- Mayo Clinic (Rochester, MN)
- …practice, education, and research directs the activities of the registered nurse . The Nursing Process of assessing, diagnosing, outcome identification, planning, ... the basis for all care delivered by the registered nurse . The registered nurse is accountable for...from each new employee's Form I-9 to confirm work authorization . **Recruiter** Laura Heyde **Equal opportunity** As an Affirmative… more
- Texas Health Resources (Flower Mound, TX)
- **Licensed Vocational Nurse ** _We're looking for a qualified_ **_Licensed Vocational Nurse_** _like you to join our Texas Health family._ _If you're looking for a ... least 3 years of Clinic Experience (STRONGLY PREFERRED) + Prior Authorization experience (STRONGLY PREFERRED) + Back Office Experience (STRONGLY PREFERRED)… more
- Centene Corporation (Austin, TX)
- …including a fresh perspective on workplace flexibility. **Care Manager - Registered Nurse work in Laredo, TX** **Pediatric Nursing experience is required. Must ... + Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service… more
- Bozeman Health (Bozeman, MT)
- …patient care tech is accountable for coordinating care for the patient with the nurse . The tech implements the plan of patient care in accordance with established ... methods and techniques under the direction of the nurse . The tech will function within the Bozeman Health...of the prescription assistance program, and patient pre and prior- authorization . Patient Care Techs must have excellent analytical and… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Ensures rooms are neat, clean, and stocked. + Rooms patients in preparation for nurse and physician. Breakdown, cleaning and set up of exam rooms to insure ... directed. + Office Clerical Support: Provides clerical support including scheduling, pre- authorization for exams and diagnostic testing, pre- authorization for… more
- Elevance Health (Walnut Creek, CA)
- …claims work. + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , ... provider on referrals given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. + Processes incoming requests,… more
- Elevance Health (Richmond, VA)
- …I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + Managing incoming calls ... claims work. + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization ,… more
- Molina Healthcare (Cleveland, OH)
- …licensure. The ideal candidate will have experience with UM and prior authorization , within both Physical Health and Behavioral Health. Candidates with a Behavioral ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and… more
- St. Mary's Healthcare (Johnstown, NY)
- …care. Ensure rooms are neat, clean, and stocked. Rooms patients in preparation for nurse and physician. Breakdown, cleaning and setting up of exam rooms to ensure ... directed. + Office Clerical Support: Provides clerical support including scheduling, pre- authorization for exams and diagnostic testing, pre- authorization for… more
- UPMC (Tobyhanna, PA)
- …and all required pre-certification, continued stay and/or discharge reviews; service authorization , and care coordination as needed. The Care Manages executes these ... lead for other members of his/her team. **Responsibilities:** + Makes authorization determinations for medically necessary services independently, within the scope… more