- Dana-Farber Cancer Institute (Brookline, MA)
- …Prior Authorization experience is preferred. Certification/Licensure/Registration: Licensed as a Registered Nurse in the Commonwealth of Massachusetts preferred. ... overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + Monitors email communication to the Drug… more
- Alameda Health System (Alameda, CA)
- …OBRA assessments. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Required Licenses/Certifications: ... as required by OBRA and PPS. 3. Assists Case Manager with the transfer of patients to other health...resolution is initiated and presented weekly at Medicare or Utilization Review meetings. **MININUM QUALIFICATIONS** : Education: Graduate of… more
- HCA Healthcare (Hudson, FL)
- …Healthcare related field required; Master's Degree preferred .Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk ... Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be granted a… more
- University of Miami (Miami, FL)
- …health field, ie, EMT/P or Respiratory Therapist. Certification and Licensing: + FL Registered Nurse license or certification as a Physician Assistant, or allied ... course of a call day, and if appropriate, follows up with staff's manager /supervisor. + Activates the occurrence reporting system and follows up as necessary. The… more
- Devereux Advanced Behavioral Health (Braddock, PA)
- …Counseling, Sociology, Education with a certificate in Special Education or Nursing with a Registered Nurse License. + Two (2) years of human service working ... needs. The Ideal Candidate Will: Possess the ability to demonstrate commitment to and utilization of the best practice of: + Housing First + Harm Reduction + Trauma… more
- HCA Healthcare (Trinity, FL)
- …Healthcare related field required; Master's Degree preferred .Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk ... Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be granted a… more
- WellLife Network (South Richmond Hill, NY)
- …during inspections. 13. Ensure all work is reviewed and cosigned by an agency Registered Nurse (to be scheduled by clinical supervisor) 14. Administer TB tests. ... 3. Act as a medical resource person for Residence Manager and staff to ensure proper medical care and...schedules are subject to change. 5. Attend certification inspections, utilization review and independent professional reviews as needed. 6.… more
- Sea Mar Community Health Centers (Seattle, WA)
- …Mar patients and staff. + The RN /LPN will work closely with the Nurse Manager and Nursing Supervisors in assisting with administrative duties. These duties ... Mar is a mandatory COVID-19 and flu vaccine organization Nurse Floor Supervisor - Posting #27405 Hourly Rate: $38.46...independently as possible. The Facility is looking for an RN or LPN licensed in WA State that has… more
- Elevance Health (Los Angeles, CA)
- …weekends.** **(Saturday 8am-12pm CST, with a comp day during the week)** The ** Nurse Reviewer I** will be responsible for conducting preauthorization, out of network ... ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or… more
- Bassett Healthcare (Cooperstown, NY)
- …and enjoy the best quality of life possible. What you'll do The Discharge Nurse is accountable for the delivery of safe patient care utilizing the nursing process. ... The Discharge Nurse assesses, plans, delivers, coordinates, integrates, and evaluates nursing...and managerial observation + Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in managing… more