- Public Consulting Group (Augusta, ME)
- **Overview** ** Registered Nurse - Health Services Consultant** ** Authorization Review - Office of MaineCare Services in Augusta, ME** This role will be ... by the PA supervisor, utilizing PA software tools; + Review and authorize provider requests for the following services...to develop and implement corrective actions. **Minimum Qualifications:** + Registered Nurse and three (3) years of… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …and/or elective surgical cases preferred. Essential Qualifications * Current licensed LPN or Registered Nurse (RN) with state licensure. Must retain active and ... BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE 1, 2, or 3 Print...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4448909) Apply REGISTERED NURSE 1, 2, or 3 Salary...appointed from this announcement, I also understand that this authorization will remain valid for the duration of my… more
- Louisiana Department of State Civil Service (Kinder, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4554708) Apply REGISTERED NURSE 1, 2, OR 3 Salary...appointed from this announcement, I also understand that this authorization will remain valid for the duration of my… more
- MD Anderson Cancer Center (Houston, TX)
- …professionals, employees and the public. The primary purpose of the Advanced Practice Registered Nurse (APRN) in the Department of General Internal Medicine, ... Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003.… more
- MyFlorida (Jacksonville, FL)
- REGISTERED NURSE SPECIALIST - 64048033 Date: Jun 6, 2024 Location: JACKSONVILLE, FL, US, 32256 TALLAHASSEE, FL, US, 32399 ORLANDO, FL, US, 32803 MIAMI, FL, US, ... . Requisition No: 828728 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64048033 Pay Plan: Career Service… 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 ... as indicated by staffing and business needs. **Duties:** + ** Registered Nurse with current license in LA...a minimum of 1 year in utilization management/ prior authorization review experience. **Experience** : Utilization Management.… more
- AdventHealth (Tampa, FL)
- …Center. **The rol** **e you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing patient ... to the Physician Advisor or designated leader for additional review as determined by department standards. Additionally, the UM.... Current and valid license to practice as a Registered Nurse (ADN or BSN) required. .… more
- Arc Jefferson - St. Lawrence (Canton, NY)
- Registered Nurse (RN) - St. Lawrence County - SIGN ON BONUS Job Details Job Location St.Lawrence County - Canton, NY Salary Range $29.36 - $39.34 Hourly ... - Licensed and registered with NYS Education Department as a Registered Professional Nurse . Minimum Qualifications -Will accept GN (Graduated Nurse… more
- HCA Healthcare (Tampa, FL)
- …Hospital have the opportunity to make a real impact. As a(an) Behavioral Health Intake Registered Nurse you can be a part of change. **Benefits** HCA Florida ... for your patients as a (an) Behavioral Health Intake Registered Nurse . We want your knowledge and...collaborate medical treatment with third party payers and utilization review department to qualify patients for current or continued… more
- Louisiana Department of State Civil Service (Jackson, LA)
- REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4558012) Apply REGISTERED NURSE SUPERVISOR A Salary ... which can be used for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + IMPORTANT: In the supplemental… more
- Walgreens (Deerfield, IL)
- …"An Equal Opportunity Employer, including disability/veterans". **Job ID:** 1405241BR **Title:** Registered Nurse (RN) Specialty - Remote **Company Indicator:** ... and other clinical criteria to complete requests for prior authorization , specialty care specific to the department and patient...degree in Nursing + Current license/registration as an RN ( Registered Nurse ) with the State Board of… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Registered Nurse - Pulmonary **Cost Center:** 301351262 Mfld-Pulmonary **Scheduled Weekly ... (United States of America) **Job Description:** **JOB SUMMARY** The Registered Nurse functions as a vital member...for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to… more
- Family Service Association - Fall River (Fall River, MA)
- …8:00 am - 4:00 pm, with no weekend or no major holiday shifts. The Registered Nurse (RN) monitors participant's health status and is responsible to complete ... between physician and participant for medical information and service authorization of participants. Obtain, review , and implement...Agency and/or supervisor. Education and Experience: + The ideal Registered Nurse (RN) must be licensed by… more
- Albany Medical Center (Albany, NY)
- …to ensure no scheduling or authorization needs are missed. Qualifications: + Registered Nurse (RN) licensure, preferred. Thank you for your interest in ... America) Salary Range: Min. $23.96/hr - Max $38.34/hr The Clinical Pre- Authorization Specialist will assist the Patient Engagement Center Liaison, Representatives… more
- Family Service Association - Fall River (Mashpee, MA)
- …Adult Day Health program Seaview in Mashpee, MA for a Part time (25 hours per week) Registered Nurse . The schedule is Monday through Friday 8:00 am - 1:00 pm The ... Registered Nurse is r esponsible for ensuring...between physician and participant for medical information and service authorization of participants. Obtain, review , and implement… more
- University of Miami (Miami, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Transfer Center/Bed Control Registered Nurse (RN) 2 delivers ... appropriate unit/bed assignment of patients based on a detailed review of admitting order sets, medications/interventions/infection isolation ordered, and Level… more
- McLaren Health Care (Detroit, MI)
- …duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse (RN) ⦁ Bachelor's degree in nursing from accredited ... peer reviews with payer/providers. 7. Actively participates in clinical case review /rounds with the interdisciplinary team regarding continued stays review /LOS… more
- McLaren Health Care (Detroit, MI)
- …implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in nursing from accredited ... peer reviews with payer/providers. 2. Actively participates in clinical case review /rounds with the interdisciplinary team regarding continued stays review /LOS… more
- Martin's Point Health Care (Portland, ME)
- …as a "Great Place to Work" since 2015. Position Summary Job Description The Utilization Review Nurse works as a member of a team responsible for ensuring the ... requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies...offerings. + Education/Experience: + Unrestricted state license as a Registered Nurse required; BSN preferred. + 3+… more