- Christus Health (Alamogordo, NM)
- …surgery and refer to Front Office Coordinator or Office Manager for insurance authorization . * Provide backup surgery scheduling. LPN : Performs patient care ... that patient results, x-rays, labs and procedure reports are in patient charts prior to seeing doctor. * Gather patient's vitals and complaints, document in patient… more
- CHRISTUS Health (Alamogordo, NM)
- …surgery and refer to Front Office Coordinator or Office Manager for insurance authorization . * Provide backup surgery scheduling. LPN : Performs patient care ... that patient results, x-rays, labs and procedure reports are in patient charts prior to seeing doctor. * Gather patient's vitals and complaints, document in patient… more
- CVS Health (Columbus, OH)
- …an MDO or a clinical setting + A LVN ( Licensed Vocational Nurse ) or LPN ( Licensed Practical Nurse ) that must hold an unrestricted license in ... You will provide processing and communication of Specialty medication prior authorization (PA) referrals reviewed by the...Qualifications** + 2 years of clinical experience as a LPN /LVN. + 1+ years of prior … more
- SUNY Upstate Medical University (Syracuse, NY)
- …and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care ... of activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance… more
- Centene Corporation (Tallahassee, FL)
- …Knowledge of utilization management processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required Pay ... ROTATIONAL WEEKENDS AND HOLIDAYS IN THE FUTURE.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and… more
- US Tech Solutions (May, OK)
- …+ * Complete other PA assignments as delegated by the PA leadership team. **Education:** **The Licensed Practical Nurse is a graduate of a school of ... colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate...time the program was completed by the applicant.** **Skills:** LPN , Prior auth **About US Tech Solutions:**… more
- Select Medical (Lakeway, TX)
- …A joint venture with Select Medical & Baylor Scott & White Health ** Prior Authorization Specialist -** **onsite only** **This position must work** **onsite** ... and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
- Molina Healthcare (Riverside, CA)
- …an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ) Program OR a bachelor's or master's ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility... Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN… more
- Staffing Solutions Organization (Augusta, ME)
- …services. **Licensing Requirements:** + Licensed as a Registered Professional Nurse or Licensed Practical Nurse ( LPN ) in the State of Maine as ... Registered Nurse - Authorization Review Augusta, ME...business rules and workflow policies. + Work with the Prior Authorization unit staff members to monitor… more
- Trinity Health (Rensselaer, NY)
- …+ Works in collaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system. + Maintains up-to-date ... knowledge of referral/payer prior authorization requirements, eligibility guidelines and documentation requirements. + Communicates insurance decisions to… more
- Baystate Health (Springfield, MA)
- …+ Monday - Friday + No weekends no holidays **LOCATION** : + Springfield, MA The Licensed Practical Nurse ( LPN ) functions under the supervision and ... **Position** Licensed Practical Nurse **SCHEDULE:**...related to outlier cases, long LOS cases or complicated prior authorization requests + Understand member insurance… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse ( LPN ) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse ( LPN /LVN) - Utilization ... will be required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE ( LPN...timely fashion. + The Contractor shall perform pre-cert and authorization of insurance pertaining to patient admission and surgical… more
- Actalent (Middletown, CT)
- … IN MIDDLETOWN CT (COMPETITIVE PAY$$) Job Description: Are you a dedicated and compassionate Licensed Practical Nurse ( LPN ) looking to make a meaningful ... Hard Skills: Proficiency in patient charting, rooming patients, phone triage, and prior authorization processes. - Soft Skills: Ability to thrive in a fast-paced… more
- University at Albany (Albany, NY)
- …Tue Sep 19 2023 Job Description: Vacancy #: WF230115 Apply by: Open Until Filled Title: Licensed Practical Nurse ( LPN ) - Temp Hourly Location: Student ... eligible to obtain a license to practice as a Licensed Practical Nurse in New...and provide appropriate professional nursing care per clinical guidelines prior to provider visit with patient: collects patient data,… more
- Catholic Health (Buffalo, NY)
- …from Overtime: Exempt: No Work Schedule: Days Hours: 8:00am to 4:00pm Summary: The Licensed Practical Nurse assigned to Sister's Health Center Neurology ... EXPERIENCE + One (1) year relevant current out-patient experience + Obtaining prior authorization experience preferred KNOWLEDGE, SKILLS AND ABILITY: +… more
- University of Colorado (Aurora, CO)
- Bilingual Medical Assistant (Health Care Tech I) or Bilingual Licensed Practical Nurse (Health Care Tech III) - 29406 University Staff **Description** ... of Nursing** **Job Title: Bilingual Medical Assistant (Health Care Tech I) or Bilingual Licensed Practical Nurse (Health Care Tech III)** **Specialty Areas:… more
- Washington County (Stillwater, MN)
- Licensed Practical Nurse - Correctional Health Unit -$3,000 hiring Incentive. Part Time/Full Time Print ... (https://www.governmentjobs.com/careers/washingtonmn/jobs/newprint/4669560) Apply Licensed Practical Nurse - Correctional Health Unit -$3,000 hiring… more
- Guthrie (Binghamton, NY)
- …for the coordinates Utilization Management (UM) processes and requirements for prior authorization /certification for reimbursement of patient care services. The ... LPN - Utilization Management (Days) Full Time Position...Utilization Reviewer: * Secures authorization as appropriate * Documents payer authorization … more
- Mayo Clinic (Rochester, MN)
- …+ Menopause/ Women's Sexual Health Clinic + Home Parenteral Nutrition + Breast Clinic The licensed practical nurse ( LPN ) provides nursing care to ... information ahead of a provider visits, researching prescription discrepancies, and/or facilitating prior authorization denials. The LPN collaborates daily… more
- US Tech Solutions (GA)
- …from distractions. You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Specialty Medical ... Prior Authorization department. Reporting to the Pharmacy Operations Manager, you...following policy and procedure. + Provide on-call after hours nurse availability for urgent PA requests. + Provide internal… more
