- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Pre- Authorization Nurse 2 reviews prior authorization requests for appropriate ... to Tier III care management as needed. * Perform prior authorization reviews according to established HUMANA...candidates that are currently living in Puerto Rico. + Registered Nurse with current in-state RN… more
- Carle Health (Peoria, IL)
- …home unit. * Additional support from nurse residency coordinator. The staff Registered Nurse ( RN ) is a professional caregiver who assumes responsibility ... clinical tracks to give you exposure to multiple units prior to deciding which unitis the best fit for...REQUIREMENTS College Diploma in Nursing CERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse ( RN ) License… more
- US Tech Solutions (Chicago, IL)
- …and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have ... + MUST HAVE 6 months of Prior Authorization . **Education:** + Active and unrestricted RN ...with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:**… more
- SSM Health (IL)
- …Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse ( RN ) - Missouri Division of Professional Registration + ... accuracy and timeliness on all functions related to insurance prior authorization , plan benefits, and medical necessity...Or + Registered Nurse ( RN ) Issued by...Or + Registered Nurse ( RN ) Issued by Compact State State… more
- Carle Health (Champaign, IL)
- …to: symptom-based concerns, medication questions/refills, referral needs, prior authorization requests, and visit follow-up questions. Finds nurse led ... and advice for all Carle Health Primary Care patients. Qualifications Certifications: Licensed Registered Professional Nurse ( RN ) - Illinois Department of… more
- Carle Health (Bloomington, IL)
- …practice as defined by the Illinois Board of Nursing. Qualifications Certifications: Licensed Registered Professional Nurse ( RN ) - Illinois Department of ... Overview The Ambulatory Nurse utilizes a systematic approach to nursing by...of immunizations and medications to patients age 0-21 Obtain prior authorization , then work with specialty pharmacies… more
- Carle Health (Urbana, IL)
- …Basic Life Support (BLS) within 30 days - American Heart Association (AHA); Licensed Registered Professional Nurse ( RN ) - Illinois Department of Financial ... Overview The Ambulatory Nurse utilizes a systematic approach to nursing by...testing. Complete MRI safety screenings. Patient phone triage. Obtain prior authorization through insurance companies. About Us… more
- Carle Health (Urbana, IL)
- …Basic Life Support (BLS) within 30 days - American Heart Association (AHA); Licensed Registered Professional Nurse ( RN ) - Illinois Department of Financial ... visual field testing. Complete MRI safety screenings. Patient phone triage. Obtain prior authorization through insurance companies. About Us **Find it here.**… more
- Carle Health (Champaign, IL)
- …Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA); Licensed Registered Professional Nurse ( RN ) - Illinois Department ... Overview The Ambulatory Nurse utilizes a systematic approach to nursing by...message in EPIC Assist with RAMS- Rapid assessment clinic Prior authorization for psych medications Injections About… more
- Carle Health (Peoria, IL)
- …Epic. Collects data on assigned patients and help to ensure accurate documentation Obtain prior authorization as needed. Acts as liasion for ED providers and ... patients are met. Qualifications Certifications: , Education: , Work Experience: Certified nurse assistant Responsibilities Collaborates with the RN Case Manager… more