- University of Miami (Miami, FL)
- …Manager RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct initial chart ... reviews for medical necessity and identify the need for authorization . The nurse coordinates with the healthcare team for optimal and efficient patient outcomes,… more
- US Tech Solutions (May, OK)
- …prior authorizations following policy and procedure. + * Provide on-call after hours nurse availability for urgent PA requests. + * Provide internal nurse ... healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each...by the PA leadership team. **Education:** **The Licensed Practical Nurse is a graduate of a school of Practical… more
- CVS Health (Oklahoma City, OK)
- …and written **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active, current and unrestricted Oklahoma RN licensure + Most ... be available to work Monday - Friday 8:00 am - 5:00 pm (some flexibility in schedule) + Some weekends and holidays may be required per business needs **Preferred Qualifications** + 3+ years of clinical experience required + Managed Care experience preferred… 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 ... utilization management prior authorization reviews. Build strong direct relationships with providers and...indicated by staffing and business needs. **Duties:** + **Registered Nurse with current license in LA state of employment.… more
- Centene Corporation (New York, NY)
- …Monday-Friday Eastern Standard hours.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate ... of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with… more
- US Tech Solutions (May, OK)
- …prior authorizations following policy and procedure. + Provide on-call after hours nurse availability for urgent PA requests. + Provide internal nurse ... other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on each prior … more
- State of Minnesota (St. Peter, MN)
- … nurse specialist + Minnesota licensure and current registration as a registered nurse + Authorization from the Minnesota Board of Nursing to prescribe drugs ... **Working Title: Registered Nurse Advanced Practitioner - Primary Care, APRN** **Job...Advanced Practitioner - Primary Care, APRN** **Job Class: Registered Nurse Advanced Practice** **Agency: Direct Care and Treatment** +… more
- Roper St. Francis (Ladson, SC)
- …reasonable accommodation. Licensing/Certification + New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 days of ... as new opportunities arise._ Primary Function/General Purpose of Position The Registered Nurse 's primary function is to plan, provide, supervise, and coordinate care… more
- Roper St. Francis (Ladson, SC)
- …experience is desired. **Licensure/Certification:** New grad RNs with a BON temporary work authorization must obtain Registered Nurse license within 90 days of ... different territory as new opportunities arise._ **Job Summary** **:** The Registered Nurse 's primary function is to plan, provide, supervise and coordinate care to… more
- State of Massachusetts (Boston, MA)
- …nurse under the Massachusetts Board of Registration in Nursing. Current and valid authorization to practice as a Nurse Practitioner by the Massachusetts Board ... Massachusetts Board of Registration in Nursing. Current and valid authorization to practice as a Nurse Practitioner...and valid authorization to practice as a Nurse Practitioner by the Massachusetts Board of Registration in… more
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