- Humana (Madison, WI)
- **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
- Humana (Atlanta, GA)
- …barriers to helping people achieve their best health. Humana CarePlus is seeking a Pre - Authorization Nurse who reviews prior authorization requests for ... policies, and approves services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse roles and responsibilities include but are… more
- Humana (Madison, WI)
- …role in overseeing the daily operations of the Utilization Management and Pre - Authorization nursing teams. This position ensures timely and accurate review ... Provide daily operational support and guidance to Utilization Management (UM) and Pre - Authorization (PA) nursing staff. + Conduct monthly one-on-one check-ins… 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)
- …for flexible coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. + Retirement: Competitive retirement ... Gonda 15, Surgical Services Outpatient Procedure Center The Registered Nurse (RN) on Gonda 15 is accountable for the...for coordination and delivery of perianesthesia care in the pre -post area, providing moderate sedation at the direction of… 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 (Columbus, OH)
- …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
- 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 ... (BMT) and Immune Effector Cell (IEC) therapies, including benefit verification, pre -certification, concurrent review, appeals, and preparation of cost estimates for… 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 care, including direct patient care,… more
- Select Medical (Frisco, TX)
- …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
- Mount Sinai Health System (Smithtown, NY)
- … Authorization -Greenlawn, Long Island-Full Time-Day-Offsite** The Offsite Licensed Practice Nurse works as part of a healthcare team by assisting in ... and safe manner, ensuring the patient flow. The Offsite Licensed Practice Nurse will also provide personal assistance, medical attention, emotional support, or other… more
- Providence (Portland, OR)
- …documentation, conferencing with the referral source, the Pharmacist, Infusion Nurse Coordinator and other key stakeholders; and verifying insurance eligibility ... and benefits; cost of medication, obtaining pre -authorizations and re-authorizations and assisting patients with copay and financial assistance. This position is… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …Falls Veteran's Affair Healthcare System (SFVAHCS) Community Care (CC) Registered Nurse (RN) Clinical Coordinator independently manages Veterans' episodic care with ... quality. Provide clinical review and expertise for the SFVAHCS CC authorization program. Apply knowledge of CC federal regulations, Veterans Health Administration… more
- State of Massachusetts (Boston, MA)
- …within the Massachusetts Department of Mental Health, as a Psychiatric Clinical Nurse Specialist. In this essential role, you will deliver comprehensive psychiatric ... is ideal for a licensed Psychiatric Mental Health Clinical Nurse Specialist or Nurse Practitioner who seeks...a national professional accrediting body. * Current and valid authorization by the Massachusetts Board of Registration in Nursing… more
- Mayo Clinic (Phoenix, AZ)
- …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 Nurse Practitioner or Physician Assistant has advanced health assessment and decision-making skills, prepared… more
- Veterans Affairs, Veterans Health Administration (Perry Point, MD)
- …in an environment that supports personalized and proactive care. Responsibilities The Nurse (RN) Care Coordinator provides direct staff support to the Office of ... and expertise for the coordination of the medical center's community care authorization program. He/she functions as part of the interdisciplinary team to review… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue ... within the scope of the CPAC for revenue reimbursement. The RUR nurse applies advanced clinical knowledge, communication skills, and collaboration to promote… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- Summary The Robley Rex VA Medical Center is currently recruiting for an Assistant Nurse Manager in Geriatrics and Extended Care. This position assists the Home & ... Community Based Services (HCBS) Nurse Manager with daily operations and supervision of a team of nurse case managers arranging and case managing skilled home… more
- City of Norfolk, Virginia (Norfolk, VA)
- Registered Nurse - Medical Services Print (https://www.governmentjobs.com/careers/norfolk/jobs/newprint/4979566) Apply Registered Nurse - Medical Services ... for the persons we serve. The NCSB is currently seeking a Registered Nurse I to provide nursing healthcare services and education within various City of… more