- University of New Mexico - Hospitals (Algodones, NM)
- …the weight of materials is negligible. Working conditions: Essential: * Minor Hazard - physical risks, dirt, dust, fumes, noise Department: Registered Nurse ... This is a Utilization Review position. We review all admissions...the hospital for Medical necessity and manage the insurance authorization throughout the stay . Department: Utilization Management -… more
- Public Consulting Group (Augusta, ME)
- **Overview** ** Registered Nurse - Health Services Consultant** ** Authorization Review - Office of MaineCare Services in Augusta, ME** This role will be ... by the PA supervisor, utilizing PA software tools; + Review and authorize provider requests for the following services...to develop and implement corrective actions. **Minimum Qualifications:** + Registered Nurse and three (3) years of… more
- Actalent (San Bernardino, CA)
- …preferred) - Experience working with health plan auditors preferred. - Current CA Registered Nurse (RN) license. - Working knowledge of InterQual preferred. - ... tasks to within scope of practice to Discharge assistant. Skills: Utilization review , prior authorization , Care management, Case management, interqual, ncqa,… more
- Humana (Columbus, OH)
- …projects. **Use your skills to make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin or have a compact license. ... us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare)...the lives of others. **Essential Duties and Responsibilities:** + Review PA requests for home health services, durable medical… more
- MD Anderson Cancer Center (Houston, TX)
- …supervision of a physician or verifies orders written by physician. The Advanced Practice Registered Nurse may write for other therapeutic agents as approved by ... team in provision of care as warranted. Monitor and review findings of laboratory, clinical, radiographic, and procedural data...related to the clinical area and the Advanced Practice Registered Nurse 's area of certification, reviewing the… 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 ... position has a Special Entrance Rate at each level Registered Nurse 1 has an SER of...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT.… more
- Louisiana Department of State Civil Service (St. Gabriel, 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/4448909) 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 (Shreveport, LA)
- Registered Nurse Advanced Practice Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4498090) Apply Registered Nurse Advanced ... MINIMUM QUALIFICATIONS: Possession of an active, unencumbered, unrestricted and valid Louisiana registered nurse license to practice professional nursing or a… more
- MD Anderson Cancer Center (Houston, TX)
- …employees and the public. **Summary** The primary purpose of the Advanced Practice Registered Nurse (APRN) in the Department of General Internal Medicine, ... Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003.… 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
- Arc Jefferson - St. Lawrence (Watertown, NY)
- Registered Nurse (RN) - Jefferson County - SIGN ON BONUS Job Details Job Location Jefferson County - Watertown, NY Position Type Full Time Education Level 2 Year ... Qualifications: Licensed and registered with NYS Education Department as a Registered Professional Nurse . Minimum Qualifications -Will accept GN (Graduated … more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …The Sioux Falls Veteran's Affairs Healthcare System (SFVAHCS) Community Care (CC) Registered Nurse (RN) Home and Community Based Services Case Manager ... RN HCBS Case Manager is responsible for providing clinical review and have the expertise for the coordination of...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Registered Nurse - Pulmonary **Cost Center:** 301351262 Mfld-Pulmonary **Scheduled Weekly ... (United States of America) **Job Description:** **JOB SUMMARY** The Registered Nurse functions as a vital member...for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to… more
- Universal Health Services (WA)
- Responsibilities Registered Nurse (RN) Opportunity 7AM-7PM and 7PM-7AM The Psychiatric Institute of Washington provides comprehensive behavioral healthcare for ... of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care,...leaders that educate the field, routinely exchange ideas, and review current topics within the industry. Having the opportunity… more
- Universal Health Services (WA)
- …values the nursing profession. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the ... leaders that educate the field, routinely exchange ideas, and review current topics within the industry. Having the opportunity...opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS. We want… more
- Family Service Association - Fall River (Fall River, MA)
- …8:00 am - 4:00 pm, with no weekend or no major holiday shifts. The Registered Nurse (RN) monitors participant's health status and is responsible to complete ... between physician and participant for medical information and service authorization of participants. Obtain, review , and implement...Agency and/or supervisor. Education and Experience: + The ideal Registered Nurse (RN) must be licensed by… more
- aptihealth (Clifton Park, NY)
- …+ Flexible working hours and lots of freedom in your work habits Your Role The Registered Nurse Case Manager team at AptiHealth is pivotal to the success of our ... of an accredited nursing program, Bachelor's degree preferred + Currently licensed as a Registered Nurse in New York + Current Certified Case Manager (CCM)… more
- Albany Medical Center (Albany, NY)
- …to ensure no scheduling or authorization needs are missed. Qualifications: + Registered Nurse (RN) licensure, preferred. Thank you for your interest in ... America) Salary Range: Min. $23.96/hr - Max $38.34/hr The Clinical Pre- Authorization Specialist will assist the Patient Engagement Center Liaison, Representatives… more
- McLaren Health Care (Detroit, MI)
- …implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in nursing from accredited ... peer reviews with payer/providers. 2. Actively participates in clinical case review /rounds with the interdisciplinary team regarding continued stays review /LOS… more
- Phillips 66 (Roxana, IL)
- **Phillips 66 & You - Together we can fuel the future** The **Occupational Health Registered Nurse ** provides direct patient care to company employees as well as ... programs + Case management of medical absences consisting of the review of Employee Health Reports, communication with employees, supervision, Human Resources,… more
