- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... a screenshot of internet speeds with resume and provide license number. **Responsibilities:** Responsibilities include answering inbound phone calls,... prior authorization . + * Train and mentor… more
- CVS Health (Columbus, OH)
- …be patient facing. You will provide processing and communication of Specialty medication prior authorization (PA) referrals reviewed by the Case Review Unit ... in accordance with CVS/Caremark policies and procedures. + Refer prior authorization cases not meeting clinical criteria...+ A LVN (Licensed Vocational Nurse) or LPN (Licensed Practical Nurse) that must hold an unrestricted license… more
- Centene Corporation (Tallahassee, FL)
- …ROTATIONAL WEEKENDS AND HOLIDAYS IN THE FUTURE.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... interdepartmental teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine… more
- Molina Healthcare (Riverside, CA)
- …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. +...Registered Nursing (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) license in good standing… more
- Louisiana Department of State Civil Service (Homer, LA)
- …### Fax: ### Minimum Qualifications MINIMUM QUALIFICATIONS: Possession of a valid Louisiana license or temporary permit to practice practical nursing or a ... employee may be required to serve a trial detail prior to being permanently promoted. + PROBATIONAL APPOINTMENT: Current...No 02 Do you possess a temporary permit or license to practice PRACTICAL NURSING in Louisiana,… more
- Louisiana Department of State Civil Service (Jackson, LA)
- …### F: ### Minimum Qualifications MINIMUM QUALIFICATIONS: Possession of a valid Louisiana license or temporary permit to practice practical nursing or a ... employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT:...No 02 Do you possess a temporary permit or license to practice PRACTICAL NURSING in Louisiana,… more
- The Arora Group (Bethesda, MD)
- …education on the medical review process. + The Contractor performing as the License Practical Nurse (LPN) Utilization Reviewer (UR) shall make coverage decisions ... timely fashion. + The Contractor shall perform pre-cert and authorization of insurance pertaining to patient admission and surgical...record shelving. + Licensure: Current, full, active, and unrestricted license to practice as a practical or… more
- Baystate Health (Springfield, MA)
- …issues, specifically related to outlier cases, long LOS cases or complicated prior authorization requests + Understand member insurance products and benefits, ... **Position** Licensed Practical Nurse **SCHEDULE:** + Full time + Monday...benefits education, and HNE's medical policy requirements related to prior authorization requirements. + Interact with external… more
- University at Albany (Albany, NY)
- …Job Requirements: Minimum Qualifications: Candidates must possess or be eligible to obtain a license to practice as a Licensed Practical Nurse in New York State. ... Job Description: Vacancy #: WF230115 Apply by: Open Until Filled Title: Licensed Practical Nurse (LPN) - Temp Hourly Location: Student Health Services Salary: $20.35… more
- ManTech (Eglin AFB, FL)
- …in meeting their duties and responsibilities + Prepare, review, and update authorization packages + Ensure approved procedures are in place for clearing, sanitizing, ... Notify ISSM when changes occur that might affect the authorization determination of the information system(s) + Conduct periodic...firmware of a system with the ISSM and AO/DAO prior to the change + Monitor system recovery processes… more
- State of Colorado (CO)
- …with the Colorado Department of Corrections, you must obtain the appropriate Colorado license prior to starting employment. This process could take several weeks ... through classroom instruction to incarcerated individuals. The position will teach practical skills and promote self-discipline and motivation in order to guide… more
- Army National Guard Units (Cheyenne, WY)
- …minimum time-in service. DRIVER'S LICENSE : Must possess a valid driver's license . KNOWLEDGE, SKILLS and ABILITIES (KSAs): Practical knowledge of basic legal ... resume. Refer to Required Documents below for acronym titles. Prior service members: Submit a DD Form 214. Must...register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires that you be registered,… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Louisiana. If selected for the position, he/she will be required to obtain a Louisiana license prior to appointment. No Civil Service test score is required in ... the field, office, or laboratory in order to acquire practical experience for licensure. LEVEL OF WORK: Entry. SUPERVISION...position, you would be required to obtain a Louisiana license prior to the appointment. 12 If… more
- Sanford Health (Thief River Falls, MN)
- …in utilization or with CPT/ICD knowledge. Currently holds an unencumbered Licensed Practical Nurse (LPN) license with State Nursing board and/or possess ... appropriate, on medical necessity, level of care, length of stay, and authorization denials for hospitalized patients. Understand and provide insight into evaluating… more
- State of Colorado (CO)
- …a Bachelor's Degree in an education related field. + Must possess the appropriate educator license for your state (A copy of your license MUST be scanned and ... Colorado. You may be eligible for the Colorado Interim Authorization click HERE (https://www.cde.state.co.us/cdeprof/coloradoreciprocity) . IMPORTANT NOTE FOR OUT OF… more
- Martin's Point Health Care (Portland, ME)
- …of Licensed Practical Nurse program and an active, unrestricted LPN license required. + Basic Life Support (BLS) certification is required + Related experience ... patient response (with or without provider direction depending on license ) and document. + Perform prescription refill per protocols...organization. + MA's may be required to have an authorization by the state to perform needle injections and… more
- Ardon (Portland, OR)
- …to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection. ... and remove barriers to care. Maintains active Oregon Pharmacist license . Informs supervisor within 1 business day (and Oregon...scientific thinking to a wide range of intellectual and practical problems. Must be able to work independently as… more
- City and County of San Francisco (San Francisco, CA)
- …https://forms.gle/GA6V8HZ22sK9s9wY7 Applicants must complete the supplemental questionnaire prior to starting the online application process. Application ... you have an F1 student visa, the City will not sponsor the "optional practical training" requirement. All applicants must be able to demonstrate that they are… more
- Architect of the Capitol (Washington, DC)
- …the construction site, preparing designs, specifications and estimates. Conducts practical research applying theoretical knowledge of the fields of mechanical ... Contractor Oversight Serves as Contracting Officer's Technical Representative (COTR). Prior to project performance, reviews plans, specifications and cost estimates… more
- ACI Federal (Norfolk, VA)
- …LPN who has been employed with the City for over one year, and then attains an RN license , would be able to use their prior service as an LPN to count towards ... medical nursing care for patients. Provides daily nursing oversight of Licensed Practical Nurses. Reports to the Nursing Programs Manager or Medical Director as… more