- Molina Healthcare (Bowling Green, KY)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... emergency room. Preferred Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Molina Healthcare (Bowling Green, KY)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- Molina Healthcare (Bowling Green, KY)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- HealthTrust Workforce Solutions (Nashville, TN)
- …Our partnering facility is seeking a qualified Registered Nurse ( RN )- Vascular Access- Full Time clinician . HealthTrust Offers: + Customizable Pay ... **Entrust Your Career to HealthTrust!** ** Registered Nurse ( RN ) -...responsible for the anticipation, planning, coordination, and provision of care for the patient while performing and monitoring the… more
- Elevance Health (Nashville, TN)
- RN - Utilization / Medical Management Nurse...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any ... 6pm PST. Rotating Weekends and holidays. The **Medical Management Nurse ** is responsible for review of the...Care , ER, Telemetry, etc. strongly preferred. + Utilization management/ review within managed care or hospital strongly… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments ... and independent determination of the appropriate courses of action. The Appeals Nurse 2 reviews documentation and interprets data obtained from clinical records to… more