- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... New York to be eligible for consideration. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate… more
- UCLA Health (Los Angeles, CA)
- …related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and established ... Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role...and efficient utilization of resources. Key Responsibilities: + Conducts clinical reviews of prior authorization requests to… more
- Veterans Affairs, Veterans Health Administration (Middleton, WI)
- …in patient care through systematic evaluation and analytical review of clinical information. Responsibilities Responsibilities of the RUR nurse include, but ... Summary The Revenue Utilization Review (RUR) nurse is under the...Patient Accounting Centers (CPAC) for revenue reimbursement. The RUR nurse applies advanced clinical knowledge, communication skills,… more
- University of Miami (Miami, FL)
- …Performs second chemotherapy order check prior to administration by another clinical trials nurse . Education: Bachelor of Science in nursing required ... SCCC has an exciting opportunity for a Full Time Clinical Research Nurse 2 to work at...prior to beginning research related activities. 3. Provides clinical trial support in the hospital and/or clinic setting… more
- YAI (Brooklyn, NY)
- …disabilities and their families. Key/Essential Functions & Responsibilities: + Report to the nurse manager or nurse supervisor, at Premier HealthCare (PHC). Meet ... on a weekly basis for supervision to review duties and responsibilities. + Accountable for the day-to-day...and followed as directed. + Assume duties of the nurse supervisor when needed and provide coverage for and… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 11/19/2025 **Requisition Number** PRN43626B **Job Title** PS Clinical Nurse Specialist **Working Title** PS Clinical Research Nurse ... responsibilities and qualifications required of employees assigned to the job. The Clinical Nurse Specialist makes decisions independently and in collaboration… more
- Veterans Affairs, Veterans Health Administration (Plymouth, MA)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... Summary This Licensed Practical Nurse position is at the VA Boston Healthcare Systems located at the Plymouth, MA location. This position is a full time position at… more
- George C. Grape Community Hospital (Hamburg, IA)
- …2-3 years of clinical nursing experience (acute care preferred). o Prior experience in utilization review , case management, quality improvement, and ... Quality/Utilization Review Nurse Position Summary: The Quality/Utilization...and level of care. o Collaborate with physicians and clinical teams to ensure adherence to evidence-based guidelines. o… more
- US Tech Solutions (Chicago, IL)
- … clinical policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. + Reviews ... Nurse in state of residence + Must have prior authorization utilization experience + Experience with Medcompass **Skills:**...Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions… more
- Albany Medical Center (Albany, NY)
- …study mediation to the patient or set up/schedulemedication infusions or coordinate with nurse to administer study medication injection. 16. Review oral study ... Diem (United States of America) Salary Range: $78,773.63 - $122,099.12 The clinical research coordinator is responsible for the organization and management of… more