- Aveanna Healthcare (Cedar Rapids, IA)
- …daytime hours + contribution to team shared on-call rotation. Position Overview The Admissions Registered Nurse ( RN ) works next to the Clinical Manager ... the client start of care Submit required documentation for prior authorization of client services as needed...PTO, Sick Time, and Paid Holidays Requirements: An active RN License in the state of application Valid CPR… more
- NORTH RANGE BEHAVIORAL HEALTH (Greeley, CO)
- …Peterson - Greeley, CO Salary Range $68900.00 - $103240.00 Salary Description Registered Nurse Crisis Stabilization Services Acute Treatment Unit Shift: Friday ... for effective care Qualifications About the Role: Crisis Stabilization Services: Registered Nurse Those who experience serious mental health symptoms… more
- Commonwealth Care Alliance (Boston, MA)
- …Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... **Required Knowledge, Skills & Abilities (must have):** + Experience with prior authorization and retrospective reviews + Proficiency reviewing clinical/medical… more
- Lucile Packard Children's Hospital (Palo Alto, CA)
- …of abuse/neglect activity, and mobility. * Performs the following procedures as directed by Registered Nurse ( RN )/ Nurse Practitioner (NP)/ Physician (MD) ... specific authorization and supervision of a licensed physician or nurse . Administers medication following approved procedures and only after verification of… more
- Luke Staffing (Yigo, GU)
- …+ **Licensure:** Current, full, active, and unrestricted license to practice as a Practical OR Registered Nurse in any one of the 50 States, the District of ... ** NURSE - REFERRAL MANAGEMENT** **SITE OF SERVICE:** +...+ Ensures Line of Duty paperwork is on file prior to authorization . + Verify eligibility of… more
- Commonwealth Care Alliance (Boston, MA)
- …Director of Utilization Management - Oversees clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... (must have): - Expertise in managing utilization review processes including prior authorization , concurrent and retrospective reviews - Demonstrated ability… more
- Stony Brook University (Stony Brook, NY)
- …with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation ... of care from initial assess point. Follows cases for authorization for in patient stay. + Staff review short...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN… more
- UCLA Health (Los Angeles, CA)
- …This position is responsible for reviewing and evaluating clinical documentation related to prior authorization requests for medical services. The UM Review ... efficient utilization of resources. Key Responsibilities: + Conducts clinical reviews of prior authorization requests to evaluate medical necessity and benefit… more
- Fallon Health (Worcester, MA)
- …Nurse in a clinical setting required. + 2 years' experience as a Utilization Management/ Prior Authorization nurse in a managed care payer preferred. + One ... in nursing required** **License/Certifications** + Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience** + A minimum of three… 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
- Centene Corporation (New York, NY)
- …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... **Must have a New York State nursing license.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and… more
- Mayo Clinic (Rochester, MN)
- …**This position is open to experienced nurses and new grad nurses.** The Ambulatory Care Registered Nurse ( RN ) is accountable for the delivery of direct ... of experience, will receive an extensive orientation program. The registered nurse ( RN ) is accountable...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
- Mayo Clinic (Rochester, MN)
- …Oncology Cancer Treatment which has 53 private spaces for medication administration. As a registered nurse ( RN ) in this collaborative role, you'll be an ... patients' lives every day. The primary role of the registered nurse ( RN ) in this...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
- Mayo Clinic (Rochester, MN)
- …**This position is open to experienced nurses and new grad nurses.** The Ambulatory Care Registered Nurse ( RN ) is accountable for the delivery of direct ... of experience, will receive an extensive orientation program. The registered nurse ( RN ) is accountable...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
- Mayo Clinic (Rochester, MN)
- …your future. **Responsibilities** Location: Mary Brigh Building, St. Marys Hospital Campus The Registered Nurse ( RN ) in the Radiology Pre/Post will use ... of experience, will receive an extensive orientation program. The registered nurse ( RN ) is accountable...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
- Mayo Clinic (Rochester, MN)
- …Competitive retirement package to secure your future. **Responsibilities** The Pain Medicine Registered Nurse ( RN ) works with adult patients experiencing ... nurse in this dynamic practice. The registered nurse ( RN ) is accountable...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
- Mayo Clinic (Rochester, MN)
- …expenses. + Retirement: Competitive retirement package to secure your future. **Responsibilities** **The registered nurse ( RN ) in the Internal Travel Team at ... be assigned to PCU or Med/Surg work units. The registered nurse ( RN ) is accountable...working in a team environment. + Computer skills required, prior experience with electronic medical record systems preferred. +… more
- Mayo Clinic (Rochester, MN)
- …to Mayo Clinic, regardless of experience, will receive an extensive orientation program. The registered nurse ( RN ) is accountable for the coordination of ... months of practice experience, hired into a scheduled FTE Registered Nurse position on the Rochester campus...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
- Mayo Clinic (Rochester, MN)
- …to Mayo Clinic, regardless of experience, will receive an extensive orientation program. The registered nurse ( RN ) is accountable for the coordination of ... months of practice experience, hired into a scheduled FTE Registered Nurse position on the Rochester campus...at Mayo Clinic is required. All entry-level associate degree registered nurses with a RN start date… more
- Mayo Clinic (Rochester, MN)
- …to Mayo Clinic, regardless of experience, will receive an extensive orientation program. The registered nurse ( RN ) is accountable for the coordination of ... months of practice experience, hired into a scheduled FTE Registered Nurse position on the Rochester campus...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
