- UPMC (Pittsburgh, PA)
- …within 30 days of hire + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) + Act 33 with renewal + Act 34 with ... orientation. **Position Specifics:** Employee with be assisting providers with obtaining prior authorization for treatment and completing required documentation… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... team leaders reporting to a mental health clinical program manager or a physician manager . Positions allocable...Psychiatrists in completing and checking for accuracy on Treatment Authorization Request (TAR) and Prior Authorization… more
- Medtronic (Baltimore, MD)
- …Have:** + Bachelor's degree in a health care related field + Master's degree + Registered nurse or HCP with experience in a sterile environment + Clinical ... by medical education + Completes all corporate compliance training prior to date due + Ability to be flexible...after hours and at the discretion of Clinical Specialist Manager + Travels to cover district cases as needed… more
- WTW (Boston, MA)
- …Third Party Administrator, Regulatory Agency, Legal/Compliance Firm, or insurance company + US Registered Nurse or LCSW with active licensed preferred + Health ... utilization/case management processes, network management, credentialing, quality management, pharmacy prior - authorization processes and health plan operations +… more
- Johns Hopkins University (Baltimore, MD)
- …relevant continuing education. + Perform other duties and tasks as assigned by the Nurse Manager . **Minimum Qualifications** + Registered Nurse , licensed ... with physicians and ensure appropriate follow-up with patients. + Assist with prior authorization requests for testing/treatments and medications as needed. +… more
- Beth Israel Lahey Health (Boston, MA)
- …degree in Nursing required. Bachelor's degree in Nursing preferred. 2. License Registered Nurse required., and Certificate 1 Basic Life Support required. ... for patients from referral/consultation to discharge /follow up. Assists with pre- authorization process. 2. Serves as contact and facilitator to receive consults… more
- Trinity Health (Grove City, OH)
- …administer direct care to patients, functioning under the direction of the provider or registered nurse and practice manager , following all policies and ... history chief complaints and gather other information + EKGs + Referral and prior authorization + Answer in basket message, patient follow up calls and message +… more
- University of Utah Health (Salt Lake City, UT)
- …agencies and others as indicated. + Collaborates with social worker/ nurse case manager and others to confirm authorization for services is in place. + ... coordination of care activities under the direction of a registered nurse and/or social worker. + The...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS… more
- Commonwealth Care Alliance (Boston, MA)
- …Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... **Required Knowledge, Skills & Abilities (must have):** + Experience with prior authorization and retrospective reviews + Proficiency reviewing clinical/medical… more
- US Tech Solutions (Columbia, SC)
- …therapy experience + A typical day would like in this role: Process prior authorization requests for Medicare Advantage line of business. Previous Medicare ... the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) **About US Tech… more
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