• Pre - Authorization Nurse

    Humana (Madison, WI)
    …role in overseeing the daily operations of the Utilization Management and Pre - Authorization nursing teams. This position ensures timely and accurate review ... Provide daily operational support and guidance to Utilization Management (UM) and Pre - Authorization (PA) nursing staff. + Conduct monthly one-on-one check-ins… more
    Humana (07/10/25)
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  • Registered Nurse II - Prior…

    Texas A&M University System (College Station, TX)
    Job Title Registered Nurse II - Prior Authorization & Referral Agency Texas A&M University Health Science Center Department University Health Services Proposed ... research and team-based health care delivery. What we want The Registered Nurse II-Prior Authorization and Referral, under general supervision, manages… more
    Texas A&M University System (07/12/25)
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  • Clinical Authorization Specialist

    Dana-Farber Cancer Institute (Brookline, MA)
    Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and ... Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for… more
    Dana-Farber Cancer Institute (07/01/25)
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  • Payor Relations Specialist / Prior…

    Select Medical (Columbus, OH)
    …doing what is right. As the Payor Relations Specialist, you will manage the pre -certification and prior authorization of referrals scheduled for admission to our ... + Initiates and completes patient authorizations. + Obtains timely authorization of all patients requiring pre -certification and...in third party reimbursement. + Must be a Registered Nurse (RN) or Licensed Practical Nurse (LPN).… more
    Select Medical (07/10/25)
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  • Cellular Therapy Clinical Authorization

    Dana-Farber Cancer Institute (Brookline, MA)
    The Cell Therapy Clinical Authorization Specialist is responsible for the comprehensive coordination and management of all prior authorization activities ... (BMT) and Immune Effector Cell (IEC) therapies, including benefit verification, pre -certification, concurrent review, appeals, and preparation of cost estimates for… more
    Dana-Farber Cancer Institute (05/30/25)
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  • Clinical Pre -Service Nurse

    Trinity Health (Hartford, CT)
    …Type:** Full time **Shift:** Day Shift **Description:** **Position Purpose** The Clinical Pre -Service Nurse Coordinator is directly responsible for reviewing ... to support administrative appeals. This role will be under the Pre -Service Insurance Verification team with collaboration opportunities with Case Management. **What… more
    Trinity Health (07/16/25)
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  • CCT- Pre -Hospital Registered Critical Care…

    St. Luke's University Health Network (Fountain Hill, PA)
    …a patient's ability to pay for health care. The Critical Care Transport (CCT) Pre -Hospital Registered Nurse (PHRN) is responsible for the direct patient care and ... CCT PHRN will report directly to the CCT Program Nurse Manager, and under the authorization of...the State of New Jersey. + Currently possesses a Pre -hospital Registered Nurse (PHRN) through the Pennsylvania… more
    St. Luke's University Health Network (06/04/25)
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  • Registered Nurse - Gonda 15 Pre

    Mayo Clinic (Rochester, MN)
    …for flexible coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. + Retirement: Competitive retirement ... Gonda 15, Surgical Services Outpatient Procedure Center The Registered Nurse (RN) on Gonda 15 is accountable for the...for coordination and delivery of perianesthesia care in the pre -post area, providing moderate sedation at the direction of… more
    Mayo Clinic (06/25/25)
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  • LPN-Medication Authorization -Greenlawn,…

    Mount Sinai Health System (Smithtown, NY)
    Authorization -Greenlawn, Long Island-Full Time-Day-Offsite** The Offsite Licensed Practice Nurse works as part of a healthcare team by assisting in ... and safe manner, ensuring the patient flow. The Offsite Licensed Practice Nurse will also provide personal assistance, medical attention, emotional support, or other… more
    Mount Sinai Health System (06/03/25)
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  • Registered Nurse - Pre -Op/PACU - RN

    Mayo Clinic (Jacksonville, FL)
    …for flexible coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. + Retirement: Competitive retirement ... package to secure your future. **Responsibilities** The registered nurse (RN) is accountable for the coordination of nursing care, including direct patient care,… more
    Mayo Clinic (07/19/25)
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