- Actalent (Eugene, OR)
- Job Title: Clinical Review Nurse - Prior Authorization Job Description This role involves analyzing all prior authorization requests to determine the medical ... Nurse (RN) certification. + Clinical review and prior authorization experience. + 2-4 years of prior authorization...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Centene Corporation (New York, NY)
- …fresh perspective on workplace flexibility. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate ... of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ... utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing standardized… more
- Baptist Memorial (Memphis, TN)
- Overview Coordinator- Authorization Job Code: 22772 FLSA Status Job Family: CASE MGMT Job Description Title: Coordinator- Authorization Job Summary The ... Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence based criteria. Areas of work include payer… more
- Providence (Portland, OR)
- … Nurse Coordinator and other key stakeholders; and verifying insurance eligibility and benefits; cost of medication, obtaining pre-authorizations and ... are seeking a Pharmacy Technician Access Services Representative to provide insurance benefit validation and obtain authorizations for home and ambulatory infusion… more
- AssistRx (Overland Park, KS)
- …10:30-7pm CST or M-F 11:30-8pm EST The purpose of the Call Center Nurse is to provide education and support to individuals inquiring about products/medications ... supported by Patient Services. The Patient Services Support Nurse will function as a resource for non-clinical associates...other clinical experience involving the analysis and interpretation of insurance coverage. + 3 to 5 years of experience… more
- Commonwealth of Pennsylvania (PA)
- …& ELIGIBILITY QUALIFICATIONS Necessary Special Requirements: + This position requires active authorization to practice as a Registered Nurse in Pennsylvania. + ... refer to ourFAQ page (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) . + Yes 02 Registered Nurse - Do you possess active authorization to… more
- Commonwealth of Pennsylvania (PA)
- …& ELIGIBILITY QUALIFICATIONS Necessary Special Requirements: + This position requires active authorization to practice as a Registered Nurse in Pennsylvania. + ... refer to ourFAQ page (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) . + Yes 02 Registered Nurse - Do you possess active authorization to… more
- Louisiana Department of State Civil Service (Cottonport, LA)
- REGISTERED NURSE 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4935609) Apply REGISTERED NURSE 1, 2, OR 3 Salary Depends on ... has a Special Entrance Rate at each level Registered Nurse 1 has an SER of $29.84 per hour....benefits package including; a defined benefit pension plan, health insurance that is also available post retirement, at least… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …The St. Cloud VA Health Care System is looking to fill an Advanced Practice Nurse position for a Primary Aligned Care Team (PACT) in the Primary Care service line. ... principles if applicable, knowledge of processes related to referral and authorization and secure medical documentation exchange. The ability to identify Veterans… more
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