- Elevance Health (San Antonio, TX)
- …support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** TX-SAN ANTONIO, ... Possibilities. Make an extraordinary impact.** The **Utilization Management Representative II - Prior Authorization ** is...caller. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +… more
- LA Care Health Plan (Los Angeles, CA)
- Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los Angeles, ... achieve that purpose. Job Summary The Managed Long-Term Services and Supports (MLTSS) Nurse Specialist RN II applies advanced clinical judgment and critical… more
- Elevance Health (Miami, FL)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... **Utilization Management Representative II ** **Location:** This role enables associates to work...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- Elevance Health (Latham, NY)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... **Utilization Management Representative II ** **Virtual:** This role enables associates to work...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- Bassett Healthcare (Cooperstown, NY)
- …back learning to the team and is a go to person for coworkers. Obtains prior approval or prior authorization as needed. Communicates referral appointment and ... life possible. What you'll do The Medical Office Assistant II serves as the first point of contact for...or expressed patient problems directly to Supervisor or Supervising Nurse for assistance as observed by Supervisor and Supervising… more
- Veterans Affairs, Veterans Health Administration (Perry Point, MD)
- …a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through ... Nursing may have opportunity to become registered as a nurse with a state licensing board prior ...specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- …a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through ... Nursing may have opportunity to become registered as a nurse with a state licensing board prior ...specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through ... Nursing may have opportunity to become registered as a nurse with a state licensing board prior ...specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through ... Nursing may have opportunity to become registered as a nurse with a state licensing board prior ...specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through ... Nursing may have opportunity to become registered as a nurse with a state licensing board prior ...specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements… more
- Boston Public Schools (Boston, MA)
- …will allow for extended time and extra compensation where needed. The SCHOOL NURSE provides skilled nursing care and management of the special needs of students ... evaluation. For students with complex medical needs, the school nurse may act as a liaison for the school,...BPS SISP should demonstrate. + Accountability for Student Achievement ( II -A-1 Quality of Effort and Work, II -D-2… 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 ... populations, this position is ideal for a licensed Psychiatric Mental Health Clinical Nurse Specialist or Nurse Practitioner who seeks to practice at the… more
- UNC Health Care (Chapel Hill, NC)
- …to stock and processes credits. 6. Solves issues with patient payment ( prior authorization , patient assistance needed, etc.). Sells prescriptions to patients ... a pharmacy technician to assist with medication access including completing prior authorizations, procurement of drugs from specialty pharmacies, and supporting the… more
- MD Anderson Cancer Center (Houston, TX)
- …Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization ... . [Multiple endocrine neoplasia (MEN) I and II ](https://www.mdanderson.org/cancer-types/multiple-endocrine-neoplasia.html) Inherited endocrine tumors, including childhood endocrine… more
- City of Norfolk, Virginia (Norfolk, VA)
- …daily nursing oversight of Licensed Practical Nurses in the absence of a Registered Nurse II . This position specifically will be assigned to the Integrated Care ... Registered Nurse - Medical Services Print (https://www.governmentjobs.com/careers/norfolk/jobs/newprint/4979566) Apply ...an RN license, would be able to use their prior service as an LPN to count towards the… more
- Ellis Medicine (Schenectady, NY)
- …Associates degree and/or certification as a Medical Assistant or as a Nurse 's Aide. Demonstrates the knowledge and skill necessary to provide care, based ... appropriately and according to resource availability. + Obtains necessary pre-certification/ authorization for tests, surgical procedures and other applicable items.… more
- State of Nevada (NV)
- …or health related field; OR one year of experience as a Health Care Coordinator II - Nurse in Nevada State service; OR licensure and an equivalent combination ... HEALTH CARE COORDINATOR 3 - NURSE APPROXIMATE ANNUAL SALARY - $70,282.08 to $104,713.20...and payment is correct for services received, process payment authorization requests from providers to ensure the requested service,… more
- Trinity Health (Syracuse, NY)
- …104 Union Ave ste 1005 Syracuse, NY 13203 MOC building 10th floor **Registered Nurse Scheduler** The RN Scheduler contributes to the overall success of the patient's ... to ensure cases are scheduled, coded accurately, secure insurance authorization if indicated and confirm that a safe surgical...a safe surgical plan is in place 5-7 days prior to DOS. In addition, the RN Scheduler will… more
- Trinity Health (Albany, NY)
- …delivered when patients call with cardiac symptoms. Patient education via phone or nurse visits. Prescription refills, prior authorization for medicine. ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Nurse - RNII -Cardiology Office - Phone Triage...If you are looking for a phone triage RN II position in a busy Cardiology Office, this could… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through ... Nursing may have opportunity to become registered as a nurse with a state licensing board prior ...specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements… more
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