- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Pre - Authorization Nurse 2 reviews prior authorization requests for appropriate ... and approves services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse 2 work assignments are varied and frequently require… more
- Veterans Affairs, Veterans Health Administration (Eagan, MN)
- Summary The Home and Community Based Services program Registered Nurse is a member of the interdisciplinary team responsible for providing centralized, standardized, ... administrative and clinical eligibility reviews for authorization of purchased in home services. Works in partnership with facility HCBS teams to ensure Veterans… more
- Ramsey County (St. Paul, MN)
- Registered Nurse (RN) - Correctional Health Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/5080671) Apply Registered Nurse (RN) - ... Center, and Ramsey County Juvenile Detention Center Basic Duties: A licensed Registered Nurse who utilizes the nursing process to meet a variety of healthcare needs.… more
- Option Care Health (St. Paul, MN)
- …effective treatment plan. + Responsible for collecting, reviewing and completing pre -admission information and securing related signoff. + Partners with Account ... performance reviews, discipline, etc.) BASIC EDUCATION AND EXPERIENCE REQUIREMENTS Licensed Registered Nurse (RN) or licensed Pharmacist in the state of practice and… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …to department policies and procedures related to verification of eligibility/benefits, pre - authorization requirements, and available payment options * Identifies ... *_SUMMARY:_* We are currently seeking a* Pre -Registration Representative Senior*to join our**Financial Securing**team. This full-time role will primarily work… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …for patients with appropriate provider, time, and location * Coordinates and schedules pre and post op appointments for patients per procedural guidelines * Ensures ... and coordinates necessary tests and imaging are completed and obtained both pre -procedure and post-procedure * Confirms with vendors that all necessary equipment for… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …needs across the continuum of care by leveraging member partnership, pre -service clinical utilization review, case and disease management processes, skill sets ... * Identifies opportunities for connecting members to group related benefits; eg Nurse Line, Employee Assistance Program, or other specialists with in BCBS Health… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …reviews of surgical and other procedures to confirm accurate perioperative pre - authorization and patient class order reconciliation process. Assesses compliance ... to regulatory and health plan requirements for authorization , including Medicare Inpatient Only List and communicates to...to 5) years of professional leadership experience (ie, charge nurse , team leader, preceptor, committee chair, etc.) * Five… more
- Veterans Affairs, Veterans Health Administration (Eagan, MN)
- …for providing centralized, standardized, administrative and clinical eligibility reviews for authorization of purchased in home services. The IDT works in ... right time. Responsibilities **These positions may be filled by a Registered Nurse , Physical Therapist, or Occupational Therapist. These positions are advertised on… more
- Veterans Affairs, Veterans Health Administration (Eagan, MN)
- …for providing centralized, standardized, administrative and clinical eligibility reviews for authorization of purchased in home services. The IDT works in ... right time. Responsibilities **These positions may be filled by a Registered Nurse , Physical Therapist, or Occupational Therapist. These positions are advertised on… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …implements effective utilization management strategies including: review of appropriateness of pre and post service health care services, application of criteria to ... experience, health plan benefit structure and claims payment knowledge to pre - service and retrospective reviews by gathering relevant and comprehensive clinical… more