- Community Health Systems (Clarksville, TN)
- …and Abilities** + Strong knowledge of insurance verification, eligibility, and prior authorization processes. + Excellent customer service and interpersonal ... procedures and recent admissions to verify insurance eligibility, benefits, and authorization requirements for all patient visits. + Collaborates with physician… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or ... Position Summary: Includes a $2500 sign on bonus! The RN Home Care nurse is responsible for...Manages the refills of all patient medications with appropriate authorization by the provider. + Teaches patients and families… more
- Sharp HealthCare (San Diego, CA)
- …Time** **Shift End Time** Bachelor's Degree in Nursing; Bachelor's Degree; Master's Degree; California Registered Nurse ( RN ) - CA Board of Registered ... patient centered care management approach that includes referral management, prior authorization , Case Management and Disease Care...Or + Bachelor's Degree in Healthcare Administration. + California Registered Nurse ( RN ) - CA… more
- Arnot Health (Elmira, NY)
- …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... Assists in tracking/trending by payer for denial reason items such as prior authorization , untimely filing, coordination of benefits, services type issues,… more
- Medtronic (Phoenix, AZ)
- …more of the following fields: + Certified Diabetes Care and Education Specialist (CDCES) + Registered Nurse ( RN ) + Registered Dietitian (RD) + Physician ... compassionate world. **A Day in the Life** Medtronic is seeking a Clinical Territory Manager (CTM) to support the education and training of the company's products to… more
- Sevita (St. Louis, MO)
- …flexible schedules, and the local impact only Missouri nurses can deliver."_** As a Registered Nurse in Missouri, you deserve a role that lets you use ... Join us today, and experience a career well lived. ** Nurse Case Manager ** **$72,000/year + $3,000 Sign-On...for individuals served, including submission of required documentation for prior authorization of services as needed based… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Other duties as assigned. Essential Qualifications + Active and unrestricted license as a Registered Nurse ( RN ) + Bachelor's degree in nursing, (or ... About The Role The Manager , Utilization Management (UM) will manage the Utilization...a managed care setting including a high-level understanding of prior authorization processes including inpatient/concurrent reviews, outpatient,… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National certification ... *_SUMMARY:_* We are currently seeking a*Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work onsite.… more
- MD Anderson Cancer Center (Houston, TX)
- …in a clearly understood manner. Other duties as assigned. * Advanced Practice Registered Nurse : * *EDUCATION* Required: Master's Degree in Nursing or Doctor ... for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board...Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board… more
- University Medicine (East Providence, RI)
- SUMMARY: Perform those functions delegated and assigned by the registered nurse as appropriate. Assist as needed. PRINCIPAL DUTIES AND RESPONSIBILITIES: ... Compliance Program and Code of Conduct. + Assist the registered nurse , nurse practitioner and...treatments. Work with the endocrine care team to complete prior authorization for various endocrine tests and… more