- Humana (Des Moines, IA)
- …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 (Des Moines, IA)
- 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 (Des Moines, IA)
- …, 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
- UnityPoint Health (Des Moines, IA)
- …preferred. Experience: Prefer 1 year experience in mental health field. License(s)/Certification(s): Registered Nurse currently in good standing and licensed by ... direct care services to clients in rooming clients, completing prior authorizations, managing refills, administering injections, drawing blood for laboratory… more
- Trinity Health (Des Moines, IA)
- …advanced certification or a combination of advanced training and/or certification (eg, Registered Nurse , Licensed Practical Nurse , Certified Pharmacy ... pre- authorization process. Validates payable diagnosis codes/medical necessity and prior therapy requirements according to FDA and NCCN guidelines. Assists… more