- Ascension (Wichita, KS)
- …staff with issues related to coding, medical records/documentation, precertification , reimbursement and claim denials/appeals. Assess and coordinate discharge ... Requirements Licensure / Certification / Registration: Required Credential(s): Licensed Registered Nurse credentialed from the Kansas Board of Nursing obtained prior… more
- HEALTH POINT FAMILY CARE INC (Covington, KY)
- …Time Education Level MA Diploma Description HealthPoint is hiring for a precertification coordinator to assist patients with assisting in the examination of ... and Central Kentucky. The organization employs over 170 highly qualified physicians, nurse practitioners, dentists and support staff who are dedicated to providing… more
- US Tech Solutions (Canton, MA)
- …required. Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in her / his role ... / Outpatient UM team and works under the general direction of the Precertification Team Manager or department Manager. The Clinical Reviewer is expected to… more
- SouthernMED Pediatrics (Lakewood, NJ)
- …care and health plan requirements in respect to prescription formularies, precertification requirements for lab or diagnostic tests, participating facilities, and ... Licensure/Certification Requirements: Hold an active New Jersey license to practice medicine as a Nurse Practitioner Or PA and have BLS/PALS certification. more
- Pennsylvania Medicine (Philadelphia, PA)
- …visit, understands insurance restrictions for lab work, referral needs, precertification requirements, etc. Observes patient condition and communicates any abnormal ... appropriate location. Delivers patient specific medications/blood products to the assigned nurse or provider. Maintain temperature log for refrigerator or room… more
- Atlantic Health System (Morristown, NJ)
- …Certification CCMA from: NHA, AAMA, NAHP, ARMA, AMT, AMCA, or NCCT. OR Precertification agreement must be signed if expired or receiving certification within 60 days ... We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and… more
- Pennsylvania Medicine (Bensalem, PA)
- …visit, understands insurance restrictions for lab work, referral needs, precertification requirements, etc. Observes patient condition and communicates any abnormal ... appropriate location. Delivers patient specific medications/blood products to the assigned nurse or provider. Maintain temperature log for refrigerator or room… more
- Wellstar Health System (Marietta, GA)
- …Medical Assistant functions under the direction of the Physician/APP, Nurse Supervisor/Clinical Lead, and/or Practice/Office Manager. Recognizes patient's needs and ... the preparation of pharmaceutical refills for physician/APP approval. * Performs precertification of surgery, schedules surgery, and post operative therapy, and home… more
- Atlantic Health System (Morristown, NJ)
- …Certification CCMA from: NHA, AAMA, NAHP, ARMA, AMT, AMCA, or NCCT. OR Precertification agreement must be signed if expired or receiving certification within 60 days ... We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and… more
- Amedisys, Inc. (Butler, GA)
- …referrals and admissions. Oversees scheduling. Oversees payor verification and precertification requirements. Reviews documentation of other staff members and ... ensures missing, incomplete and/or untimely documentation issues are resolved. Assists clinicians in establishing immediate and long-term patient goals, setting priorities and developing Plan of Care (POC). Regularly evaluates the needs of the patient and… more
- Aultman Health Foundation (Canton, OH)
- …cooperatively with the remainder of the office structure within the context of the Nurse Practice Act of Ohio. WORKING CONDITIONS: Normally works 8 hours per day, ... includes scheduling hospital procedures and out-patient tests. This includes precertification , authorizations, physician orders, communicating with the patient, and… more
- UHS (Newport News, VA)
- …skills. Knowledge of insurance contracts and payors. Knowledge of precertification for inpatient hospitalization. Experience gathering and documenting medical and ... Degree in the Clinical/Behavioral Health Field (Counseling, Social Work) OR Registered Nurse (RN) Experience: 1-3 years of experience preferred in psychiatric health… more
- WestCare Foundation (Marathon, FL)
- Registered Nurse Job Details Job Location Marathon - 3000 41st Ocean 1 - Marathon, FL Position Type Part Time Education Level 2 Year Degree Salary Range $37.45 - ... $37.45 Hourly Travel Percentage Negligible Job Category Nurse Description Position Summary: Person in this position will be responsible for providing professional… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue ... within the scope of the CPAC for revenue reimbursement. The RUR nurse applies advanced clinical knowledge, communication skills, and collaboration to promote… more
- Weill Cornell Medical College (New York, NY)
- Title: Registered Nurse Location: Upper East Side Org Unit: Nursing Work Days: Weekly Hours: 35.00 Exemption Status: Exempt Salary Range: $108,000.00 - $118,000.00 ... policies and procedures. + May be responsible for the precertification and preauthorization of prescriptions. + When needed, records...more years of related work experience as a Registered Nurse . Extensive experience as a Registered Nurse … more
- Bon Secours Mercy Health (Lorain, OH)
- …Position.** **Primary Function/General Purpose of Position** The Admissions Coordinator Registered Nurse (RN) is responsible for the coordination of all Acute ... worker, care coordinators, therapists, and nursing. Collaborates with PM&R physician, and nurse manager on all acute rehab referrals to establish eligibility for… more
- Access Dubuque (Dubuque, IA)
- Clinic Nurse : Family Medicine **UnityPoint Health Finley Hospital** 1 Positions ID: 43435338 Posted On 06/25/2025 **Job Overview** + **Area of Interest:** Nursing + ... Family Medicine- DQ + **Shift:** 36-40 + **Job ID:** 167509 **Overview** **Clinic Nurse - Family Medicine** **Dubuque, IA** **Full Time Benefits** **$5,000 Sign On… more
- Weill Cornell Medical College (New York, NY)
- Title: Registered Nurse Location: Upper East Side Org Unit: Inflammatory Bowel Disease Program Work Days: Weekly Hours: 35.00 Exemption Status: Exempt Salary Range: ... policies and procedures. + May be responsible for the precertification and preauthorization of prescriptions. + When needed, records...more years of related work experience as a Registered Nurse . Extensive experience as a Registered Nurse … more
- Weill Cornell Medical College (New York, NY)
- Title: Nurse Practitioner - Urology (Men's Health) Location: Upper East Side Org Unit: General Urology Clinical Operations Work Days: Monday-Friday Exemption Status: ... urological health and science. In collaboration with an attending physician, the Nurse Practitioner is responsible for the coordination and direct care of patients… more
- Bon Secours Mercy Health (Lorain, OH)
- …excellence. **Primary Function/General Purpose of Position** The Admissions Coordinator Registered Nurse (RN) is responsible for the coordination of all Acute ... worker, care coordinators, therapists, and nursing. Collaborates with PM&R physician, and nurse manager on all acute rehab referrals to establish eligibility for… more
