- Actalent (Sunrise, FL)
- …satisfaction, safety, and appropriate length of stay. Responsibilities + Review prior authorization requests for medical necessity and appropriateness using ... Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse...with the interdisciplinary team to perform reviews of service authorization requests, ensuring the utilization of appropriate services. The… more
- Trinity Health (Syracuse, NY)
- …104 Union Ave ste 1005 Syracuse, NY 13203 MOC building 10th floor **Registered Nurse Scheduler** The RN Scheduler contributes to the overall success of the patient's ... to ensure cases are scheduled, coded accurately, secure insurance authorization if indicated and confirm that a safe surgical...a safe surgical plan is in place 5-7 days prior to DOS. In addition, the RN Scheduler will… more
- Mayo Clinic (Rochester, MN)
- …their arrival to the clinic, researching prescription discrepancies, and/or facilitating prior authorization denials. The LPN collaborates daily with physicians, ... nursing colleagues, and support staff. The licensed practical nurse (LPN) provides nursing care to assigned patients under the direct supervision of the registered … more
- Johns Hopkins University (Baltimore, MD)
- …with physicians and ensure appropriate follow-up with patients. + Assist with prior authorization requests for testing/treatments and medications as needed. + ... a team of nurses, physicians, and medical office staff. The Clinical Nurse will demonstrate responsibility and accountability with patients, family members, other… more
- CDPHP (Albany, NY)
- …responsible for the clinical review and documentation for services requiring prior authorization . This includes approval determinations and appropriate ... exceptions, coordinating with Medical Directors on denials. In addition, the UR nurse is responsible for completing inpatient level of care reviews, post-acute care… more
- Hillside Family of Agencies (Rochester, NY)
- …process to obtain medical/psychiatric history, establish health care needs, and complete prior authorization for medications or medical necessity based on ... $5,000 FULL TIME REGISTERED NURSE SIGN ON BONUS! Job Summary The Nurse Manager directs the health care services staff to ensure the delivery of quality health… more
- Adecco US, Inc. (Minneapolis, MN)
- …or 5+ years nursing experience . Relevant experience in UM process activities such as prior authorization or medical claims review . Resides in Texas **Why work ... $43.25 per hour based on experience **Responsibilities of the Utilization Management Nurse ** : . Responsible for reviewing proposed hospitalization, home care, and… more
- State of Massachusetts (Taunton, MA)
- …nurse under the Massachusetts Board of Registration in Nursing. Current and valid authorization to practice as a Nurse Practitioner by the Massachusetts Board ... Department of Mental Health (DMH) is seeking an experienced Nurse Practitioner at the Recovery from Addictions Program (RAP)....by the Executive Office of Health and Human Services prior to the candidate being hired. For more information,… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED + Current license to practice as a registered nurse in the Commonwealth of Massachusetts with authorization by the ... Psych Nurse Practitioner Adult and Child Unit BENEFITS +...years of current clinical nursing experience and two years experience in adult practice required. Prior experience in Psychiatry… more
- RWJBarnabas Health (New Brunswick, NJ)
- …results (eg, mammograms, imaging studies, and laboratory tests), including assistance with prior authorization of certain tests, and collaborates with physicians ... Advanced Practice Nurse - FT Days-RWJMS Obstetrics & Gynecology- New Brunswick-NJReq #:0000196742 Category: Nurse Practitioner Status:Full-Time Shift:Day… more