• TrackFive (Peterborough, NH)
    …telephone calls,assisting with scheduling, billing, obtaining prior authorization , andmaintaining medical records for the patients.TheRegistered Nurse ... is working with Infojini Healthcare to find a qualified Oncology RN in Peterborough, New Hampshire, 03458!About The PositionID: 53323460 Shift: Days… more
    Talent (06/06/25)
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  • NCH Healthcare System (Naples, FL)
    …service arrangements, processing, organizing, and obtaining insurance verification and/or prior authorization from insurance companies for discharge ... AND RESPONSIBILITIESOther duties may be assigned. . Assists the RN and SW Case Managers in the coordination of...effective functioning of the Case Management department. . Assists RN and SW Care Managers with the referral process… more
    Talent (07/17/25)
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  • TrackFive (Warren, MI)
    …Management Certification (ACM) - Required will accept if willing to obtain prior to startingUtilization Review - PreferredInsurance Authorization experience - ... the Best Staffing Firms to Work for. LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants,… more
    Talent (07/10/25)
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  • TrackFive (Clarksburg, WV)
    …is working with Infojini Healthcare to find a qualified Psych RN in Clarksburg, West Virginia, 26301!Pay Information$1,776 per weekAbout The PositionID: ... completed in West Virginia at least 7-10 business days prior to start. Traveler must be available to travel...skills checklist, Minimum 3 Manager/Charge References (within past 2yrs.), RN License verification (NURSYs pulled within 2 days of… more
    Talent (07/17/25)
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  • Teton Valley Health (Driggs, ID)
    …and other regulatory requirements, such as, DNV, OSHA, etc. The Director, as a Registered Nurse , practices in a surgical services specialty unit by providing ... families and other health care organizations assuring a seamless disposition. Assures prior authorization from insurance carriers for services rendered in… more
    Upward (07/17/25)
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  • Health eCareers (Monroe, MI)
    …options (eg, DAX Copilot) to support efficient chartingCentralized scheduling, in-basket, and prior authorization supportOn-call triage RN service 365 days ... a yearResource Pharmacists availableOnsite laboratory and imaging including x-ray, CT, MRI, ultrasound, echo, mammogramOnsite specialty services specific days of the week - Physiatry, Cardiology, MidWifery, Orthopedics and Occupational MedicineCompensation is… more
    Talent (06/22/25)
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  • Trusted Doctors (Columbia, MD)
    …Patient's protected health and financial information may not be disclosed without prior written authorization from the parent/guardian (or patient is he/she ... has reached majority). Maintains exam rooms with necessary supplies and materials. Ensures cleanliness of exam rooms. Assists in care and maintenance of supplies and equipment in clinical area. Performs related work as required. EDUCATION, QUALIFICATION AND… more
    Upward (07/04/25)
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  • TrackFive (Estes Park, CO)
    …and must possess a valid Colorado RN license or a valid multistate RN license through the Nurse Licensure Compact. . 1-2 years previous experience in ... working with Patterns LLC to find a qualified OR RN in Estes Park, Colorado, 80511!About The PositionSub Specialty(s):...knowledge and skills to act appropriately in the Charge Nurse Role. . Demonstrates knowledge and participates in education,… more
    Talent (07/19/25)
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  • Summit Health (Morristown, NJ)
    …@villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com. Job Description As a Registered Nurse ( RN ) at Summit Health ... Care Provider, Clinical Practice Manager and Office Supervisor, the RN works closely with the health care team to...known allergies in EHR. Initiates and follows through with prior authorization requests, DME orders, home health… more
    Upward (07/16/25)
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  • Regal Medical Group, Inc. (West Covina, CA)
    …appropriately and clearly with physicians, in patient case managers and Prior - Authorization nurses Identifies and addresses psychosocial needs of the ... with all members of the healthcare team (concurrent review, pre- authorization , PCP/SPC, Social Services, Pharmacy) to coordinate the continuum...for LVN's $37.50 - $40 per hour or for RN 's $45 - $50 per hour; however, base pay… more
    Upward (07/15/25)
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  • CenCal Health (Santa Barbara, CA)
    …principles and practices. Education and Experience Required: Current, active, unrestricted California Registered Nurse ( RN ) and/or Nurse Practitioner ... Nurse Coordinator - Adult Utilization Management (HPNC - Adult UM) is a Registered Nurse assigned to the Utilization Management unit. This position reports to… more
    Upward (07/11/25)
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  • Regal Medical Group, Inc. (Northridge, CA)
    …appropriately and clearly with physicians, in patient case managers and Prior - Authorization nurses Identifies and addresses psychosocial needs of the ... and/or Experience: Minimum Qualifications Graduate from an accredited Licensed Vocational or Registered Nursing Program. Current CA LVN or RN license, current… more
    Upward (07/05/25)
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  • Blue Shield of California (Rancho Cordova, CA)
    …promotes quality, cost-effective care. Knowledge of Coordination of Care, Medicare regulations, prior authorization , level of care and length of stay criteria ... including clinical nurses and treating MDs. The Case Management Nurse , Senior will report to the Manager, Care Management....Nursing or advanced degree preferred. Requires a current CA RN License. Certified Case Manager (CCM) Certification or is… more
    Upward (07/17/25)
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  • Morgan Stephens (Long Beach, CA)
    …organization serving California Medicaid (Medi-Cal) members is seeking an experienced and compassionate Registered Nurse ( RN ) to join its Care Management ... Job Title: Remote RN Admissions Coordinator - Long-Term Care & Rehabilitation...and providers to ensure smooth and timely placements. Manage prior authorization processes and confirm Medicaid eligibility.… more
    Upward (07/21/25)
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  • Medical University of South Carolina (Lancaster, SC)
    Job Description Summary The Registered Nurse reports to the Nurse Manager. Under general supervision, the Registered Nurse provides individualized, ... and Experience Requirements/Eligibility Must have current South Carolina license as a Registered Nurse . Must meet (5+) years Nursing experience in an… more
    Upward (07/20/25)
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  • Molina Healthcare (Long Beach, CA)
    …keep reading about this rewarding work opportunity! We are currently looking for a Registered Nurse licensed in Wisconsin to become our next IRIS Self-Directed ... and revises plan of care as needed Submits for Prior Authorization for personal care services Complies...unrestricted license in the state of Wisconsin as a Registered Nurse . Valid Driver's License PREFERRED EDUCATION:… more
    Upward (07/19/25)
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  • Trinity Health (Dublin, OH)
    …direct care to patients, functioning under the direction of the provider or registered nurse and practice manager, following all policies and procedures ... weight and vitals Review medical history chief complaints and gather other information Prior authorization and referrals Answer in basket message, patient follow… more
    Upward (07/06/25)
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  • State Of California (Fresno, CA)
    …Supervising Registered Nurse II/III, Correctional Facility (CF), the Resource Registered Nurse (Resource RN ), CF organizes and provides necessary ... a variety of correctional health care settings. The Resource RN , CF serves as the Care Manager for patients...resources. Minimum Qualifications: Possession of a current license as Registered Nurse in California. (Applicants who do… more
    Upward (07/21/25)
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  • Molina Healthcare (Long Beach, CA)
    …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. Processes requests ... acute care/medical experience. Required License, Certification, Association Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
    Upward (07/17/25)
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  • State Of California (Fresno, CA)
    Under the direction of the Chief Nurse Executive (CNE), the Supervising Registered Nurse (SRN) III, Correctional Facility (CF) oversees the daily operations ... this position, click on the duty statement link . MINIMUM QUALIFICATIONS Supervising Registered Nurse III, Correctional Facility Possession of a current license… more
    Upward (07/19/25)
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