- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Pre- Authorization Nurse 2 reviews prior authorization requests for appropriate ... and approves services or forward requests to the appropriate stakeholder. The Pre- Authorization Nurse 2 work assignments are varied and frequently require… more
- CVS Health (Austin, TX)
- …Position Summary You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Caremark Specialty ... Medical Prior Authorization department. Reporting to the Pharmacy...PA leadership team. Required Qualifications + Active Licensed Practical Nurse in the state of Texas + Prior… 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
- Health First (Melbourne, FL)
- …(BSN preferred). o Applicants may apply, interview, and receive a contingent offer prior to receiving their Authorization to Test (ATT). o Applicants/new hires ... Registered Nurses (RN's) will participate in an individualized orientation and nurse residency upon starting at Health First. This individualized program offers… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader ofpositive change. The Clinical Research Nurse is responsible for coordinating and overseeing clinical operations of a clinical ... Patient Care in clinical research studies. The Clinical Research Nurse carries out the research and works under the...for feasibility and evaluates potential competition with other protocols prior to submitting study + Reviews study with principal… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader ofpositive change. The Oncology Clinical Research Nurse Solid Divisionis responsible for coordinating and overseeing clinical operations of a ... and evaluating Compliant Patient Care in clinical research studies. The Clinical Research Nurse carries out the research and works under the general supervision of… more
- State of Nevada (NV)
- …patients for medication side effects and/or allergic reaction, and processing prior authorization requests. Responsibilities may also include monitoring and ... PSYCHIATRIC NURSE 2 APPROXIMATE ANNUAL SALARY - $76,608.72 to...degree in nursing is equivalent to a diploma or Associate 's degree in nursing and one year of experience.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The Clinical Research Nurse is responsible for coordinating and overseeing clinical operations of a clinical ... Patient Care in clinical research studies. The Clinical Research Nurse carries out the research and works under the...for feasibility and evaluates potential competition with other protocols prior to submitting study + Reviews study with principal… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The Clinical Research Nurse is responsible for coordinating and overseeing clinical operations of a clinical ... Patient Care in clinical research studies. The Clinical Research Nurse carries out the research and works under the...for feasibility and evaluates potential competition with other protocols prior to submitting study + Reviews study with principal… more
- University of Rochester (Rochester, NY)
- …patients. Additional responsibilities include call triage, disability paperwork, and prior authorization documentation. Time management and good organization ... physician directors. **Qualifications** Bachelor in Nursing required; if currently an Associate 's Degree RN, nurse has 5 years to complete the BSN. Three to Five… more
- Independent Health (Buffalo, NY)
- …Quality, Professional Utilization Management Services: (Medical necessity review for prior authorization , pre-certification, concurrent, as well as pre-claim ... benefits and commitment to diversity and inclusion. **Overview** The Utilization Review Nurse (URN) performs clinical review to determine the medical necessity of… more
- LifePoint Health (Sanford, NC)
- …Ability to operate basic lab equipment, perform and document results 6. Obtain prior authorization of medications, testing and procedures 7. Knowledge of current ... protected by applicable federal, state or local law. *Required Education*: Associate 's degree is required Bachelor's degree is preferred *Required Certification: *… more
- Hackensack Meridian Health (Neptune, NJ)
- …Center: **Responsibilities** A day in the life of a **Clinical Research Nurse ** at Hackensack Meridian _Health_ includes: + Assures that all protocol revisions, ... of studies for feasibility and evaluates potential competition with other protocols prior to submitting study. + Reviews study with principal investigator and/or… more
- Beth Israel Lahey Health (Needham, MA)
- …care for patients from referral/consultation to discharge /follow up. Assists with pre- authorization process. + Serves as contact and facilitator to receive consults ... facilities (hospitals, rehabilitation centers, physician offices). **Required Qualifications:** + Associate 's degree in Nursing required. Bachelor's degree in Nursing… more
- Beth Israel Lahey Health (Boston, MA)
- …for patients from referral/consultation to discharge /follow up. Assists with pre- authorization process. 2. Serves as contact and facilitator to receive consults ... facilities (hospitals, rehabilitation centers, physician offices). **Required Qualifications:** 1. Associate 's degree in Nursing required. Bachelor's degree in Nursing… more
- Reliance Home Health Caregivers (Naperville, IL)
- …any events or activities in the office. The ideal candidate will have prior administrative experience working in an office supporting multiple levels of employees. ... + A high school diploma or equivalent is required; Associate degree preferred + Three years of previous office...for any reason, with or without cause and without prior notice. I understand that no representative of Reliance… more
- Hackensack Meridian Health (Neptune, NJ)
- …/Radiation Oncology services in the HMH Health care system. This pertains to Prior Authorization for Oncology services, as well as various specialized services ... prior authorizations when needed in order to avoid technical denials for lack of prior authorization . Understand if payer rules governing when or if a … more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …Senate. The position is open rank in consideration of appointments at the Assistant, Associate or full Teaching Professor levels. Ranks of Associate or full ... and or scholarly activities that enhance instruction, thereby helping to produce the nurse leaders needed both statewide and nationally to work in the rapidly… more
- Northern Light Health (Bangor, ME)
- …in an intensive orientation that involves learning Psychiatric Nurse specific skills. Authorization to Test has been provided prior to hire and test date ... and timely age specific patient assessment(s) under the supervision of a registered nurse + Observes the nursing component of discharge plan with assigned registered… more
- Ascension Health (Austin, TX)
- …care or acute care), Family Nurse Pratitioner, or Adult or Adult/Gero Clinical Nurse Specialist with presciptive authorization . + This APRN or PA will be ... **Responsibilities** Ascension Seton is looking for an advanced practice nurse (ie, nurse practitioner or clinical ...Practitioner credentialed from the Texas Board of Nursing obtained prior to hire date or job transfer date required.… more