- SolutionHealth (Nashua, NH)
- …as instructed by the provider and assist with obtaining precertification/ authorization as needed.Successfully manage clinic flow rooming patients; assist in ... preparation for procedure and obtain appropriate authorizations/consents.Organize and maintain inventory of wound/ostomy supplies and medications.Inspect and maintain eye wash station supplies, office emergency kits, and refrigerator/freezer temperature log… more
- Aveanna Healthcare (Cedar Rapids, IA)
- …contribution to team shared on-call rotation. Position Overview The Admissions Registered Nurse (RN) works next to the Clinical Manager and/or Executive Director to ... and document the client start of care Submit required documentation for prior authorization of client services as needed based on client's pay sources Document any… more
- Genmab (Berkeley Heights, NJ)
- …Call CenterCollaborate with PSS Field Teams (Field Reimbursement Managers and Nurse Team) to ensure seamless communication and appropriate handoffs when ... limited to Medicare, Medicaid and commercial insurance carriers, Prior Authorization submissions/appealsUnderstanding of the healthcare industry, including both private… more
- NORTH RANGE BEHAVIORAL HEALTH (Greeley, CO)
- …- Greeley, CO Salary Range $68900.00 - $103240.00 Salary Description Registered Nurse Crisis Stabilization Services Acute Treatment Unit Shift: Friday and Saturday ... effective care Qualifications About the Role: Crisis Stabilization Services: Registered Nurse Those who experience serious mental health symptoms or substance use… more
- VanAlstyneTX LLC (Van Alstyne, TX)
- Staff Nurse (RN and LVN) We are seeking dedicated and compassionate Staff Nurses - Registered Nurses and Licensed Vocational Nurses to join our care team. You will ... BLS certification. Ability to pass a background check and drug screening. Authorization to work in the United States. Compassionate, dependable, and energetic… more
- Staffing Solutions Organization (Augusta, ME)
- …which is a reflection of our clients and the people they serve. **Registered Nurse - HIV Waiver Program in Augusta, ME** **Position Duties:** + Provide clinical care ... duties and responsibilities as may be assigned. **Minimum Qualification:** + Registered Nurse and three (3) years of progressively responsible experience in the… more
- Commonwealth Care Alliance (Boston, MA)
- …and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets CMS ... Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Medicaid Registered Nurse in Albany, NY** **Division of Program Development & Management (DPDM)** **Bureau ... **Basic Qualifications:** + Current license as a registered professional nurse in New York State Compensation for roles at...the US This position is not eligible for work authorization sponsorship including H-1B sponsorship) by SSO. Under the… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …BroadPath is seeking a highly motivated and results-oriented **Utilization Management (UM) Nurse ** . Our ideal **UM Nurse ** will ensure timely review ... with established policies. This role is responsible for reviewing authorization requests, conducting concurrent reviews, adhering to regulatory guidelines, meeting… more
- Tidelands Health (Murrells Inlet, SC)
- …and help people live better lives through better health!** **Physician Office Nurse (RN)** Are you passionate about quality and committed to excellence? Consider ... our healing mission to life each day. **A Brief Overview** The Physician Office Nurse (RN) is responsible for the provision of nursing care based on standards of… more
- Luke Staffing (Yigo, GU)
- ** NURSE - REFERRAL MANAGEMENT** **SITE OF SERVICE:** + Anderson Air Force Base, Guam + Full Time **POSITION QUALIFICATION/REQUIREMENTS:** + **Education:** Vocational ... Nurse Program OR Baccalaureate of Science in Nursing Program...Line of Duty paperwork is on file prior to authorization . + Verify eligibility of beneficiaries using Defense Eligibility… more
- Universities of Wisconsin (Oshkosh, WI)
- …MS Social Work: MSW Graduate Lecturer Positions: Minimum Education Requirements MSN Nurse Educator emphasis, Social Work, Kinesiology: PhD or other terminal degree ... DNP Family Nurse Practitioner, Nurse Anesthesia, and/or Psychiatric Mental...pre-employment screening which includes a criminal background check, work authorization , and verification of education. It will also require… more
- PharmaCord (Jeffersonville, IN)
- …patient's plan benefit coverage including the need for prior authorization , appeal, tier exception, and/or formulary exclusions Uses electronic resources ... to payers and HCPs to follow up on proper submission and/or outcome Coordinates nurse teach with field-based nurse educators, as applicable to program Supports… more
- Lucile Packard Children's Hospital (Palo Alto, CA)
- …specific authorization and supervision of a licensed physician or nurse . Administers medication following approved procedures and only after verification of ... and mobility. * Performs the following procedures as directed by Registered Nurse (RN)/ Nurse Practitioner (NP)/ Physician (MD) and records in the medical chart:… more
- PharmaCord (Lexington, KY)
- …and communicates patient's plan benefit coverage including the need for prior authorization , appeal, tier exception, and/or formulary exclusions. Serves as a subject ... to payers and HCPs to follow up on proper submission and/or outcome. Coordinates nurse teach with nurse educators, as applicable to program. Supports adherence… more
- Aveanna Healthcare (Denver, CO)
- …and flexibility in scheduling. This is a fantastic opportunity for a talented nurse looking to expand their footprint in the healthcare industry, truly increasing ... with internal and external customers Evaluate the quality and effectiveness of nurse practice and nursing services, analyzing appropriate data and information to… more
- PharmaCord (Jeffersonville, IN)
- …and communicate patients' plan benefit coverage, including any prior authorization , appeal, tier exception, or formulary exclusion requirements. Utilize electronic ... healthcare providers for follow-up. Support adherence services through the coordination of nurse follow-up, as applicable to the program. Identify and recommend peer… more
- Commonwealth Care Alliance (Boston, MA)
- …Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management ( Authorization ) Unit is primarily responsible for the evaluation of the ... and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and… more
- Stony Brook University (Stony Brook, NY)
- …with nurse case manager/social worker team regarding payer delays, authorization and denial notification. + Serve as a liaison between hospital departments ... team, who assist with transitional office operations. Individual works closely with Nurse Case Managers and Social Workers regarding payer delays, authorization … more
- Stony Brook University (Stony Brook, NY)
- …placed in the correct level of care from initial assess point. Follows cases for authorization for in patient stay. + Staff review short stay, long stay and complex ... with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation in the… more
