- Humana (Madison, WI)
- …a part of our caring community and help us put health first** The Pre- Authorization Nurse 2 reviews prior authorization requests for appropriate care ... and approves services or forward requests to the appropriate stakeholder. The Pre- Authorization Nurse 2 work assignments are varied and frequently require… more
- Humana (Atlanta, GA)
- …to helping people achieve their best health. Humana CarePlus is seeking a Pre- Authorization Nurse who reviews prior authorization requests for appropriate ... and approves services or forward requests to the appropriate stakeholder. The Pre- Authorization Nurse roles and responsibilities include but are not limited… more
- Staffing Solutions Organization (Augusta, ME)
- …which is a reflection of our clients and the people they serve. **Registered Nurse - Authorization Review Unit - MaineCare in Augusta, ME** **Position Duties:** ... based on business rules and workflow policies; + Work with the Prior Authorization unit staff members to monitor work queues and complete assigned tasks; +… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior ... surgical cases preferred. Essential Qualifications * Current licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN)...licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) with state licensure. Must retain active and… more
- Humana (Madison, WI)
- …a part of our caring community and help us put health first** The UM/PA Nurse Supervisor plays a key leadership role in overseeing the daily operations of the ... Utilization Management and Pre- Authorization nursing teams. This position ensures timely and accurate review of medical necessity and appropriateness of care, in… 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
- 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 (Sacramento, CA)
- …with occasional weekends and holidays.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate ... 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
- Roper St. Francis (Ladson, SC)
- …reasonable accommodation. Licensing/Certification + New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 days of ... as new opportunities arise._ Primary Function/General Purpose of Position The Registered Nurse 's primary function is to plan, provide, supervise, and coordinate care… more
- Roper St. Francis (Ladson, SC)
- …experience is desired. **Licensure/Certification:** New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 days of ... different territory as new opportunities arise._ **Job Summary** **:** The Registered Nurse 's primary function is to plan, provide, supervise and coordinate care to… more
- Roper St. Francis (Charleston, SC)
- …reasonable accommodation. **Licensing/Certification** New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 days of ... standards and practices in accordance with the South Carolina Nurse Practice Act. To apply professional nursing theory and...other RNs must be currently licensed as a Registered Nurse in the state of South Carolina or holds… 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
- State of Massachusetts (Taunton, MA)
- …nurse under the Massachusetts Board of Registration in Nursing. Current and valid authorization to practice as a Nurse Practitioner by the Massachusetts Board ... The Department of Mental Health (DMH) is seeking an experienced Nurse Practitioner at the Recovery from Addictions Program (RAP). The ideal candidate will conduct… more
- Adecco US, Inc. (Rochester, NY)
- …refills: Review chart, scheduled appointment if needed send to provider for authorization Qualifications for the Registered Nurse : . Active, unrestricted RN ... Adecco Healthcare & Life Sciences is hiring a Registered Nurse in Rochester, New York! This role is in...appointment: Office visits, referrals, imaging studies, lab . Prior authorization : Medications, imaging studies, labs . Notify patient of… more
- Advocates (West Boylston, MA)
- …(MA) Board of Registration in Nursing. + MA Board of Registration in Nursing Authorization to practice as a Nurse Practitioner or Psychiatric Clinical Nurse ... hours per week, with an anticipated start date of September. The Psychiatric Nurse Practitioner is responsible for providing direct service to patients at the… 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
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