- Dana-Farber Cancer Institute (Brookline, MA)
- …required. + Case Management, Utilization Review, Oncology, Cellular Therapy and/or Prior Authorization experience is preferred. + Licensed as a Registered ... Specialist is responsible for the comprehensive coordination and management of all prior authorization activities specific to cellular therapy services. This… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- …of clinical registered nurse experience; experience with authorizations, utilization review or insurance authorization experience, critical thinking skills ... Summary The Revenue Utilization Review (RUR) nurse is under...Nursing may have opportunity to become registered as a nurse with a state licensing board prior … more
- US Tech Solutions (LA)
- **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a hospital setting in a specialty area of the nursing field providing ... utilization management prior authorization reviews....indicated by staffing and business needs. **Duties:** + **Registered Nurse with current license in LA state of employment.… more
- US Tech Solutions (GA)
- …leadership team. **Experience:** + 1-3 years of related work experience. **Skills:** + Prior Authorization + Utilization Reeview **Education:** + High School ... from distractions. You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Specialty Medical … more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... Summary Community Care is seeking Nurse Case Managers to join our team! This...and expertise for the coordination of NMVAHCS non-VA care authorization program. Demonstrate knowledge of Fee federal regulations, VHA… more
- Mayo Clinic (Rochester, MN)
- …multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review, including concurrent admission status and continued stay clinical ... rounds and collaborates to potentially impact length of stay. The Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the… more
- Trinity Health (Hartford, CT)
- …and/or payer determinations + Discuss complex medical necessity cases in all aspects of prior authorization work with physician + Act as a resource to other ... **Shift:** Day Shift **Description:** **Position Purpose** The Clinical Pre-Service Nurse Coordinator is directly responsible for reviewing pre/post service initial… more
- State of Nevada (NV)
- …patients for medication side effects and/or allergic reaction, and processing prior authorization requests. Responsibilities may also include monitoring and ... PSYCHIATRIC NURSE 2 APPROXIMATE ANNUAL SALARY - $76,608.72 to...regulations, and NNAMHS policies. Additional work responsibilities may include Utilization Review, monitoring Preadmission Screening and Resident Review (PASSR),… more
- Dignity Health (Rancho Cordova, CA)
- …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for coordination of services for… more
- Health Advocates Network (Pittsburgh, PA)
- …or information may be provided over the telephone for any service that may require prior authorization or post certification. Work may include serving as a team ... R&E Nurse - Med Care Services- Intermediate **Pay Rate:** $25...health setting, drug and alcohol setting, managed care, quality management/ utilization review or other related clinical experience; or An… more