- Option Care Health (Washington, DC)
- …school of nursing and at least 1 year of experience as a registered nurse or recent graduate with prior experience as an IV Certified LVN/LPN with one ... the best and brightest talent in healthcare. **Job Description Summary:** An Infusion Nurse is a licensed clinician who coordinates and provides direct patient care… more
- University of Utah (Salt Lake City, UT)
- …to move complex pancreatitis patients along the care continuum. 3. Communicates with the prior authorization team to ensure a seamless flow of patient care for ... at Primary Children's Hospital. The team consists of 9 RN 's working with 6 NP's and 21 MD's. Responsible...days of hire. Current license to practice as a Registered Nurse in the State of Utah,… more
- CVS Health (Baton Rouge, LA)
- …4 hours a day working with providers to secure additional information for prior authorization review. This candidate will utilize clinical skills to coordinate, ... management) experience within an **outpatient** setting, concurrent review or prior authorization . + 5 years of a...make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted… more
- State of Nevada (NV)
- …and assessing their needs to prevent further serious occurrences. As a licensed Registered Nurse , employee may be assigned or brought in for consultation ... the following requirements: Education and Experience (Minimum Qualifications) Licensure as a Registered Nurse and one year of professional experience providing… more
- US Tech Solutions (May, OK)
- …. Registered Nurse in state of residence . Must have prior authorization utilization experience . Able to work in multiple IT platforms/systems Skills: ... MANAGEMENT EXP, pref. knowledge of Milliman/MCG. . MUST HAVE 6 months of Prior Authorization . Education: . Active and unrestricted RN licensure in state of… more
- Actalent (Santa Barbara, CA)
- …Monday-Friday (no weekends or holidays) We're seeking a detail-oriented and compassionate Registered Nurse to join a high-performing Utilization Management team ... Utilization Management Nurse ( RN ) - Santa Barbara, CA...cost-effective care. Key Responsibilities + Conduct clinical reviews for prior authorizations, referrals, and medical necessity determinations + Collaborate… more
- Mayo Clinic (Jacksonville, FL)
- …Candidates must have a PhD, be licensed/eligible to be licensed as a registered nurse in Florida and have completed post-doctoral fellowship training if ... Competitive retirement package to secure your future. **Responsibilities** Mayo Clinic nurse scientists conduct clinically based research to improve the health and… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER: University Hospital (Care Management) Apply Now **Job Summary** The RN Case Manager assesses, develops, implements, coordinates and monitors a ... utilization of resources while promoting quality outcomes. **Organizational Relationships** The RN Case Manager reports directly to the Manager of Care Management.… more
- Ascension Health (Milwaukee, WI)
- …authorization codes for all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job ... transfer date required. Education: + Bachelor's degree in nursing or diploma from an accredited school/college of nursing required. + Master's degree or combination of Bachelor's degree and experience preferred. Work Experience: + 5 years of experience… more
- UnityPoint Health (Des Moines, IA)
- …preferred. Experience: Prefer 1 year experience in mental health field. License(s)/Certification(s): Registered Nurse currently in good standing and licensed by ... direct care services to clients in rooming clients, completing prior authorizations, managing refills, administering injections, drawing blood for laboratory… more