- Molina Healthcare (Seattle, WA)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from… 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
- 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
- South Central Regional Medical Center (Laurel, MS)
- …Authorization Reports to: Department Manager Created: 5/1/25 Job Summary The Prior Authorization Nurse is responsible for managing the prior authorization ... Active Registered Nurse (RN) or Licensed Practical Nurse (LPN) license. + Experience in prior authorization... Nurse (LPN) license. + Experience in prior authorization , case management, or utilization review preferably in an… 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
- Centene Corporation (New York, NY)
- …must possess NY RN State Licensure **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of ... of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with… 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
- State of Massachusetts (Pocasset, MA)
- …nurse under the Massachusetts Board of Registration in Nursing. Current and valid authorization to practice as a Nurse Practitioner by the Massachusetts Board ... Department of Mental Health (DMH), is seeking a dynamic, exceptional, and experienced Nurse Practitioner (NP) to serve as a psychiatric provider for patients with… more
- CUNY (New York, NY)
- …current New York State Education Department Certification to practice as a Nurse Practitioner including authorization to issue prescriptions to Section 6902 ... Nurse Practitioner Level 2 - Health Services **GENERAL...Attends meetings and prepares reports as necessary. **CONTRACT TITLE** Nurse Practitioner **FLSA** Exempt **CAMPUS SPECIFIC INFORMATION** ABOUT JOHN… 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
- 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
- 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
- Commonwealth of Pennsylvania (PA)
- …and/or a developmental disability. Special Requirements: + This position requires active authorization to practice as a Registered Nurse in Pennsylvania. + ... box. *Eligibility rules apply. 01 Do you possess active authorization to practice as a Registered Nurse in Pennsylvania; or do you possess an active temporary… more
- Tenet Healthcare (MI)
- …Graduation from an accredited school of nursing. BSN preferred. 2. Must have temporary authorization to practice as a graduate nurse under the direct supervision ... school of nursing. BSN preferred. 2. Must have temporary authorization to practice as a graduate nurse under the direct supervision of a registered nurse… 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
- MD Anderson Cancer Center (Houston, TX)
- …from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse (APRN) or (APNP). Related authorization must be consistent with clinical ... and the public. **MD Anderson Cancer Center has a Per Diem Nurse Anesthetist opportunity in our Anesthesiology department.** The Department of Anesthesiology &… more
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