- Project Renewal, Inc. (New York, NY)
- Title: Nurse Care Manager for Drug User...the buprenorphine census) Qualifications: + Active New York State Registered Nurse ( RN ) license + ... C infection. Position Overview: Project Renewal is seeking a Nurse Care Manager (NCM) for Drug User...to track prescribing and pharmacy fill history + Insurance authorization and troubleshooting coverage issues + Relationship building and… more
- North Shore Community Health (Gloucester, MA)
- …including medical, dental and vision insurance. Under the general direction of the Clinical Nurse Manager , the Registered Nurse will provide direct ... Registered Nurse Gloucester, MA (http://maps.google.com/maps?q=302+Washington+Street+Gloucester+MA+USA+01930) Description...when needed within the scope of nursing practice, including prior authorization forms . Provides health education… more
- US Tech Solutions (Columbia, SC)
- …infusion therapy experience. + A typical day would like in this role: Process prior authorization requests for Medicare Advantage line of business. + Previous ... temp to hire)** **Job Description:** + Must be an RN in SC and have an active and unrestricted...either Utilization management or Appeals. + Ability to process authorization requests in timely fashion/ must communicate with team… more
- Fallon Health (Worcester, MA)
- …Nurse in a clinical setting required. + 2 years' experience as a Utilization Management/ Prior Authorization nurse in a managed care payer preferred. + One ... in nursing required** **License/Certifications** + Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience** + A minimum of three… more
- Albany Medical Center (Albany, NY)
- …approach (ICU or floor admitting MD/Pharmacy/ Nurse Manager /Clinical Nurse Specialist/Consulting MD), prior authorization , protocols for inpatient ... of prior clinical nursing experience is required Registered Nurse ( RN ) - Full...or floor admitting MD/Pharmacy/ Nurse Manager /Clinical Nurse Specialist/Consulting MD), prior authorization ,… more
- Trinity Health (Albany, NY)
- …ass needed **What you will need:** **Required:** + A current license to practice as a Registered Nurse ( RN ) in the State of New York + Associate's degree ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** RN Care Manager (Long Term Care...well as insurance companies to manage insurance verifications and prior authorizations + Continual review and authorization … more
- Sharp HealthCare (La Mesa, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA...services are directed to appropriate network providers, and obtains prior authorization for in network and out… more
- Beth Israel Lahey Health (Plymouth, MA)
- …the job that may reasonably be required._ **Education/Experience Required:** _Required_ + State of MA Registered Nurse ( RN ) + 3-5 years acute care nursing + ... summer and one winter holiday. **Job Description:** The Emergency Department Case Manager is responsible and accountable for patient trajectory by assisting the… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN Location: Remote Career Area: Health Services About Blue Cross ... operation of the department. * Guides member through the Prior Authorization and Appeals process. * Engage...of care between settings. Required Skills and Experience * Registered nurse with current MN license and… more
- Carle Health (Urbana, IL)
- …Care, Convenient Care and a wide variety of specialty clinics Under the direction of a Registered Nurse ( RN ), the Nurse Resident functions as a support ... Overview ACCEPTING APPLICATIONS 12 MONTHS PRIOR TO GRADUATION DATE Our Carle Nurse...Nursing Assistant (CNA) or Completion of first semester of Registered Nurse ( RN ) education program… more