- Covenant Health Inc. (Knoxville, TN)
- …any corrections are made by the Licensed Professional who wrote the order prior to approving the order. Updates the client's medication profile and schedule as ... Notes if no visit was made. Ensures the Clinical Manager approved the non-admission. + Reviews and processes vital...on-call when required as a support to the on-call nurse and provides software management related to processing intakes,… more
- Actalent (Sunrise, FL)
- …to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing ... Utilization Management Nurse !Job Description The Utilization Management Nurse ...between the Medical Director, physicians, and office staff, resolving prior authorization issues. + Communicate denial determinations… more
- Louisiana Department of State Civil Service (Homer, LA)
- PRACTICAL NURSE - LICENSED 1, 2, OR 3 Print...Conducts daily sick call + Attend emergencies + Assists RN 's or Physicians + Works with all medical staff ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5000248) Apply PRACTICAL NURSE - LICENSED 1, 2, OR 3 Salary Depends on Qualifications Location… more
- Amergis (Orange, CA)
- …Amergis Healthcare is seeking a highly motivated an experienced LMFT/LCSW Medical Case Manager to help support a health insurance agency! The Medical Case Manager ... Management) will be responsible for reviewing and processing requests for authorization and notification of behavioral health services from health professionals,… more
- Medtronic (Plymouth, MN)
- …improvements of programs. This role reports to the Training & Education Manager for the Peripheral Vascular Health business. **Position Responsibilities** : The ... and tools + Collaborate and build rapport with leadership independent of direct manager and to define and drive key training initiatives + Support field-based… more
- UPMC (Pittsburgh, PA)
- …specific tasks. . Prior experience with insurance verification and prior authorization for OP surgical procedures preferred. **Licensure, Certifications, and ... individual experience and education._ **Responsibilities:** + Work directly with Manager to identify opportunities for improvement with regards to… more
- Banner Health (Phoenix, AZ)
- …for our wholly owned and delegated plans in the areas of prior authorization , census management, prospective/concurrent/retro review, and appeals. Care ... Registered Health Information Technologist (RHIT); Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding… more
- HCA Healthcare (Dallas, TX)
- …appropriate controlled substance records. Works with the Pharmacy Director and appropriate manager to identify and develop processes to meet or exceed all controlled ... + Assists with staff performance evaluations. + Acts as manager in charge as assigned. + Provides review and...pharmacy Licenses/Certifications + Must have ONE of the following prior to the first day of employment: 1. Current… more
- Mayo Clinic (Mankato, MN)
- …room team in the care of the surgical patient. Under the supervision of the Nurse Manager , Core Charge RN , and Core Supervisor, the Sterile Processing ... months of hire. Must be 18 years of age prior to start date. Prefer two years of experience...from each new employee's Form I-9 to confirm work authorization . **Recruiter** Cassie Schlaak **Equal opportunity** As an Affirmative… more
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- RTX Corporation (Annapolis Junction, MD)