- Hired by Matrix (Camden, NJ)
- …joining a healthcare provider? If so, our client is hiring a Registered Nurse - Case Manager (Day). What You'll Do: Provides psychosocial assessments, crisis ... nursing and rehabilitation centers, and community-based programs. Coordinates care authorization process with insurers. Coordinates specific details of patient's… more
- US Tech Solutions, Inc. (Columbia, SC)
- Job Title: Licensed Practical Nurse Location: Columbia SC 29229 Duration: 3+ Months Contract (No End date) Job Description: . Monday-Friday 8:30-5pm. CONTRACT ONLY . ... process's timeliness in accordance with contractor standards. . Performs authorization process, ensuring coverage for appropriate medical services within benefit… more
- CHRISTUS Health (Henderson, TX)
- …emergency situations and follow procedures related to scheduling and obtaining proper referral/ authorization for treatment. As the Lead LVN- Greet all patients as ... care management services. As the Lead LVN- Expedites the flow of authorization requests through the Managed Care System. Prepares requests for authorization… more
- CHRISTUS Health (Alamogordo, NM)
- …refer to Front Office Coordinator or Office Manager for insurance authorization . Requirements Education Required: Other Preferred: Bachelor of Science Associate in ... Applied Sciences Licenses & Certifications Required: L-LPN Multistate L-RN Multistate Preferred: C-BLS more
- CHRISTUS Health (Alamogordo, NM)
- …refer to Front Office Coordinator or Office Manager for insurance authorization . Requirements Education Preferred: Other Licenses & Certifications Preferred: C-BLS ... Assist Doctor with patients. Demonstrate knowledge in a medical office. Anticipate doctor's needs for each patient based upon patient complaints and treatment plan/guidelines. Verify that patient results, x-rays, labs and procedure reports are in patient… more
- CHRISTUS Health (Alamogordo, NM)
- …and refer to Front Office Coordinator or Office Manager for insurance authorization . * Provide backup surgery scheduling. LPN: Performs patient care responsibilities ... considering needs specific to the standard of care for patients age. Demonstrates ability under direct supervision of an RN, to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes pediatric, geriatric and general… more
- Compass Health Network (Wentzville, MO)
- …for Testing/Procedures/Referral Listo Gather pertinent information from physicians, nurse practitioners, nurses, and medical assistants to complete ... Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule the test/procedure and… more
- Compass Health Network (Wentzville, MO)
- …for Testing/Procedures/Referral Listo Gather pertinent information from physicians, nurse practitioners, nurses, and medical assistants to complete ... Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule the test/procedure and… more
- Accounting Now (Tampa, FL)
- …medical records to support medical necessity) for a reconsideration, appeal, or retro authorization to the insurance carrier via payer portal, fax, etc Documents and ... and escalates timely filing requests to Leadership.Collaborates with Clinical Denials Nurse , Coding Denials Specialists, and Leadership in high-dollar claim denial… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …QualificationsPreferred Licensure or other certifications: Certified Rehabilitation Nurse .Preferred Educational Requirements: Preferred Experience: Three (3) years ... care facilities, physicians, family members, patients, etc.)Ensures that appropriate authorization for an assessment is obtained based on referral source.Performs… more
- Dialysis Clinic, Inc. (Jackson, TN)
- …in-center and transient patients. Verifies patient insurance and obtains pre- authorization when required.Keys daily flow sheets, generates reports, balances charges, ... etc.).Prepares new patient packet for new admissions and for transient patients.Assist Nurse Manager, Area Operations Director, and clinical staff with clerical work… more
- Compass Health Network (Union, MO)
- …operation. This position supervises the direct patient care nursing staff, Nurse Care Managers, and administratively supervises the Behavioral Health Specialist. ... Medicare, Medicaid, and any Private Insurance Carriers regarding covered services and pre- authorization processes as they relate to provision of services and quality… more
- Compass Health Network (Union, MO)
- …operation. This position supervises the direct patient care nursing staff, Nurse Care Managers, and administratively supervises the Behavioral Health Specialist. ... Medicare, Medicaid, and any Private Insurance Carriers regarding covered services and pre- authorization processes as they relate to provision of services and quality… more
- State of Massachusetts (Boston, MA)
- …**Department of Mental Health* **Title:** *Clinic, Refill and Prior Authorization Nurse * **Location:** *Massachusetts-Boston-75 Fenwood Road* **Requisition ID:** ... by the Department of Mental Health (DMH) seeks a dedicated and compassionate Registered Nurse to join our diverse team of mental health providers at our thriving… more
- CVS Health (Trenton, NJ)
- …be on rotation. No travel is required.Applicants from any state can apply. Prior Authorization UM Nurse Consultant Utilizes clinical experience and skills in a ... our benefit programs, please visithttps://jobs.cvshealth.com/employee-benefits (https://protect-usb.mimecast.com/s/HChtCEKL7mupo2P4Q84HN2Ovk?domain=jobs.cvshealth.com) Required Qualifications Registered Nurse in state of residence 3+ years of Nursing… more
- Centene Corporation (Tallahassee, FL)
- …flexibility. **Must reside in Florida!!** **Centene is currently seeking a remote Clinical Review Nurse -Prior Authorization to join our team, with a focus on ... authorizations. Candidates should possess a Florida nursing license and Prior Authorization experience.** Please note** t **his position will include a Saturday… more
- Public Consulting Group (Augusta, ME)
- **Overview** **Registered Nurse - Health Services Consultant** ** Authorization Review - Office of MaineCare Services in Augusta, ME** This role will be Fulltime ... based on business rules and workflow policies; + Work with the Prior Authorization unit staff members to monitor work queues and complete assigned tasks; +… more
- Humana (Columbus, OH)
- …caring community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews ... the clinical appropriateness of prior authorization (PA) requests and ensures that all benefits authorized...an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin or have a… more
- Actalent (San Bernardino, CA)
- …scope of practice to Discharge assistant. Skills: Utilization review, prior authorization , Care management, Case management, interqual, ncqa, ncqa standards Top ... Skills Details: Utilization review,prior authorization ,Care management Additional Skills & Qualifications: California RN License BLS AHA Must be experienced with… 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
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