- Centene Corporation (New York, NY)
- …medical care to members + Provides feedback on opportunities to improve the authorization review process for members + Performs other duties as assigned ... guidelines and criteria + Works with healthcare providers and authorization team to ensure timely review of...Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay… more
- Louisiana Department of State Civil Service (Jackson, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4778929) Apply REGISTERED NURSE 1, 2, OR 3 Salary...appointed from this announcement, I also understand that this authorization will remain valid for the duration of my… more
- Louisiana Department of State Civil Service (Angola, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4778866) Apply REGISTERED NURSE 1, 2, OR 3 Salary...appointed from this announcement, I also understand that this authorization will remain valid for the duration of my… more
- Louisiana Department of State Civil Service (Angie, LA)
- REGISTERED NURSE 1, 2 or 3 (WAE) Print...used for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4777670) Apply REGISTERED NURSE 1, 2 or 3 (WAE)...appointed from this announcement, I also understand that this authorization will remain valid for the duration of my… more
- Molina Healthcare (Layton, UT)
- …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing (RN), Licensed Vocational Nurse (LVN) or… more
- AdventHealth (Daytona Beach, FL)
- …Beach, 32117 **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing patient ... to the Physician Advisor or designated leader for additional review as determined by department standards. Additionally, the UM...+ Current and valid license to practice as a Registered Nurse (ADN or BSN) required. +… more
- Molina Healthcare (Southaven, MS)
- …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing (RN), Licensed Vocational Nurse (LVN) or… more
- US Tech Solutions (LA)
- **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a hospital setting in a specialty area of the nursing field providing ... as indicated by staffing and business needs. **Duties:** + ** Registered Nurse with current license in LA...a minimum of 1 year in utilization management/ prior authorization review experience. **Experience** : Utilization Management.… more
- HCA Healthcare (Derry, NH)
- …is important to you, we encourage you to apply for our Registered Nurse Urology opening. Our team will promptly review your application. Highly qualified ... colleagues in their positions. Join our Team as a(an) Registered Nurse Urology and access programs to...referrals to additional specialist** + **Obtains and insure pre authorization ** + **Cleaning and restocking of rooms/office for supplies**… more
- Mayo Clinic (Rochester, MN)
- …position is open to experienced nurses and new grad nurses.** The Ambulatory Care Registered Nurse (RN) is accountable for the delivery of direct patient care ... with less than 12 months of practice experience, hired into a scheduled FTE Registered Nurse position on the Rochester campus of Mayo Clinic are automatically… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of Right of ... Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its...of Specialty Care Referrals, sustaining up-to-date Specialty Clinic Referral Review tools and booking guidance, complying with Referral and… more
- MyFlorida (Fort Myers, FL)
- REGISTERED NURSE SPECIALIST - 64030599 Date: Sep 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 860461 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64030599 Pay Plan: Career Service… more
- US Tech Solutions (Wichita, KS)
- …Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global ... policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. +...+ 3+ years of experience as an RN + Registered Nurse in state of residence +… more
- Actalent (Virginia Beach, VA)
- Job Title: Registered Nurse Job Description Join a dynamic team as a Registered Nurse , where you will play a crucial role in coordinating care for ... and nursing staff in the clinic. + Collect prior authorization for prescriptions and monitor task queues. + Maintain...from an NLN Accredited School of Nursing with a Registered Nurse (RN) qualification. + Minimum one… more
- Sanford Health (Fargo, ND)
- …$27.50 - $44.00 **Department Details** The Oncology Research team is looking for a Registered Nurse Coordinator! This full time position is located at the ... with lab orders, processing, and screenings. What We're Looking For: * Active Registered Nurse * Prior research experience (preferred) * A collaborative,… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team....OPTION II: Two (2) years of experience as a registered nurse , of which one year must… more
- Roper St. Francis (Summerville, SC)
- …to reasonable accommodation. **Licensing/Certification** New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 ... needs and functional abilities through the systematic collection and review of patient-specific data and communicate assessments appropriately. +...All other RNs must be currently licensed as a Registered Nurse in the state of South… more
- Mayo Clinic (La Crosse, WI)
- …Operating Room, Radiology (ie MRI), Dermatology, and others throughout the region_ The registered nurse (RN) is accountable for the coordination of nursing care, ... devices, implantable cardiac defibrillators, and implantable loop recorders. The nurse has knowledge and understanding of cardiac electrophysiology (EP) and… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Contingent Days - 2506002318 Description : DMC Sinai-Grace Hospital is DMC's largest hospital, offering a comprehensive heart ... Acute hospital case management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan. 4. Accredited Case Manager… more
- Project Renewal, Inc. (New York, NY)
- …a DEA inspection (managing the buprenorphine census) Qualifications: + Active New York State Registered Nurse (RN) license + BLS certification + At least 2 years ... Title: Nurse Care Manager for Drug User Health Services...Care coordination including medication management and treatment monitoring + Review of prescription monitoring program to track prescribing and… more