- CVS Health (Santa Fe, NM)
- …At least 1 year of Utilization Management experience in concurrent review or prior authorization . + Strong decision-making skills and clinical judgment in ... (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible,...Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this role,… more
- Mayo Clinic (Rochester, MN)
- …written). + Experience working in a team environment. + Computer skills required, prior experience with electronic medical record systems preferred. + Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- Ochsner Health (New Orleans, LA)
- …and outpatient (excluding ED) accounts for the company's patients by obtaining/initiating prior authorization of ordered services based on payer requirements, ... billing processes. **Job Duties** + Secures clinical documentation and performs pre-service medical necessity reviews to obtain prior authorizations. + Maintains… more
- Mayo Clinic (Austin, MN)
- …can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for ... the data and observations + Monitors and collaborates with nurse leader for quality data related to lactation specific...associate degree registered nurses with a RN start date prior to April 1, 2020 must provide documented evidence… more
- Aveanna Healthcare (Cedar Rapids, IA)
- …complete and document the client start of care * Submit required documentation for prior authorization of client services as needed based on client's pay sources ... Home Health Admissions Registered Nurse RN Full Time ApplyRefer a FriendBack Job...including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job… more
- Mayo Clinic (Rochester, MN)
- …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or...model. **Bed #:** * EI32 - 31 The registered nurse (RN) is accountable for the coordination of nursing… more
- Mayo Clinic (Jacksonville, FL)
- …written). * Experience working in a team environment. * Computer skills required, prior experience with electronic medical record systems preferred. * Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- Mayo Clinic (Jacksonville, FL)
- …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- CVS Health (Phoenix, AZ)
- …1 year of experience in Oncology and Transplant either in UM, concurrent review, or prior authorization + 3+ years of experience in Acute clinical Oncology or ... a difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse... medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Oncology and Transplant, you'll play… more
- Mayo Clinic (Rochester, MN)
- …can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for ... ongoing support to Mayo Clinic Rochester and Mayo Clinic Health System medical practices with direct interaction with clinical staff in the hospital setting,… more