- Actalent (Newark, DE)
- …in InterQual Milliman Understanding State Policies Skills: Prior Authorization , Clinical review, Licensed Practical Nurse , LPN, Interqual Additional ... Description: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national… more
- Centene Corporation (New York, NY)
- …role but must reside within New York state.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... interdepartmental teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine… more
- Actalent (Charleston, SC)
- …+ Care management + Acute care + Discharge planning + Insurance verification + Prior authorization + Registered Nurse + Data entry Additional Skills ... & Qualifications: + Experience in case management PREFERRRED + Bachelor of Science in Nursing REQUIRED + At least 3 years working as an RN in a hospital environment Experience Level: Intermediate Level About Actalent Actalent is a global leader in engineering… more
- Public Consulting Group (Augusta, ME)
- …PA reviews/dispositions based on business rules and workflow policies; + Work with the Prior Authorization unit staff members to monitor work queues and complete ... **Overview** **Registered Nurse - Health Services Consultant** ** Authorization ...people they serve. **Responsibilities** **Position Duties:** + Manage medical Prior Authorizations (PA) as assigned by the PA supervisor,… more
- Sanford Health (MN)
- …Collection of clinical information necessary to initiate commercial payor authorization . Obtain and maintain appropriate documentation concerning services in ... technology applications to insurance companies and contracted vendors to assure authorization for patients. May participate in providing assistance in financial aid… more
- Baptist Memorial (Memphis, TN)
- …strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence based criteria. Areas of ... Summary The Authorization Coordinator is responsible for facilitating information documentation...payer with patient access + Communicate with Utilization Review Nurse + Works assigned queues in the electronic medical… more
- Northeast Family Services (Fall River, MA)
- …to join our growing Massachusetts CBHI team as an Intake Screener and Authorization Specialist! The Intake Screener and Authorization Specialist manages all ... scheduling clients' appointments. To be successful in the Intake Screener and Authorization Specialist position, you should be highly organized, be detail oriented,… more
- Northeast Family Services (Washington Heights, NY)
- …join our growing New York team as a Bilingual Intake Screener and Authorization Specialist! The Bilingual Intake Specialist (English / Spanish) manages all aspects ... and initial treatment plans. To be successful in the Intake Screener and Authorization Specialist position, you should be highly organized, be detail oriented, have… more
- Veterans Affairs, Veterans Health Administration (Iron Mountain, MI)
- …ADMINISTRATIVE RESPONSIBILITIES: 1. Provides guidance and consultation to the nurse practitioners or physician assistants assigned in their respective areas ... designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment… 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 ... be consistent with clinical practice area and patient population. **EXPERIENCE** Preferred: Prior experience as Advanced Practice Registered Nurse . Preferred: … more
- Martin's Point Health Care (Portland, ME)
- …a need for inpatient/ outpatient authorizations. This position receives and reviews prior authorization requests for specific inpatient and outpatient medical ... to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible...continuity of care Job Description Key Outcomes/Results: + Review prior authorization requests ( prior … more
- Louisiana Department of State Civil Service (Homer, LA)
- PRACTICAL NURSE - LICENSED 1, 2, OR 3 Print...employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT: ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4475334) Apply PRACTICAL NURSE - LICENSED 1, 2, OR 3 Salary Depends on Qualifications Location… more
- Louisiana Department of State Civil Service (Angola, LA)
- PRACTICAL NURSE -LICENSED 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4452263) Apply PRACTICAL NURSE -LICENSED 1, 2, OR 3 ... employee may be required to serve a trial detail prior to being permanently promoted + TEMPORARY JOB APPOINTMENT:...has a Special Entrance Rate at each level Practical Nurse - Licensed 1 has an SER of $19.48 per… more
- Louisiana Department of State Civil Service (Angola, LA)
- REGISTERED NURSE 1, 2, 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4452168) Apply REGISTERED NURSE 1, 2, 3 Salary Depends on ... employee may be required to serve a trial detail prior to being permanently promoted + TEMPORARY JOB APPOINTMENT:...has a Special Entrance Rate at each level Registered Nurse 1 has an SER of $29.84 per hour.… more
- Louisiana Department of State Civil Service (Jackson, LA)
- PRACTICAL NURSE -LICENSED 1/2/3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4266808) Apply PRACTICAL NURSE -LICENSED 1/2/3 Salary ... has a Special Entrance Rate at each level Practical Nurse -Licensed 1 has an SER of $19.48 per hour....employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT:… more
- Louisiana Department of State Civil Service (Jackson, LA)
- REGISTERED NURSE 1/2/3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4215402) Apply REGISTERED NURSE 1/2/3 Salary Depends on ... has a Special Entrance Rate at each level Registered Nurse 1 has an SER of $29.84 per hour....employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT:… more
- Commonwealth of Pennsylvania (PA)
- …or developmental disability. Special Requirements: + You are required to have active authorization to practice as a Registered Nurse in Pennsylvania. + If ... box. *Eligibility rules apply. 01 Do you possess active authorization to practice as a Registered Nurse ...Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …costs will be paid for by the Fayetteville VA Medical Center. Current supervisor authorization is required to be considered. Responsibilities This is a detail not to ... will be paid for by the Fayetteville VA Medical Center. Current supervisor authorization is required to be considered. Major Duties include, but are not limited… more
- State of Massachusetts (Worcester, MA)
- …nurse under the Massachusetts Board of Registration in Nursing. Current and valid authorization to practice as a Nurse Practitioner by the Massachusetts Board ... Health (DMH) is seeking a dynamic candidate for a Nurse Practitioner position. Providers in this position serve as...a national professional accrediting body. * Current and valid authorization by the Massachusetts Board of Registration in Nursing… more
- Access Dubuque (Dubuque, IA)
- Biologic Nurse (RN/LPN) **Grand River Medical Group** 1 Positions ID: 1124075 Posted On 03/04/2024 **Job Overview** **Biologic Nurse (RN or LPN)** Position is ... for the Dermatology Clinic location Grand River Medical Group is seeking a driven nurse (LPN, RN) to work with our dermatology team. A biologic nurse is an… more