- Commonwealth Care Alliance (Boston, MA)
- …Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... **Required Knowledge, Skills & Abilities (must have):** + Experience with prior authorization and retrospective reviews + Proficiency reviewing clinical/medical… more
- Fallon Health (Worcester, MA)
- **Overview** **This is 3 months temporary contract position for a Prior Authorization RN .** **About us:** Fallon Health is a company that cares. We ... Nurse in a clinical setting required. * 2 years' experience as a Utilization Management/ Prior Authorization nurse in a managed care payer preferred. * One… more
- Humana (Boston, MA)
- …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
- Bear Mountain Health Care (Lowell, MA)
- …within scope of practice + Responsible for completing medication interchange and insurance prior to authorization as assigned + Ordering or arranging for ... Bear Mountain Healthcare has immediate openings for Registered Nurses looking to work in our Long...competency. Initiate the SBAR process and collaborate with the RN for assessment and recommendations. Documents the resident's condition… more
- Beth Israel Lahey Health (Burlington, MA)
- …clinical pharmacists, medical assistants, and a dedicated support staff, including prior authorization specialists. We also have an ACGME-certified endocrinology ... fellowship program and an Advanced Practice Provider fellowship program. We are faculty for UMass Chan-Lahey Medical School and encourage applications from those interested in teaching and academic inquiry. **Benefits** + Full-time position + Excellent on-call… more
- Beth Israel Lahey Health (Cambridge, MA)
- …well-being and as required for license renewal. **Minimum Qualifications:** + License Registered Nurse in the Commonwealth of Massachusetts required. + ... a job, you're making a difference in people's lives.** Reporting to the unit's Nurse Manager, the Wound Care Specialist- RN works collaboratively with members of… more
- Beth Israel Lahey Health (Boston, MA)
- …Associate's degree in Nursing required. Bachelor's degree in Nursing preferred. License Registered Nurse required., and Certificate 1 Basic Life Support ... and advocating for the health of patients, families, and communities. The Nurse Coordinator is responsible for coordinating care for patients receiving treatment in… more
- Beth Israel Lahey Health (Boston, MA)
- …degree in Nursing required. Bachelor's degree in Nursing preferred. 2. License Registered Nurse required., and Certificate 1 Basic Life Support required. ... for patients from referral/consultation to discharge /follow up. Assists with pre- authorization process. 2. Serves as contact and facilitator to receive consults… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …the highest quality care to the McInnis House patients by collaborating with the team RN . With direction from the team RN , the Respite Aide will offer clinical ... + Act as a member of the team of caregivers; collaborates with the team RN throughout the shift to determine appropriate work assignments and priorities, as well as… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …nursing department at the Barbara McInnis House (BMH). With direction from the team RN , the Respite Aide will offer clinical support services to the patients and ... as a member of the team of care givers + Collaborates with the team RN throughout the shift to determine appropriate work assignments and priorities, as well as… more
