- Humana (Columbia, SC)
- …part of our caring community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. ... This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that...make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin,… more
- Humana (Columbia, SC)
- …your skills to make an impact** **Required Qualifications** + Active unrestricted Compact Registered Nurse , (eNLC) license ( RN ) with no disciplinary action ... you reside, with the ability to obtain multiple state registered nurse license + At least three...**Preferred Qualifications** + Bachelor's degree + Previous experience in prior authorization , claims, provider disputes and/or utilization… more
- Molina Healthcare (Columbia, SC)
- …, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. *… more
- US Tech Solutions (Columbia, SC)
- …but could be extended. + A typical day would like in this role: Process prior authorization requests for Medicare Advantage line of business. + Team: Fast paced, ... Interactive team works with multiple applications to process authorization and appeals requests using Medicare criteria. **Responsibilities:** +...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more