- Staffing Solutions Organization (Augusta, ME)
- …which is a reflection of our clients and the people they serve. ** Registered Nurse - Authorization Review Unit - MaineCare in Augusta, ME** **Position ... by the PA supervisor, utilizing PA software tools; + Review and authorize provider requests for the following services...Ability to develop and implement corrective actions. **Minimum Qualification:** Registered Nurse and three (3) years of… more
- Actalent (Columbus, OH)
- …Utilization review + Clinical review + Patient care + Licensed registered nurse Additional Skills & Qualifications + Graduate from an Accredited School ... Identify and share opportunities for process improvement in the authorization review workflow. + Perform other duties...Nurse - State Licensure required OR RN - Registered Nurse - State Licensure and/or Compact… more
- Centene Corporation (New York, NY)
- …medical care to members + Provides feedback on opportunities to improve the authorization review process for members + Performs other duties as assigned ... guidelines and criteria + Works with healthcare providers and authorization team to ensure timely review of...Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay… more
- UPMC (Pittsburgh, PA)
- …an RN looking to grow your career? UPMC is looking to hire a full-time Authorization Nurse . This position works Monday through Friday, as well as rotating ... this position is eligible to work from home. The Authorization Nurse provides support to appropriate UPMC...working with databases preferred. **Licensure, Certifications, and Clearances:** + Registered Nurse (RN) + Act 34 *Current… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship and leadership programs + And more! **Description** The **Registry Utilization Review Nurse ** (PRN) is responsible for conducting medical necessity ... utilizing Milliman and Interqual Guidelines in conjunction with a review of the patient chart, clinical nursing judgement, and...are appropriately reviewed in order to obtain the appropriate authorization from the payer in an effort to ensure… more
- Louisiana Department of State Civil Service (Cottonport, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4935609) Apply REGISTERED NURSE 1, 2, OR 3 Salary...appointed from this announcement, I also understand that this authorization will remain valid for the duration of my… more
- Louisiana Department of State Civil Service (Kinder, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4780542) Apply REGISTERED NURSE 1, 2, OR 3 Salary...appointed from this announcement, I also understand that this authorization will remain valid for the duration of my… more
- Louisiana Department of State Civil Service (Angie, LA)
- REGISTERED NURSE 1, 2, or 3 Print...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4965833) Apply REGISTERED NURSE 1, 2, or 3 Salary...appointed from this announcement, I also understand that this authorization will remain valid for the duration of my… more
- Montana State University-Northern (Havre, MT)
- Clinical Resource Registered Nurse (CRRN) part-time Below you will find the details for the position including any supplementary documentation and questions you ... should review before applying for the opening. To apply for...Details Position Information NBAPOSN Title Working Title Clinical Resource Registered Nurse (CRRN) part-time Brief Position Overview… more
- Louisiana Department of State Civil Service (Angie, LA)
- REGISTERED NURSE 1, 2 or 3 (WAE) Print...used for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4777670) Apply REGISTERED NURSE 1, 2 or 3 (WAE)...appointed from this announcement, I also understand that this authorization will remain valid for the duration of my… more
- MD Anderson Cancer Center (Houston, TX)
- …Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003. ... authorization from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse (APRN or ACNP or ACNPC or ACAGNP or AGACNP or ACNPC-AG or… more
- Mayo Clinic (Rochester, MN)
- …**This position is open to experienced nurses and new grad nurses.** The Registered Nurse (RN) in this dynamic multidisciplinary clinic collaborates daily with ... and indirect, non-visit care. Patient visits may include a review of patient health issues, medication review ...Standards provide a basis for the practice of the registered nurse in the ambulatory setting. The… more
- MD Anderson Cancer Center (Houston, TX)
- …employees and the public. *Summary* The primary purpose of the Advanced Practice Registered Nurse (APRN) in the Department of General Internal Medicine, Section ... Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003.… more
- US Tech Solutions (LA)
- **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a hospital setting in a specialty area of the nursing field providing ... as indicated by staffing and business needs. **Duties:** + ** Registered Nurse with current license in LA...a minimum of 1 year in utilization management/ prior authorization review experience. **Experience** : Utilization Management.… more
- KidsPeace Childrens Hospital (Varina, IA)
- The Certified Registered Nurse Practitioner (CRNP) is responsible for overseeing the psychiatric needs of children, adolescents, and/or adults, with primary ... and maintain a valid, current and unrestricted license to practice as a Certified Registered Nurse Practitioner. Must be credentialed to serve on the Medical… more
- US Tech Solutions (Wichita, KS)
- …Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global ... policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. +...+ 3+ years of experience as an RN + Registered Nurse in state of residence +… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of Right of ... Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its...of Specialty Care Referrals, sustaining up-to-date Specialty Clinic Referral Review tools and booking guidance, complying with Referral and… more
- Adecco US, Inc. (Rochester, NY)
- …refills: Review chart, scheduled appointment if needed send to provider for authorization Qualifications for the Registered Nurse : . Active, unrestricted ... Adecco Healthcare & Life Sciences is hiring a Registered Nurse in Rochester, New York!...York! This role is in person / onsite. Please review the details below and apply with an updated… more
- Family Service Association - Fall River (Mashpee, MA)
- …to reach their highest level of independence and functioning. We are currently seeking a Registered Nurse (RN) Per Diem at our Seaview Adult Day Health center ... with no weekend or no major holiday shifts. The Registered Nurse (RN) monitors participant's health status...between physician and participant for medical information and service authorization of participants. Obtain, review , and implement… more
- Roper St. Francis (Moncks Corner, SC)
- …to reasonable accommodation. **Licensing/Certification** New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 ... needs and functional abilities through the systematic collection and review of patient-specific data and communicate assessments appropriately. +...All other RNs must be currently licensed as a Registered Nurse in the state of South… more