- Magellan Health Services (San Diego, CA)
- …Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... and care management. Conducts initial and concurrent review for prior authorization of higher levels of care...this role with necessary degrees, LMSW, LCSW, LPC, or RN . Minimum 5 years experience post degree in healthcare,… more
- Arnot Health (Elmira, NY)
- …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... Assists in tracking/trending by payer for denial reason items such as prior authorization , untimely filing, coordination of benefits, services type issues,… more
- Medtronic (Honolulu, HI)
- …more of the following fields: + Certified Diabetes Care and Education Specialist (CDCES) + Registered Nurse ( RN ) + Registered Dietitian (RD) + Physician ... the Life** Medtronic is seeking a Hybrid Clinical Territory Manager (CTM) / Territory Manager (TM) to...clinical experience **Nice to Have** + Bachelor's degree + Prior sales experience strongly preferred + Certified Diabetes Educator… more
- Northern Light Health (Dover-Foxcroft, ME)
- … to hire. The Graduate Orientee will work under the supervision of a registered nurse until licensure has been verified by the Human Resources Department. ... The registered nurse preceptor is responsible for instructing... nurse preceptor will be selected by the Nurse Manager as someone who displays a… more
- UPMC (Pittsburgh, PA)
- …and Center for Emergency Medicine is hiring a full-time Licensed Professional Care Manager . This role will work standard daylight hours Monday - Friday. This ... County, however, when not travelling staff may work remotely. The Care Manager is responsible for assisting members identified at risk for recidivism, discontinuous… more
- Commonwealth Care Alliance (Boston, MA)
- …Director of Utilization Management * Oversees clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... (must have): * Expertise in managing utilization review processes including prior authorization , concurrent and retrospective reviews * Demonstrated ability… more
- University Medicine (East Providence, RI)
- SUMMARY: Perform those functions delegated and assigned by the registered nurse as appropriate. Assist as needed. PRINCIPAL DUTIES AND RESPONSIBILITIES: ... Compliance Program and Code of Conduct. + Assist the registered nurse , nurse practitioner and...treatments. Work with the endocrine care team to complete prior authorization for various endocrine tests and… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …and authorization for community care consults. Works collaboratively with Registered Nurse Care Coordinators, Program Analyst, and other VA Staff ... the inpatient to outpatient discharge; communicate with non-VA medical facilities. Creates authorization for payment of community care in the Healthshare Referral … more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …relevant] patient information. Completed work [should need] only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and ... outpatient authorizations for Community Care in Health Share Referral Manager (HSRM). The LPN contacts Veterans to determine preference...Procedure. Must report any pertinent information to the professional RN to aid in patient care. The nurse… more
- Stony Brook University (Stony Brook, NY)
- Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital and ... transitional care experience. The Care Manager - Readmission Specialist_ _identifies hospitalized patients who may...may be at a high risk for readmission. The RN following these patients must have good clinical and… more
Recent Jobs
-
Associate Sales Representative - South Florida - Spine Enabling Technologies
- Stryker (Miami, FL)
-
GEOINT Operations Support Systems Engineer
- KBR (Chantilly, VA)
-
Meat Manager
- BJs Wholesale Club (Selma, NC)
-
Housekeeping Aide
- PCSI (Colorado Springs, CO)