- Centene Corporation (Columbia, SC)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... of care and services are medically appropriate + Performs prior authorization reviews related to mental health...Care only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $26.50 - $47.59 per hour… more
- Medtronic (New Orleans, LA)
- …more of the following fields: + Certified Diabetes Care and Education Specialist (CDCES) + Registered Nurse ( RN ) + Registered Dietitian (RD) + Physician ... (CDE) or Certified Diabetes Care and Education Specialist (CDCES) preferred. + Prior sales experience. + Experience utilizing Microsoft Office Products: Word, Excel,… more
- Trinity Health (Ypsilanti, MI)
- …program (see approved provider list below); or LPN (Licensed Practical Nurse ) or RN ( Registered Nurse ) through the State of Michigan; or is eligible ... patient call backs. Assists with managed care referral process, pre- authorization , and pre-certification processes. Schedules patient appointments with other… more
- Ellis Medicine (Schenectady, NY)
- …and assist in utilization management activities under the direction of a registered nurse and/or social worker. Responsibilities include maintaining case files, ... primary function is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse ...discharge planning documents are provided to post-acute care facilities prior to patient return (ie. NYS Department of Health… more
- Texas Health Resources (Flower Mound, TX)
- …(REQUIRED) + At least 3 years of Clinic Experience (STRONGLY PREFERRED) + Prior Authorization experience (STRONGLY PREFERRED) + Back Office Experience (STRONGLY ... Responsibilities** THPG Licensed Vocational Nurse , under the supervision of a Registered Nurse or Physician, this position functions as a vital member of the… more
- Mayo Clinic (Phoenix, AZ)
- …provides safe and efficient care to the surgical patient under the supervision of the registered nurse ( RN ) and in collaboration with the surgeon. The ... Basic Life Support (BLS) competency. Surgical Technologists hired at the following locations prior to the identified dates, are not required to have a Surgical… more
- Mayo Clinic (Phoenix, AZ)
- …from the Operating Room Manager, Supervisor, Specialty Team Leader, and staff Registered Nurse . Works cooperatively with the surgeon, PAs/NPs, residents, ... the patients in the operating room/procedure rooms. Under the supervision of a RN and in collaboration with the surgeon, the technologist functions primarily in the… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …groups and clinical committees. Essential Qualifications + Active and unrestricted license as a Registered Nurse ( RN ). + Bachelor's degree in nursing, (or ... clinical background within a managed care setting including a high-level understanding of prior authorization process from beginning of ingestion at Intake level… more
- Centene Corporation (Phoenix, AZ)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... and/or autism spectrum disorder needs and clinical standards + Performs prior authorization reviews related to BH to determine medical appropriateness in… more
- Trinity Health (Columbus, OH)
- …direct care to patients, functioning under the direction of the provider or registered nurse and practice manager, following all policies and procedures ... and gather other information + EKGs + Referral and prior authorization + Answer in basket message,...+ Tuition/professional development reimbursement starting on day one. + RN to BSN tuition 100% paid at Mount Carmel's… more