- Sharp HealthCare (La Mesa, CA)
- …referrals for care and services are directed to appropriate network providers, and obtains prior authorization for in network and out of network services as ... (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours**...by community and professional standard as adopted by the medical staff.The RN CM will assure that the patients… more
- Elevance Health (Walnut Creek, CA)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- Guthrie (Binghamton, NY)
- …safe and timely dispensing of the medication for the patient as needed. Medication Prior Authorization + Collect necessary documentation and submit it to the ... in basket monitoring, overdue results, referrals, provider orders and support the nurse navigator role. Experience: A minimum of 2 years' experience preferred in… more
- Guthrie (Corning, NY)
- …safe and timely dispensing of the medication for the patient as needed. Medication Prior Authorization * *Collect necessary documentation and submit it to the ... in basket monitoring, overdue results, referrals, provider orders and support the nurse navigator role. Experience: A minimum of 2 years' experience in nursing,… more
- Ellis Medicine (Schenectady, NY)
- …work staff to ensure smooth care transition + Coordinate arrangement of durable medical equipment with vendor authorization as needed. + Participate in internal ... primary function is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse ...and final discharge plans. + Assists with ordering durable medical equipment. + Meets with patient, family and/or designee… more
- Molina Healthcare (Cleveland, OH)
- …and its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests ... a compact licensure. The ideal candidate will have experience with UM and prior authorization , within both Physical Health and Behavioral Health. Candidates with… more
- Diversicare Healthcare Services & Diversicare Ther (Council Grove, KS)
- …a registered professional nurse to perform the following duties: + After authorization by the facility's licensed nurse or the resident's treating physician, ... our OnShift Wallet program!** Full Time Benefits include: + Medical /Dental/Vision + Excellent 401k plan + Tuition Reimbursement +...PRN medication only upon the instruction of the licensed nurse . + Must document all PRN's according to State… more
- Elevance Health (Richmond, VA)
- …Management Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + ... eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Refers cases… more
- GE Vernova (Wilmington, NC)
- …If applicable, final offers will be contingent on ability to obtain authorization for access to US export-controlled information from the US Government. + ... and ISO 9000). + Strong organization skills. + Strong problem-solving abilities. + Prior experience in project delivery and working within a matrix environment. +… more
- Boston Public Schools (Boston, MA)
- …for students in healthcare facilities, including hospitals, clinics, and medical offices, to provide real-world exposure and practical learning opportunities. ... the Boston Public Schools as outlined above. + Current authorization to work in the United States - Candidates...eligible for licensure. + Must hold a Massachusetts Registered Nurse (RN) license + Must have a Bachelor's Degree… more