- Albany Medical Center (Albany, NY)
- …access/team approach (ICU or floor admitting MD/Pharmacy/ Nurse Manager/Clinical Nurse Specialist/Consulting MD), prior authorization , protocols for inpatient ... access/team approach (ICU or floor admitting MD/Pharmacy/ Nurse Manager/Clinical Nurse Specialist/Consulting MD), prior authorization , protocols for inpatient… more
- MD Anderson Cancer Center (Houston, TX)
- …peer to peer reviews and provides information to facilitate insurance authorization for testing and treatment. Responsible for billing utilizing the Electronic ... conferences as scheduled. Other duties as assigned . * Advanced Practice Registered Nurse : * *EDUCATION* Required: Master's Degree in Nursing or Doctor of Nursing… more
- Fallon Health (Barnstable, MA)
- …to facilitate delivery of items as part of the 'Oh Baby' program and work with Nurse Case Managers to coordinate after care needs + The Navigator refers to the ... Nurse Case Manager/PCP whenever clinical decision making is required....not limited to: coverage criteria, appeal rights and processes, authorization request process, formulary, and evidence of coverage details… more
- Molina Healthcare (Ann Arbor, MI)
- …P&T and others as directed by the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring ... concurrent review, and manages the denial process. + Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care. + Ensures that medical decisions… more
- Molina Healthcare (Layton, UT)
- …P&T and others as directed by the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring ... concurrent review, and manages the denial process. + Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care. + Ensures that medical decisions… more
- Parkview Health (Fort Wayne, IN)
- …The primary duty is to identify the patient's insurance that requires pre- authorization for scheduled OP Therapy, and ensuring it is obtained. Responsible for ... accurately documenting pertinent authorization information in all related billing systems. Responsible for benefit verification for identified services and… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Clinical Supervisor, Hospice Administration $1,500 Sign-on Bonus for Candidates with Relevant HomeCare Homebase Experience Full Time, 80 ... Takes administrative on-call when required as a support to the on-call nurse and provides software management related to processing intakes, reviewing evaluation… more
- Intermountain Health (Billings, MT)
- …Rheumatologist who will mentor and support you! + You'll have a pharmacist and nurse dedicated to prior authorization paperwork. + Clinic hours are Monday-Friday ... 8am-5pm. + EPIC EMR utilization (system-wide). **How we'll support you:** We care about your well-being which is why we provide our caregivers a generous benefits package. In addition, we offer paid time off, license reimbursement, malpractice insurance… more
- EGA Associates (Pottsville, PA)
- …**Job Type:** Local **Position Urgency** Normal **Offering** Allied **Profession** Nurse Practitioner **Specialty** Primary Care **Job ID** 16154253 **Job Title** ... No **Call Required** No **Required Certifications for Onboarding** DEA, NPI, Nurse Practitioner, Nursys **Job Description** EGA Associates, LLC. is currently seeking… more
- MD Anderson Cancer Center (Houston, TX)
- …pertaining to the investigational aspects of protocols. o Collaborate with research nurse to assure protocol compliance. *Other duties as assigned.* *REQUIREMENTS * ... 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. Graduate… more