- 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
- Molina Healthcare (Columbia, SC)
- …, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION For this position we are seeking a RN with a current active license for state of...The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and inpatient services… 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