- Humana (Madison, WI)
- …and help us put health first** Ready to make a real impact? As our Pre- Authorization Nursing Supervisor, you'll lead the way in helping members get the care they ... closely with a great team to keep things running smoothly. If you're a nurse who loves collaborating, problem-solving, and making a difference, this is a fantastic… more
- UCLA Health (Los Angeles, CA)
- …prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and established guidelines to determine ... Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. This… more
- Fallon Health (Worcester, MA)
- …in a clinical setting required. * 2 years' experience as a Utilization Management/Prior Authorization nurse in a managed care payer preferred. * One year ... is 3 months temporary contract position for a Prior Authorization RN.** **About us:** Fallon Health is a company...Twitter and LinkedIn. **Brief summary of purpose:** The PA Nurse uses a multidisciplinary approach to review service requests… more
- US Tech Solutions (May, OK)
- …prior authorizations following policy and procedure. + * Provide on-call after hours nurse availability for urgent PA requests. + * Provide internal nurse ... healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each...by the PA leadership team. **Education:** **The Licensed Practical Nurse is a graduate of a school of Practical… more
- Actalent (Baton Rouge, LA)
- Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse plays a critical role in analyzing prior authorization requests to ... medical care. Responsibilities + Perform medical necessity and clinical reviews of authorization requests to determine the appropriateness of care in accordance with… 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 with providers and...indicated by staffing and business needs. **Duties:** + **Registered Nurse with current license in LA state of employment.… more
- US Tech Solutions (May, OK)
- …prior authorizations following policy and procedure. + Provide on-call after hours nurse availability for urgent PA requests. + Provide internal nurse ... other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on each prior … more
- Roper St. Francis (Ladson, SC)
- …reasonable accommodation. Licensing/Certification + New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 days of ... as new opportunities arise._ Primary Function/General Purpose of Position The Registered Nurse 's primary function is to plan, provide, supervise, and coordinate care… more
- Roper St. Francis (Ladson, SC)
- …experience is desired. **Licensure/Certification:** New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 days of ... a different territory as new opportunities arise._ **Job Summary:** The Registered Nurse 's primary function is to plan, provide, supervise and coordinate care to… more
- Actalent (St. Louis, MO)
- Remote Clinical Review Nurse - Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are ... seeking an experienced Registered Nurse to join our team within a leading Managed...environment. Key Responsibilities + Conduct clinical reviews of prior authorization requests for medical services, procedures, and medications. +… more
- Roper St. Francis (Mount Pleasant, SC)
- …reasonable accommodation. **Licensing/Certification** New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 days of ... standards and practices in accordance with the South Carolina Nurse Practice Act. To apply professional nursing theory and...other RNs must be currently licensed as a Registered Nurse in the state of South Carolina or holds… more
- Roper St. Francis (Mount Pleasant, SC)
- …clinical experience.** **Licensure/Certification:** New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 days of ... other RNs must be currently licensed as a Registered Nurse in the state of South Carolina or holds...or holds a current compact/multi-state license as a Registered Nurse in a recognized NCSBN Compact State and is… more
- Roper St. Francis (Mount Pleasant, SC)
- …reasonable accommodation. **Licensing/Certification** New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 days of ... standards and practices in accordance with the South Carolina Nurse Practice Act. To apply professional nursing theory and...other RNs must be currently licensed as a Registered Nurse in the state of South Carolina or holds… more
- Fallon Health (Worcester, MA)
- …Updates authorization information in QNXT because of determinations made by Authorization Coordinators, Nurse Reviewers and/or Nurse Care Specialists. + ... : Under the direction of the Manager of Prior Authorization , communicates with contracted and non-contracted facilities/agencies/providers to collect pertinent… more
- Maryland Treatment Centers, Inc. (Rockville, MD)
- …the state where employed to practice in family health by the Board of Nurse Examiners. * Prescriptive authorization . * Experience providing care in substance ... We are looking for a licensed nurse practitioner to join our growing team of...patients' functioning over time. To be successful as a nurse practitioner, you should be empathetic but resolute in… more
- Maryland Treatment Centers, Inc. (Baltimore, MD)
- …the state where employed to practice in family health by the Board of Nurse Examiners. * Prescriptive authorization . * Experience providing care in substance ... Baltimore at 3800 Frederick Avenue. Position Overview: The Family Nurse Practitioner (FNP) will provide comprehensive healthcare services to...of the research team. To be successful as a nurse practitioner, you should be empathetic but resolute in… more
- UTMB Health (Galveston, TX)
- …Texas + Current NNP-BC certification from the National Certification Corp (NCC) Board of Nurse Examiners + Full authorization to practice by the Texas Board of ... Neonatal Nurse Practitioner, Pediatric Neonatology - Galveston **Galveston, Texas,...full scope of practice in compliance with the Texas Nurse Practice Act with acknowledgement of off-site collaborating physician… more
- Defense Health Agency (North Liberty, NC)
- …required Candidate must have a current, active, valid, certificate, unrestricted license, or authorization to practice as a Nurse Practitioner in a US State, ... Medical Center in Fort Liberty, NC. This is an employed civilian Nurse Practitioner (Neonatal) position that affords job security, a competitive salary, bonuses,… more
- Commonwealth of Pennsylvania (PA)
- …& ELIGIBILITY QUALIFICATIONS Necessary Special Requirements: + This position requires active authorization to practice as a Registered Nurse in Pennsylvania. + ... refer to ourFAQ page (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) . + Yes 02 Registered Nurse - Do you possess active authorization to… more
- Commonwealth of Pennsylvania (PA)
- …& ELIGIBILITY QUALIFICATIONS Necessary Special Requirements: + This position requires active authorization to practice as a Registered Nurse in Pennsylvania. + ... refer to ourFAQ page (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) . + Yes 02 Registered Nurse - Do you possess active authorization to… more