- Johns Hopkins University (Baltimore, MD)
- …All positions are full-time. **JOB RESPONSIBILITIES** **CENTER FOR TALENTED YOUTH** **SITE NURSE ** All staff members are expected to adhere to the CTY Standards ... job description, as assigned by their supervisors. The site nurse is responsible for overseeing medical issues at the...work on student check-in day on the Sunday immediately prior to the start of each session. They have… more
- Option Care Health (Itasca, IL)
- …**Job Description:** Job Responsibilities + Initiates outreach to the assigned Registered Nurse (RN) responsible for providing treatment prior to each new ... best and brightest talent in healthcare. **Job Description Summary:** The ATR Nurse Specialist supports the management and clinical excellence of specialty products… more
- MD Anderson Cancer Center (Houston, TX)
- …Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization ... This position is 100% onsite. *APRN KEY FUNCTIONS* Advanced Practice Registered Nurse in the Department of Hospital Medicine is responsible for assessing and… more
- Trinity Health (Hartford, CT)
- …and/or payer determinations + Discuss complex medical necessity cases in all aspects of prior authorization work with physician + Act as a resource to other ... **Shift:** Day Shift **Description:** **Position Purpose** The Clinical Pre-Service Nurse Coordinator is directly responsible for reviewing pre/post service initial… more
- Boston Public Schools (Boston, MA)
- …will allow for extended time and extra compensation where needed. The SCHOOL NURSE provides skilled nursing care and management of the special needs of students ... evaluation. For students with complex medical needs, the school nurse may act as a liaison for the school,...and adolescents in public school/agency/human services setting. + Current authorization to work in the United States - Candidates… more
- US Tech Solutions (Chicago, IL)
- …an RN + Registered Nurse in state of residence + Must have prior authorization utilization experience + Experience with Medcompass **Skills:** + MUST HAVE ... knowledge of Milliman/MCG. + MUST HAVE 6 months of Prior Authorization . **Education:** + Active and unrestricted...Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions… more
- State of Minnesota (St. Peter, MN)
- … specialist + Licensed or eligible for licensure as an Advanced Practice Registered Nurse in Minnesota + Authorization from the Minnesota Board of Nursing to ... **Working Title: Primary Care - APRN** **Job Class: Registered Nurse Advanced Practice** **Agency: Human Services Dept** + **Job ID** : 86293 + **Location** : St.… more
- Essentia Health (Fargo, ND)
- …chart prep as required. 5. Authorization and Denials Support - Check prior authorization statuses related to departmental needs. - Collaborate with the ... **Job Description:** Seeking a Registered Nurse to serve in Essentia Health's pain clinic...prior authorization team to resolve insurance denials....prior authorization team to resolve insurance denials. - Work on… more
- Actalent (Sunrise, FL)
- …to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing ... Utilization Management Nurse !Job Description The Utilization Management Nurse ...between the Medical Director, physicians, and office staff, resolving prior authorization issues. + Communicate denial determinations… more
- Commonwealth Care Alliance (Boston, MA)
- …Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... **Required Knowledge, Skills & Abilities (must have):** + Experience with prior authorization and retrospective reviews + Proficiency reviewing clinical/medical… more
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