- 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 ... policies, and approves services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse 2 work assignments are varied and… 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 ... services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse roles and responsibilities...working with CMS Guidelines, MCG and/or InterQual guidelines. + 2 + years of Utilization Management (UM), Pre -Auth,… 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
- 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 ... Payors -_** + Initiates and completes patient authorizations. + Obtains timely authorization of all patients requiring pre -certification and is accountable for… 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
- New York State Civil Service (Menands, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Registered Nurse 2 (Medical Care) (NY HELPS), WCB Items #1885, 3357, and 4271 Occupational Category Health ... SG 23, within the Medical Director's Office's Clinical Standards Unit, the Registered Nurse 2 will be responsible conducting medical necessity reviews of prior… more
- Mayo Clinic (Eau Claire, WI)
- …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** Wishart 2 is our newest Eau Claire based medical/surgical unit....skills building strong collaboration within the team. The registered nurse (RN) is accountable for the coordination of nursing… 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)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... Provide clinical review and expertise for the SFVAHCS CC authorization program. Apply knowledge of CC federal regulations, Veterans...equivalent to the Nurse I, Level 2 ; OR a Master's… more
- Veterans Affairs, Veterans Health Administration (Perry Point, MD)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... for the coordination of the medical center's community care authorization program. He/she functions as part of the interdisciplinary...equivalent to the Nurse I, Level 2 ; OR a Master's… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... verification of CCN enrollment, trouble-shooting for billing issues & authorization . Assists with Data: consult tracking, spreadsheets, productivity/event capture,...equivalent to the Nurse I, Level 2 ; OR a Master's… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... equivalent to the Nurse I, Level 2 ; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... and expertise for the coordination of NMVAHCS non-VA care authorization program. Demonstrate knowledge of Fee federal regulations, VHA...equivalent to the Nurse I, Level 2 ; OR a Master's… 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
- Beth Israel Lahey Health (Cambridge, MA)
- …or on-call requirements. Flexible scheduling options are available. The Oncology Nurse Navigators helps patients navigate their care and treatment, from their ... involves triage, basic office nursing such as port draws, and handling medication authorization and funding for oral chemotherapy. This role is ideal for anyone who… more
- UPMC (North Lima, OH)
- …(NIH) + Neonatal Resuscitation Program (NRP) + Pediatric Advanced Life Support (PALS) + Pre Hospital Registered Nurse (PHRN) + Registered Nurse (RN) *Current ... Medicine is looking to hire a Full-Time Professional Flight Nurse to support MedEvac 14, located in North Lima,...MedEvac 14, located in North Lima, OH. Schedule: + ( 2 ) 24-hour shifts per week + Holidays and weekends… more
- Mayo Clinic (Scottsdale, AZ)
- …for flexible coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. + Retirement: Competitive retirement ... is a vibrant and growing team of physicians, advanced practitioners, nurses, diabetes nurse educators, nutritionists and support staff. While we see a variety of… more
- New York State Civil Service (Menands, NY)
- …State NY Zip Code 12204 Duties Description Under the direction of the Registered Nurse Supervisor 2 , SG 25 and the Principal Workers' Compensation Examiner, ... NY HELP Yes Agency Workers' Compensation Board Title Nurse Practitioner Family Health (NY HELPS), WCB Items...the medical fee schedule; * Review and process prior authorization requests for complex/invasive procedures known as Special Services,… more