal Medicine** If...the practice of the profession of nursing as a registered professional nurse is defined as diagnosing… more
- CDPHP (Latham, NY)
- …invites you to be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating the care ... and cost outcomes. In addition, the Medicaid Special Programs Registered Nurse Case Manager is responsible and...Manager is responsible and accountable for coordinating requests for prior authorization received via the telephone line,… more
- CDPHP (Latham, NY)
- …responsible for the clinical review and documentation for services requiring prior authorization . This includes approval determinations and appropriate ... nationally recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York State license required. +… more
- Trinity Health (Albany, NY)
- …ass needed **What you will need:** **Required:** + A current license to practice as a Registered Nurse ( RN ) in the State of New York + Associate's degree ... well as insurance companies to manage insurance verifications and prior authorizations + Continual review and authorization ...long term care facility or home care as a RN + Prior experience in case management… more
- Trinity Health (Albany, NY)
- …delivered when patients call with cardiac symptoms. Patient education via phone or nurse visits. Prescription refills, prior authorization for medicine. ... remote** If you are looking for a phone triage RN II position in a busy Cardiology Office, this...- Friday Office Hours **What you will do:** The ** Registered Professional Nurse ** has the responsibility and… more
- Saratoga Hospital (Saratoga Springs, NY)
- …level of care our patients and families deserve. In this role, the Telephone Triage Registered Nurse will work within the Patient Engagement Center to assist the ... Telephone Triage RN Salary Range: $33.65-$54.37/hr based on experience and...resources, linkages, and sources referral. What You Bring + Registered Nurse Required, BSN preferred + 3-5… more
- Albany Medical Center (Albany, NY)
- …and submit regulatory documents required by federal regulations to the Study sponsor/CRO prior tosite initiation and maintain during the course of the study a. 1572 ... ICF template and submitting to the sponsor for approval prior to IRB submission 10. Prepare for study site...in or conduct the informed consent process and HIPAA authorization , per AMC SOP, with research participants through discussion… more
- Philips (Albany, NY)
- …fit if:** + You've acquired 4+ years of experience as a Registered Nurse in a hospital environment. Prior clinical training and adult education delivery ... in Nursing degree or equivalent licensure to practice nursing ( Registered Nurse ); must be able to provide...and circumstances of each case. **Additional Information** US work authorization is a precondition of employment. The company will… more
- St. Mary's Healthcare (Amsterdam, NY)
- …care. Ensure rooms are neat, clean, and stocked. Rooms patients in preparation for nurse and physician. Breakdown, cleaning and setting up of exam rooms to ensure ... medications and documents allergies. Updates medications as instructed/approved by RN or Provider. Observes and communicates pertinent information and changes… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Ensures rooms are neat, clean, and stocked. + Rooms patients in preparation for nurse and physician. Breakdown, cleaning and set up of exam rooms to insure ... medications and documents allergies. Updates medications as instructed/approved by RN . Observes and communicates pertinent information and changes in patient's… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …as appropriate, documents cancellations and no-show of community appointments, refers to RN or MSA as appropriate for rescheduling. Effectively uses Consult Tracking ... Documents (REFDOC) as required for scheduling care. Enters CC authorization into Health Share Referral Manager (HSRM) database as...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more