- Humana (St. Paul, MN)
- …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
- Mayo Clinic (New Prague, MN)
- …turn, you can build a long, successful career with Mayo Clinic. **Responsibilities** The registered nurse ( RN ) is accountable for the coordination of nursing ... entry-level associate degree registered nurses with a RN start date prior to April 1,...from each new employee's Form I-9 to confirm work authorization . **Recruiter** Savannah Utesch **Equal opportunity** As an Affirmative… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …enhance the overall operation of the department. * Guides member through the Prior Authorization and Appeals process. * Engage providers telephonically in ... Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health...of care between settings. Required Skills and Experience * Registered nurse with current MN license and… more
- Adecco US, Inc. (Minneapolis, MN)
- …authorizations submitted by providers within the designated turnaround times specified in the Prior Authorization List for all lines of business, including RMHP ... RMHP IFP, and NHP RAE Medicaid + When processing authorization requests, the Clinical Coordinator applies approved medical necessity...independent licensure as a LAC, LPC, LMFT, LSCW, or RN **in Colorado** + 4+ years directly serving individuals… more
- Actalent (Minnetonka, MN)
- …review. + Experience in acute care and nursing. + Proficiency in prior authorization processes. + Active, unrestricted RN license in the state of MN or ... Utilization Management Nurse Job Description As a Utilization Management ...care, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests. You… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National certification ... reviews of surgical and other procedures to confirm accurate perioperative pre- authorization and patient class order reconciliation process. Assesses compliance to… more
- Minnesota State (St. Paul, MN)
- …master's and doctoral. We offer flexible options customized for those who are currently registered nurses ( RN ) and for those who are not yet registered ... and/or hybrid course modalities. **Minimum Qualifications:** + Eligibility for unencumbered Minnesota RN licensure. Minnesota licensure must be obtained prior to… more