- Humana (Cincinnati, 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 ... services or forward requests to the appropriate stakeholder. The Pre- Authorization Nurse 2 work assignments are varied...Qualifications - What it takes to Succeed** + Licensed Registered Nurse (RN) in the state of… more
- Staffing Solutions Organization (Augusta, ME)
- Registered Nurse - Authorization ...business rules and workflow policies. + Work with the Prior Authorization unit staff members to monitor ... reflection of our clients and the people they serve. ** Registered Nurse - Authorization Review...week onsite in Augusta.** **Position Duties:** + Manage medical Prior Authorizations (PA) as assigned by the PA supervisor,… more
- Molina Healthcare (Phoenix, AZ)
- **_For this position we are seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review/ Utilization Review / Utilization ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… 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. +...Education** Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse… more
- Louisiana Department of State Civil Service (Kinder, LA)
- REGISTERED NURSE 1, 2, OR 3...employee may be required to serve a trial detail prior to being permanently promoted. + PROBATIONAL APPOINTMENT: Current ... Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4567658) Apply REGISTERED NURSE 1, 2, OR 3 Salary...license, or DD-214 must be verified by official documentation prior to hire. + Any qualifying experience that is… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE 1, 2, or 3...employee may be required to serve a trial detail prior to being permanently promoted. + PROBATIONAL APPOINTMENT: Current ... Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4448909) Apply REGISTERED NURSE 1, 2, or 3 Salary Depends on Qualifications Location St.… more
- Select Medical (Frisco, 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
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist/Payor Relations Specialist - This is an** **onsite** ... and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
- Commonwealth of Pennsylvania (PA)
- …(CBIC). + This position requires active authorization to practice as a Registered Nurse in Pennsylvania. + All employees possessing an active temporary ... during the application process. All documents MUST be uploaded prior to the submission of your application. If you...possess active authorization to practice as a Registered Nurse in Pennsylvania; or do you… more
- Louisiana Department of State Civil Service (Angola, LA)
- REGISTERED NURSE --MANAGER Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4662651) Apply REGISTERED NURSE --MANAGER Salary ... employee may be required to serve a trial detail prior to being permanently promoted. This position has a...LEVEL OF WORK: Manager. SUPERVISION RECEIVED: General from a Registered Nurse Assistant Director of Nursing A… more
- Health First (Melbourne, FL)
- …your professional nursing career; Join Health First! PLEASE NOTE: You need only apply for the Registered Nurse (RN) - New to Practice position and do not need to ... members standing by to assist you. Job Summary: The Registered Nurse will be fully engaged in...Applicants may apply, interview, and receive a contingent offer prior to receiving their Authorization to Test… more
- Burrell Behavioral Health (Kansas City, MO)
- Job Description: Job Title: Registered Nurse Location: Kansas City, MODepartment: Recovery Services Employment Type: Full Time Shift: Monday - Monday - Friday ... all medical & medication records are up-to-date and accurate. Ensures appropriate prior authorization paperwork is completed for maintenance of client medication… more
- MD Anderson Cancer Center (Houston, TX)
- **SUMMARY** The primary purpose of the Advanced Practice Registered Nurse (APRN), in the Department of Hospital Medicine is to promote and maintain the health of ... coverage. **JOB COMPETENCIES** **APRN KEY FUNCTIONS** + Advanced Practice Registered Nurse in the Department of Hospital...Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board… more
- Veterans Affairs, Veterans Health Administration (Jacksonville, NC)
- …level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... place to cover any newborn care required beyond VA's authorization . Educated the Veteran on local and community resources...The Nurse II Maternity Care Coordinator (MCC) Registered Nurse (RN) is responsible for providing… more
- MD Anderson Cancer Center (Houston, TX)
- …area and patient population. **EXPERIENCE** Preferred: Experience as Advanced Practice Registered Nurse . Prior Medical Oncology experience. **LICENSURE ... for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board...Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board… more
- ACI Federal (Norfolk, VA)
- Registered Nurse - RN ACT EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment ... Augmentation team for unparalleled solutions in healthcare transformation. Description The Registered Nurse is responsible for providing nursing services for… more
- US Tech Solutions (LA)
- **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a hospital setting in a specialty area of the nursing field providing ... utilization management prior authorization reviews. Build strong direct relationships...as indicated by staffing and business needs. **Duties:** + ** Registered Nurse with current license in LA… more
- MD Anderson Cancer Center (Houston, TX)
- …employees and the public. The primary purpose of the Outpatient Advanced Practice Registered Nurse (APRN) in the Department of General Internal Medicine, ... for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board...Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board… more
- STG International (Bloomington, IN)
- THIS IS FOR A FUTURE OPENING Advanced Registered Nurse Practitioner (APRN)/ Physician Assistant (PA) STGi is currently seeking a Nurse Practitioner (NP) or ... to their need and learning capacity. + Assists the Registered Nurse to ensure all patient information...Scope of Practice/Collaborative Agreement with a state licensed physician prior to delivery of health care). + Current and… more
- North Shore Community Health (Gloucester, MA)
- Registered Nurse (Full Time) Gloucester, MA (http://maps.google.com/maps?q=302+Washington+Street+Gloucester+MA+USA+01930) Job Type Full-time Description This ... community healthcare delivery. We have an opening for a Registered Nurse . Under the general direction of...when needed within the scope of nursing practice, including prior authorization forms + Provides health education… more