- CVS Health (Lansing, MI)
- …shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum ... At least 1 year of Utilization Management experience in concurrent review or prior authorization . + Strong decision-making skills and clinical judgment in… more
- Centene Corporation (Tallahassee, FL)
- …Health Professional (LMHP) required or + Board Certified Behavior Analyst (BCBA) required + RN - Registered Nurse - State Licensure and/or Compact State ... autism spectrum disorder needs and clinical standards + Performs prior authorization reviews related to BH to...Licensure RN - Registered Nurse - State Licensure and/or Compact State… more
- Hillside Family of Agencies (Rochester, NY)
- …for an identified caseload of youth and includes performing all clinical functions of a Registered Nurse ( RN ). This is a full-time (40 hours) position, on ... Program required. + Minimum 2 years of experience as a Registered Nurse required. SPECIAL REQUIREMENTS + Active, unrestricted RN license in NYS required.… more
- Access Dubuque (Dubuque, IA)
- …Containers & Closures North America (Berry Plastics) Quality Assurance Analyst Rousselot ICU RN - Intensive Care Registered Nurse MercyOne Automation Tender ... to designated outpatients under the supervision of a licensed physician/provider or registered nurse . They manage the scheduling and registration of returning… more
- Johns Hopkins University (Baltimore, MD)
- …Provide phone triage during clinic hours. **Minimum Qualifications** + Individual must be a registered nurse , licensed in the State of Maryland. + Completion of ... of Epic in basket and triaging of patient requests, independently managing prior - authorization requests, etc. + Independently assess laboratory reports for… more
- Scotland Health Care System (Laurinburg, NC)
- …legible documentation, as evidenced by chart review. . Ensures patient has authorization prior to drug administration by communicating with the authorizations ... A. Staff RN Responsibilities 1. Demonstrates expertise in the application...health care status, allergies, meds, past medical history, treatment prior to arrival, and other pertinent information. This will… more
- CDPHP (Latham, NY)
- …responsible for the clinical review and documentation for services requiring prior authorization . This includes approval determinations and appropriate ... nationally recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York State license required. +… more
- Centene Corporation (Austin, TX)
- …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 Centene offers a comprehensive benefits package including:… more
- Dartmouth Health (Claremont, NH)
- …by providers. * Work with an Integrated Behavioral Health Team to obtain prior authorization and coverage for LAIs. * Provide brief behavioral interventions ... team using the collaborative care model. This is an RN position responsible for coordinating and supporting mental health...An ideal candidate would have the following qualifications: * Registered Nurse * De-escalation training within six… more
- Sevita (Lee's Summit, MO)
- …flexible schedules, and the local impact only Missouri nurses can deliver."_** As a Registered Nurse in Missouri, you deserve a role that lets you use ... for individuals served, including submission of required documentation for prior authorization of services as needed based...requested **Qualifications** + Nursing degree with a valid Missouri RN license + At least 2 years of relevant… more