- Centene Corporation (New York, NY)
- …fresh perspective on workplace flexibility. **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
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ... utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing standardized… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Cell Therapy Clinical Authorization Specialist is responsible for the comprehensive coordination and management of all prior authorization activities ... concurrent review, appeals, and preparation of cost estimates for insurance waivers and non-covered services. + Collaborate closely with physicians,… more
- Baptist Memorial (Memphis, TN)
- Overview Coordinator- Authorization Job Code: 22772 FLSA Status Job Family: CASE MGMT Job Description Title: Coordinator- Authorization Job Summary The ... Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence based criteria. Areas of work include payer… more
- LifePoint Health (Wilson, NC)
- …working in a clinic setting, Gastro experience preferred . Knowledge of insurance policies, prior authorization procedures, and medical terminology. . Knowledge ... *Licensed Practical Nurse (LPN), Pulmonary Clinic* Job Type: Full-Time, Days...of insurance policies, prior authorization procedures, and medical terminology. . Strong organizational skills… more
- ATI Physical Therapy (Brookfield, WI)
- …authorized throughout any continued care that is needed. + Provide feedback for authorization changes according to insurance plan changes. + Collaborate with the ... health insurance experience + Electronic Medical Records (EMR) + Authorization Experience + Epic experience preferred **Required Education:** + High school… more
- Providence (Portland, OR)
- … Nurse Coordinator and other key stakeholders; and verifying insurance eligibility and benefits; cost of medication, obtaining pre-authorizations and ... are seeking a Pharmacy Technician Access Services Representative to provide insurance benefit validation and obtain authorizations for home and ambulatory infusion… 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
- Veterans Affairs, Veterans Health Administration (Birmingham, AL)
- Summary The Registered Nurse - Community Care Coordinator (CC) serves as a liaison to both internal and community providers and is responsible for managing the care ... approval, appointment verification, and obtaining appropriate documentation. Reviews Secondary Authorization Requests from Community Providers for appropriateness and arranges… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4776430) Apply REGISTERED NURSE 1, 2, OR 3 Salary Depends on ... has a Special Entrance Rate at each level Registered Nurse 1 has an SER of $29.84 per hour....benefits package including; a defined benefit pension plan, health insurance that is also available post retirement, at least… more
- Veterans Affairs, Veterans Health Administration (Spokane Valley, WA)
- …and family Handling patient case management and education Ensuring timely authorization for services Maintaining patient confidentiality and quality care VA offers ... a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- PRACTICAL NURSE -LICENSED 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4776460) Apply PRACTICAL NURSE -LICENSED 1, 2, OR 3 ... has a Special Entrance Rate at each level Practical Nurse -Licensed 1 has an SER of $19.48 per hour....benefits package including; a defined benefit pension plan, health insurance that is also available post retirement, at least… more
- Louisiana Department of State Civil Service (Homer, LA)
- PRACTICAL NURSE - LICENSED 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5000248) Apply PRACTICAL NURSE - LICENSED 1, 2, OR ... offers a generous benefits package including; a defined benefit pension plan, health insurance that is also available post retirement, at least 10 paid holidays,… more
- Louisiana Department of State Civil Service (Angola, LA)
- PRACTICAL NURSE -LICENSED 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4778893) Apply PRACTICAL NURSE -LICENSED 1, 2, OR 3 ... has a Special Entrance Rate at each level Practical Nurse - Licensed 1 has an SER of $19.48 per...benefits package including; a defined benefit pension plan, health insurance that is also available post retirement, at least… more
- Louisiana Department of State Civil Service (Kinder, LA)
- REGISTERED NURSE 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4780542) Apply REGISTERED NURSE 1, 2, OR 3 Salary Depends on ... has a Special Entrance Rate at each level Registered Nurse 1 has an SER of $29.84 per hour....benefits package including; a defined benefit pension plan, health insurance that is also available post retirement, at least… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working in community… more
- Kelly Services (Easley, SC)
- …required to perform the duties of this position. **1) JOB TITLE: SUBSTITUTE SCHOOL NURSE .** Other job titles the Substitute School Nurse may be known by ... include (but are not limited to): Registered Nurse (RN) **2) QUALIFICATIONS.** a) Meets state requirements for education qualifications certifications and licensure.… more
- Louisiana Department of State Civil Service (Angie, LA)
- REGISTERED NURSE 1, 2 or 3 (WAE) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4777670) Apply REGISTERED NURSE 1, 2 or 3 (WAE) Salary ... ### Minimum Qualifications MINIMUM QUALIFICATIONS: Possession of a current Louisiana Registered Nurse license or a temporary permit or multi-state license issued by… more
- Louisiana Department of State Civil Service (Angie, LA)
- REGISTERED NURSE 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5015207) Apply REGISTERED NURSE 1, 2, OR 3 Salary Depends on ... has a Special Entrance Rate at each level Registered Nurse 1 has an SER of $29.84 per hour....benefits package including a defined benefit pension plan, health insurance that is also available post-retirement, at least 10… more
- RWJBarnabas Health (New Brunswick, NJ)
- Advanced Practice Nurse -FT Days-RWJMS Medicine-New Brunswick -New JerseyReq #:0000198223 Category: Nurse Practitioner Status:Full-Time Shift:Day Facility:Rutgers ... New Brunswick, New Brunswick, NJ 08901 Job Title: Advanced Practice Nurse Location: Rutgers University Medical Grp Department: RWJMS Medicine Req#: 0000198223… more
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