- Nuvance Health (Danbury, CT)
- …regulations. * Ensure the integration of denials prevention operations such as prior authorization , initial and concurrent review, and denials management into ... *Description* *Summary:* The Manager , Denials Prevention & Appeals Operations is responsible...management required. * 5 years management experience preferred * RN License in CT and NY required Working Conditions:… more
- University of Colorado (Denver, CO)
- …Assistant II level:** + Process basic referrals and imaging study orders. + Process prior authorization requests. + Train and onboard newly hired MAs. + ... **Supervision Received:** Direct supervision will be provided by an RN for Case Management, an APN Clinical Lead, or...substitute for completion of an accredited medical assistant program.** ** Registered Nurse / Bachelor of Medicine, Bachelor… more
- Elevance Health (Indianapolis, IN)
- …following standard procedures that do not require the training or skill of a registered nurse . **How you will make an impact:** + Confirms medical services ... date is required. **Preferred Skills, Capabilities & Experiences:** + Experience with Prior Authorization preferred. + Strong typing skills preferred. Pay Range:… more
- Gilead Sciences, Inc. (New Orleans, LA)
- …receive timely support and education on requirements like medical exceptions and prior authorization ._ + _Excel at collaborating with cross-functional internal ... processes, such as streamlining benefit verification and improving education on prior authorizations to expedite patient treatment initiation. Oversee processes for… more
- AdventHealth (Orlando, FL)
- …the Physician Assistant (ARC-PA), the successor program to CAAHEP + Advanced Practice Registered Nurse (APRN) Required + APRN-BC - Advanced Practice ... assessment. * Coordinating with the Financial Coordinator to obtain authorization for pre-transplant patients evaluation. This includes communicating as...Registered Nurse , Board Certified Required + American Nurses Credentialing Center… more
- Dartmouth Health (Claremont, NH)
- …by providers. * Work with an Integrated Behavioral Health Team to obtain prior authorization and coverage for LAIs. * Provide brief behavioral interventions ... Care Manager functions as the primary case manager , triage nurse , and support for the...An ideal candidate would have the following qualifications: * Registered Nurse * De-escalation training within six… more
- Mayo Clinic (Phoenix, AZ)
- …the Operating Room Manager , Supervisor, Specialty Team Leader, and staff Registered Nurse . Works cooperatively with the surgeon, PAs/NPs, residents, fellows, ... the patients in the operating room/procedure rooms. Under the supervision of a RN and in collaboration with the surgeon, the technologist functions primarily in the… more
- Integra Partners (Troy, MI)
- …priorities, systems, and workflows in a fast-paced environment. EDUCATION: Active, unrestricted Registered Nurse , Licensed Vocational Nurse , or Licensed ... The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team… more
- Trinity Health (Columbus, OH)
- …administer direct care to patients, functioning under the direction of the provider or registered nurse and practice manager , following all policies and ... and gather other information + EKGs + Referral and prior authorization + Answer in basket message,...+ Tuition/professional development reimbursement starting on day one. + RN to BSN tuition 100% paid at Mount Carmel's… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... team leaders reporting to a mental health clinical program manager or a physician manager . Positions allocable...Psychiatrists in completing and checking for accuracy on Treatment Authorization Request (TAR) and Prior Authorization… more