- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …Continuous Announcement and will open for 30 days! Responsibilities The Community Care Case Manager is a Registered Nurse , qualified by education and ... and expertise for the coordination of NMVAHCS non-VA care authorization program. Demonstrate knowledge of Fee federal regulations, VHA...have opportunity to become registered as a nurse with a state licensing board prior … more
- Dana-Farber Cancer Institute (Brookline, MA)
- …coverage denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + ... environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and… more
- North Shore Community Health (Salem, MA)
- …opening for a Registered Nurse . Under the general direction of the Clinical Nurse Manager , the Registered Nurse will provide direct and indirect ... Registered Nurse Salem, MA (http://maps.google.com/maps?q=47+Congress+Street+Salem+MA+USA+01970) Description...when needed within the scope of nursing practice, including prior authorization forms . Provides health education… more
- Trinity Health (Syracuse, NY)
- …- 4pm 104 Union Ave ste 1005 Syracuse, NY 13203 MOC building 10th floor ** Registered Nurse Scheduler** The RN Scheduler contributes to the overall success ... a safe surgical plan is in place 5-7 days prior to DOS. In addition, the RN ...class regulations. **Education, Training, Experience, Certification and Licensure:** + Registered Nurse with current licensure in New… more
- ChenMed (Winter Park, FL)
- …or RN with Bachelor's Degree in related field preferred. + Must be a Registered Nurse with over three (3) years of clinical experience. + Compact license ... to join our team. The Supervisor, Intensive Community Care, RN is a multi-market leadership position responsible for leading...technical guidance to their team. Directly reporting to the Manager of ICC, this Supervisor is responsible for their… more
- Albany Medical Center (Albany, NY)
- …approach (ICU or floor admitting MD/Pharmacy/ Nurse Manager /Clinical Nurse Specialist/Consulting MD), prior authorization , protocols for inpatient ... of prior clinical nursing experience is required Registered Nurse ( RN ) - Full...or floor admitting MD/Pharmacy/ Nurse Manager /Clinical Nurse Specialist/Consulting MD), prior authorization ,… more
- Dignity Health (Rancho Cordova, CA)
- …of nursing. - BS degree or experience equivalent required. - Clear and current CA Registered Nurse ( RN ) license. - Knowledge of all applicable federal and ... and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is… more
- AdventHealth (Glendale Heights, IL)
- …capacity to prioritize multiple tasks and role components. + Registered Nurse ( RN ) Required + Accredited Case Manager (ACM) / Certified Case Manager ... you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to...payor authorization processes as required, ensuring proper authorization has been secured prior to or… more
- Guthrie (Corning, NY)
- …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services throughout the...of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who… more
- Sharp HealthCare (La Mesa, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA...services are directed to appropriate network providers, and obtains prior authorization for in network and out… more