- 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
- 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
- Walmart (Orlando, FL)
- …qualifications for this position. If none are listed, there are no minimum qualifications._ Registered Nurse ( RN ) Licensure in state of practice 1 year's ... adherence by addressing barriers and coordinating with prescribers, pharmacists, and prior authorization teams. + Monitor patient health status, assess… more
- Integra Partners (Troy, MI)
- …priorities, systems, and workflows in a fast-paced environment. EDUCATION: Active, unrestricted Registered Nurse , Licensed Vocational Nurse , or Licensed ... The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership...as needed. + Oversee case assignment, queue management, and authorization workflows to ensure timely completion. + Perform … more
- Health Advocates Network (Harrisburg, PA)
- …hour *W2 Minimum Qualifications Possession of a current license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing; or ... non-renewable temporary practice permits must obtain licensure as a Registered Nurse within the one-year period as...over the telephone for any service that may require prior authorization or post certification. Work may… more
- Kaniksu Community Health (Sandpoint, ID)
- …patient needs or status to the provider teams as needed. + Obtain prior authorization as needed for medications, diagnostics, referrals, etc. + Review ... Needed to Land this Gig: + Associates Degree in Registered Nurse or equivalent required. + Minimum...not required. + Currently licensed to practice as a RN in the State of Idaho + Possess cognitive… more
- Indian Health Service (Dulce, NM)
- …Obtains needed services for patients through arrangement with service providers. Obtains prior authorization for patients covered by insurers who require ... Package - Check out IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov) Requirements Conditions of… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** Are you a registered nurse in the State of Minnesota? We at Fairview are looking for you to join our Kasota team located in Minneapolis! This ... and a genuine commitment to improving patient outcomes. Initiate calls to receive prior authorization information for services prior to service delivery… more
- Tidelands Health (Myrtle Beach, SC)
- …Demonstrate professional oral and written communication skills **Licenses and Certifications** + Registered Nurse - South Carolina Department of Labor, Licensing ... Practice Nurse oversees the oral chemotherapy process- obtaining consent, authorization and treatment teaching. Completes assessment (via telephone or in person)… more
- UPMC (Pittsburgh, PA)
- …within 30 days of hire + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) + Act 33 with renewal + Act 34 with ... orientation. **Position Specifics:** Employee with be assisting providers with obtaining prior authorization for treatment and completing required documentation… more