- Mercy (Chesterfield, MO)
- …patients have timely access to necessary medications by completing and submitting prior authorization for Mercy Primary Care clinics. Works cooperatively with ... commitment to teamwork. Key Responsibilities: Respond to electronic, verbal, and manual prior authorization requests with accuracy and efficiency. Verify active… more
- Mercy (Springfield, MO)
- …information in order to compile the necessary information for pharmacist judgement, prior authorization or other patient care use. Demonstrates mastery of ... 3 years hospital pharmacy experience or equivalent experience required. Licensure: Actively registered , in good standing, with the State Board of Pharmacy as a… more
- Mercy (Springfield, MO)
- …information in order to compile the necessary information for pharmacist judgement, prior authorization or other patient care use. Demonstrates mastery of ... 3 years hospital pharmacy experience or equivalent experience required. Licensure: Actively registered , in good standing, with the State Board of Pharmacy as a… more
- Molina Healthcare (Boscobel, WI)
- …adults), or equivalent combination of relevant education and experience. * Active and unrestricted Registered Nurse ( RN ) license in the state of Wisconsin. * ... rewarding work opportunity! We are currently looking for a Registered Nurse licensed in Wisconsin to become...and revises plan of care as needed Submits for Prior Authorization for personal care services Complies… more
- MD Anderson (Houston, TX)
- …Care Provides patient care appropriate to the population(s) served. Advanced Practice Registered Nurse : EDUCATION Required: Master's Degree in Nursing or Doctor ... for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board...Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board… more
- MD Anderson (Houston, TX)
- …Nursing Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior ... all patients for past medical, surgical, and anesthetic history prior to arrival for the planned procedure requiring anesthesia...Board of Nursing to function as an Advanced Practice Registered Nurse (APRN or ACNP or ACNPC… more
- Christus Health (Corpus Christi, TX)
- …Patient Access Representative Nursing Assistant / Patient Care Technician Radiology Technician Registered Nurse Licensed Vocational Nurse Magnetic Resonance ... of your separation date Must obtain unit commander written authorization and approval to participate in DoD SkillBridge Program... and approval to participate in DoD SkillBridge Program prior to start of internship Must meet minimum qualifications… more
- Centene Corporation (Cheyenne, WY)
- …5pm Pacific, with occasional weekends and holidays. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... the United States. This position does require an Oregon RN or LPN license. The work schedule for the...assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as… more
- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the healthcare… more
- UCLA Health (Los Angeles, CA)
- …This position is responsible for reviewing and evaluating clinical documentation related to prior authorization requests for medical services. The UM Review ... efficient utilization of resources. Key Responsibilities: + Conducts clinical reviews of prior authorization requests to evaluate medical necessity and benefit… more
