- 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 ... of referrals, procedures, and pre -certification requests in line with established policies. This role is responsible for reviewing authorization requests,… 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...Policy All candidates for employment are subject to a pre -employment screening which includes a criminal background check, work… 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
- Argonne National Laboratory (Lemont, IL)
- …an experienced physician medical director and two seasoned nurse practitioners, delivering injury/illness care, medical surveillance, return-to-work evaluations, ... responsibilities:** + Deliver comprehensive occupational clinical care: + Conduct pre -placement, periodic, and fitness-for-duty exams; return-to-work and work restrictions.… more
- Cordis (Irvine, CA)
- …Case support provided on peripheral and coronary interventional procedures in pre -market and post-market phases of product development with SELUTION-SLR. The CFS ... clinical research in this same role or as a nurse or tech as radiology tech or Cath lab...and clinical trial sites Pay / Compensation The expected pre -tax pay rate for this position is $76,450 -… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Pre - Authorization Nurse 2 reviews prior authorization requests for appropriate ... and approves services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse 2 work assignments are varied and frequently require… more
- Mayo Clinic (Jacksonville, FL)
- …for flexible coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. + Retirement: Competitive retirement ... package to secure your future. **Responsibilities** The registered nurse (RN) is accountable for the coordination of nursing...and may participate on committees or projects. What do Pre -Op/PACU Nurses do at Mayo Clinic? * Focuses on… more
- Mayo Clinic (Jacksonville, FL)
- …build a long, successful career with Mayo Clinic. **Responsibilities** The registered nurse (RN) is accountable for the coordination of nursing care, including ... Applicants who are new to Mayo Clinic or our Pre -Op/PACU team must be available to orient Monday-Friday for...* In the PACU (Post Anesthesia Care Unit), the nurse will provide care for post-op patients recovering from… more
- St. Luke's University Health Network (Fountain Hill, PA)
- …a patient's ability to pay for health care. The Critical Care Transport (CCT) Pre -Hospital Registered Nurse (PHRN) is responsible for the direct patient care and ... CCT PHRN will report directly to the CCT Program Nurse Manager, and under the authorization of...the State of New Jersey. + Currently possesses a Pre -hospital Registered Nurse (PHRN) through the Pennsylvania… more
- Mayo Clinic (Rochester, MN)
- …future. **Responsibilities** Location: Mary Brigh Building, St. Marys Hospital Campus The Registered Nurse (RN) in the Radiology Pre /Post will use their nursing ... coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. +...of practice experience, hired into a scheduled FTE Registered Nurse position on the Rochester campus of Mayo Clinic… more
- Mayo Clinic (Rochester, MN)
- …RN experience within the last 10 years. **For new grad nurses: please apply to the Nurse Residency - Pre -Op / PACU posting** [SB2] **.** The registered nurse ... coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. +...by innovation and driven by purpose. As a registered nurse here, you'll be part of a collaborative, high-acuity… 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 ... medical outcomes for enrollees. This role works with Medical Directors, Authorization Coordinators, and Service Coordinators to perform pre -service, concurrent,… more
- Mayo Clinic (Eau Claire, WI)
- …for flexible coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. + Retirement: Competitive retirement ... package to secure your future. **Responsibilities** The registered nurse (RN) is accountable for the coordination of nursing care, including direct patient care,… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and ... Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for… more
- Select Medical (Knoxville, TN)
- …doing what is right. As the Payor Relations Specialist, you will manage the pre -certification and prior authorization of referrals scheduled for admission to our ... + Initiates and completes patient authorizations. + Obtains timely authorization of all patients requiring pre -certification and...in third party reimbursement. + Must be a Registered Nurse (RN) or Licensed Practical Nurse (LPN).… more
- Great River Health (West Burlington, IA)
- …care team members to efficiently manage tasks such as referrals, prior authorization , phone calls, results notification, and medication refills. + Prepare patients ... & First Aid - American Heart Association within 60 Days Required + Registered Nurse Iowa Board of Nursing (IBON) (United States of America) Upon Hire Required… more
- Select Medical (West Orange, NJ)
- …discretion and independent judgment, the Payor Relations Specialist manages the pre -certification and prior authorization of referrals scheduled for admission ... standards and expectations by working and mentoring team as needed.Obtains timely authorization of all patients requiring pre -certification and is accountable… more
- Veterans Affairs, Veterans Health Administration (Eagan, MN)
- Summary The Home and Community Based Services program Registered Nurse is a member of the interdisciplinary team responsible for providing centralized, standardized, ... administrative and clinical eligibility reviews for authorization of purchased in home services. Works in partnership with facility HCBS teams to ensure Veterans… more
- Beth Israel Lahey Health (Cambridge, MA)
- …per week. It is on-site, and is not a remote position. The Oncology Nurse Navigators helps patients navigate their care and treatment, from their initial referral ... involves triage, basic office nursing such as port draws, and handling medication authorization and funding for oral chemotherapy. This role is ideal for anyone who… more
