- Centene Corporation (New York, NY)
- …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... **8:30am-5pm, Monday-Friday Eastern Standard hours.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of… more
- Molina Healthcare (NY)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
- Trinity Health (Syracuse, NY)
- …triage coverage in our busy Pulmonary Office. Also responsible for assisting with prior authorization , in -basket coverage and daily workflows in the Pulmonary ... and support. + Referral and specialty appointment scheduling. + Assist with prior authorizations Responsibilities: + Ensures quality nursing care is rendered to all… more
- Albany Medical Center (Albany, NY)
- …required * Minimum of 1 year of prior clinical nursing experience is required Registered Nurse ( RN ) - Full TimeDivision of Allergy, Asthma, & Immunology ... (United States of America) Salary Range: $60,028.00 - $99,023.00 Registered Nurse ( RN ) - Full...approach (ICU or floor admitting MD/Pharmacy/ Nurse Manager/Clinical Nurse Specialist/Consulting MD), prior authorization ,… more
- Molina Healthcare (Yonkers, NY)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
- Trinity Health (Syracuse, NY)
- …- 4pm 104 Union Ave ste 1005 Syracuse, NY 13203 MOC building 10th floor ** Registered Nurse Scheduler** The RN Scheduler contributes to the overall success ... a safe surgical plan is in place 5-7 days prior to DOS. In addition, the RN ...class regulations. **Education, Training, Experience, Certification and Licensure:** + Registered Nurse with current licensure in New… more
- Arnot Health (Elmira, NY)
- …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... Assists in tracking/trending by payer for denial reason items such as prior authorization , untimely filing, coordination of benefits, services type issues,… more
- STG International (Plattsburgh, NY)
- …and in accordance to their need and learning capacity. + Assists the Registered Nurse to ensure all patient information on electronic encounter documentation ... STGi is currently seeking a Nurse Practitioner (NP) or Physician Assistant (PA) to...Scope of Practice/Collaborative Agreement with a state licensed physician prior to delivery of health care). + Current and… more
- Molina Healthcare (Albany, NY)
- …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Crouse Hospital (Syracuse, NY)
- …the health care system from the initiation of the referral, to obtaining prior authorization , scheduling appointments and tracking and following up on results. ... Required Qualifications: Registered Nurse , Demonstrated experience in a multi-specialty physician office. Excellent customer service skills. Excellent computer… more