- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... prior authorization . + * Train and mentor...as delegated by the PA leadership team. **Education:** **The Licensed Practical Nurse is a graduate of a school… 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...customer service, admissions and pharmacy operations departments to communicate prior authorization status. You will also oversee… 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...an MDO or a clinical setting + A LVN ( Licensed Vocational Nurse) or LPN ( Licensed… more
- Molina Healthcare (Riverside, CA)
- For this position we are seeking a LVN ( Licensed Vocational Nurse) with experience in Prior Authorizations, Utilization Review / Utilization Management and ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
- Kilgore College (Kilgore, TX)
- …other syllabus for the course. + Attend team meeting/communicate with the Team Lead prior to clinical beginning and after completion. + Must alert the Team Lead when ... copy of grades to the Team Lead one day prior to the college deadline. Enter grades electronically if...Enter grades electronically if access provided. Minimum Qualifications: + Licensed Registered Nurse with a minimum of an Associate's… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, Maryland to ... pay period. Services will be required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW: + Initiate, perform and complete… more
- City of Lakeland (Lakeland, FL)
- …quality of work is expected, with employees using manufacturer's and licensed technical manuals/electronic/web-based reference material as a basis for proper repair ... expiration, time, and mileage with shop foremen. + Obtains shop foremen authorization before performing major or otherwise costly repairs. + Conducts research on… more
- City of Norfolk, Virginia (Norfolk, VA)
- …the time of submitting an application. + Must possess a valid Driver's License ( prior to employment start date). + Must successfully pass all entry level testing and ... be attached to your application + Valid Driver's License ( prior to employment start date). + Complete and recent...(DMV) report from the state in which you are licensed . This report should show driving history. This needs… more
- US Tech Solutions (Columbia, SC)
- …+ Bachelor's degree - Social Work, OR, Graduate of an Accredited School of Licensed Practical Nursing or Licensed Vocational Nursing. + Preferred Education: ... skill sets/qualities: I would love to have someone with prior insurance/utilization review experience, but I know that is...The nurse would work remotely from their home reviewing authorization requests from providers for home health visits or… more
- Diversicare Healthcare Services & Diversicare Ther (Oak Ridge, TN)
- …Difference_ . **Responsibilities** Key Responsibilities: Work under the supervision of a licensed vocational nurse or a registered professional nurse to perform ... the following duties: + After authorization by the facility's licensed nurse or...nursing facility's residents. + Take and record vital signs prior to administration of medications which could affect or… more
- The County of Los Angeles (Los Angeles, CA)
- …until the needs of the service are met and is subject to closure without prior notice. EXAM NUMBER: PH9035A-EA The LA County Board of Supervisors recently declared a ... to another treatment source such as a psychiatrist, a psychologist, a vocational or rehabilitation counselor, or another agency. Determines the duration of therapy,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …and ICD 10 codes required + 1 year of medical review and/or authorization experience preferred **Skills and Abilities** + Prefer knowledge of insurance, reinsurance, ... ICD, HCPCS and CPT preferred. **Licenses and Certifications** + Health Services\LPN - Licensed Practical Nurse - State Licensure currently licensed to practice… more
- Trinity Health (Darby, PA)
- …appeals in response to denied claims. **Qualifications:** + PA Registered Nurse or Licensed Vocational Nurse/ Licensed Practical Nurse and graduate of an ... working knowledge of basic coding guidelines for medical necessity and insurance authorization escalations and/or denials. + Awareness of how to navigate payer… more
- The County of Los Angeles (Los Angeles, CA)
- …to another treatment source such as a psychiatrist, a psychologist, a vocational or rehabilitation counselor, or another agency. Determines the duration of therapy, ... and to improve therapeutic treatment methods. May review treatment authorization requests from hospitals, contracted network and/or legal entity community-based… more
- LA Care Health Plan (Los Angeles, CA)
- …will be considered in lieu of direct patient care. At least 3 years of relevant Licensed Vocational Nurse (LVN) experience may be substituted for 2 years of RN ... physical health, behavioral health, social services, and MLTSS. Responsible for UM authorization functions for services requiring prior auths. Provides direction… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …authorized to practice nursing as a graduate nurse (GN) or graduate vocational nurse (GVN) pending the results of the licensing examination." This temporary ... authorization is not renewable and will expire the earliest...of Assaultive Behavior training including restraint and seclusion policies prior to assuming patient care responsibility. Will be under… more
- Boston Public Schools (Boston, MA)
- …serves about 800 adult students who want to learn English, participate in vocational training, or graduate from high school. The high school classes are held ... state and federal guidelines in order to be fully licensed and "Highly Qualified." Ability to meet the Standards...established by MA DESE ACLS as outlined above. Current authorization to work in the United States - Candidates… more
- The County of Los Angeles (Los Angeles, CA)
- …the need of the service are met and is subject to close without prior notice. EXAM NUMBER: b9035I-EA The LA County Board of Supervisors recentlydeclared a local ... to another treatment source such as a psychiatrist, a psychologist, a vocational or rehabilitation counselor, or another agency. + Determines the duration of… more
- State of Colorado (Pueblo, CO)
- …psychological services; psycho-social services; occupational therapy. educational and vocational rehabilitation services and recreation therapy. Patients are ... leave requests and other duties requiring supervisory input and/or authorization . Provides documentation to support recommended corrective and disciplinary actions,… more
- St. Luke's University Health Network (Allentown, PA)
- …health and community related services to meet a patient's physical, psychosocial, vocational , and health needs in a cost effective, outcomes-oriented and timely ... care. + Arranges for community services (including short and long-term placement) prior to discharge to meet patient's needs with recognition and documentation of… more