- Humana (Cincinnati, OH)
- **Become a part of our caring community and help us put health first** The Pre - Authorization Registered Nurse 1 reviews prior authorization requests for ... and approves services or forward requests to the appropriate stakeholder. The Pre - Authorization Registered Nurse 1 work assignments are often straightforward… more
- Medical Mutual of Ohio (OH)
- …limited supervision, applies medical necessity guidelines in making authorization determinations for inpatient admissions, concurrent, and retrospective reviews ... Nursing Board. Bachelor's degree preferred. + 3 years as a Registered Nurse with a combination of clinical and or utilization/case management experience, preferably… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …HSC transplantation, and other cellular therapies. Schedules and coordinates pre -treatment testing of potential HSCT/cellular therapy candidates and/or donors. ... Ensures insurance authorization is obtained for all cellular therapy treatments. Conducts...Preferred: Certification as a Blood and Marrow Transplant Certified Nurse (BMTCN) or a Certified Hematopoietic Transplant Coordinator (CHTC)… more
- CommuniCare Health Services (Akron, OH)
- …appropriate, and demonstrate medical necessity. Submission of claims, pre -certifications, processing of statements, managing collections, and prompt follow-up ... of EOB's, electronic EDI reports, electronic remits. + Work with nurse practitioners and other medical personnel to ensure that correct diagnosis/procedures… more
- Philips (Orange Village, OH)
- …capability through proper planning and scheduling techniques. Maximize hospital stakeholder engagement pre / intra / post case support to drive optimal VeriSight ... pediatric echocardiography lab or have relevant work experience as a Registered Nurse (RN), Radiologic Technologist (RT) or other technical discipline within the… more