- Humana (Atlanta, GA)
- …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
- Molina Healthcare (Atlanta, GA)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... , managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
- Molina Healthcare (Atlanta, GA)
- …, 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
- Molina Healthcare (Atlanta, GA)
- …, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical...requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its… more
- Elevance Health (Atlanta, GA)
- …and/or experience preferred. + Formulary, clinical rules, pharmacy claims analysis, and/or prior authorization experience for a pharmacy benefit manager or ... Capabilities, and Experiences:** + Professional certification of CFE, AHFI, CPC, Paralegal, RN , JD or Law Enforcement preferred. + Pharmacy claims, records and… more
- Elevance Health (Decatur, GA)
- …not required. + 1+ Years of medical front office experience preferred. + Prior authorization experience preferred. + Inbound call experience preferred. + ... Rd. Suite D Atlanta, GA 30338 **Shift: Days. Clinic is open Monday-Friday, PRN RN will cover Sick Call-offs, PTO coverage, and higher Census days as needed.**… more
- Fresenius Medical Center (College Park, GA)
- …care partners toensure schedulingattendance. + Communicateany potential issues to supervising Registered Nurse and/or managementstaff. + Documents all activities ... registered nurses in obtaining test results. Confirm insurance authorization where appropriate. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Under supervision,… more
- Morehouse School Of Medicine (Atlanta, GA)
- …Position Summary The AUCC Student Health and Wellness Clinic is seeking an Advanced Practice Registered Nurse ( APRN ) or Physician Assistant (PA) who will be ... services. Minimum Qualifications + Master's or Doctoral degree from an accredited Nurse Practitioner (NP) or Physician Assistant (PA) program. + Current licensure as… more
- System One (Atlanta, GA)
- …at https://www.linkedin.com/in/dpotapenko and then email your resume, work authorization status, current location, availability, and compensation expectations ... tenants and 5177 devices in SCM. Prisma Access for RN . 10.5 Gb purchased, 5.25 Gb deployed ) -...Decryption, etc - Legacy integration with Juniper networking. - Prior experience in very large-scale Secure Access Service Edge… more