- 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 ... and team-based health care delivery. What we want The Registered Nurse II- Prior Authorization and Referral, under general supervision, manages administrative… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... policy and procedure. + * Provide on-call after hours nurse availability for urgent PA requests. + * Provide... prior authorization . + * Train and mentor... prior authorization . + * Train and mentor representatives on the… more
- Centene Corporation (New York, NY)
- …**8:30am-5pm, Monday-Friday Eastern Standard hours.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of ... interdepartmental teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine… more
- US Tech Solutions (May, OK)
- …pharmacists, other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on ... following policy and procedure. + Provide on-call after hours nurse availability for urgent PA requests. + Provide internal...each prior authorization . + Train and mentor representatives… more
- US Tech Solutions (LA)
- **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a hospital setting in a specialty area of the nursing field providing ... utilization management prior authorization reviews. Build strong direct relationships...indicated by staffing and business needs. **Duties:** + **Registered Nurse with current license in LA state of employment.… more
- Select Medical (Columbus, OH)
- …Recovery Hospital & Acute Inpatient Rehabilitation Hospitals **Payor Relations Specialist / Prior Authorization Specialist** **( RN , LPN )** **This position ... Payor Relations Specialist, you will manage the pre-certification and prior authorization of referrals scheduled for admission...in third party reimbursement. + Must be a Registered Nurse (RN) or Licensed Practical Nurse (LPN).… more
- Staffing Solutions Organization (Augusta, ME)
- …PA reviews/dispositions based on business rules and workflow policies; + Work with the Prior Authorization unit staff members to monitor work queues and complete ... of our clients and the people they serve. **Registered Nurse - Authorization Review Unit - MaineCare...MaineCare in Augusta, ME** **Position Duties:** + Manage medical Prior Authorizations (PA) as assigned by the PA supervisor,… more
- Humana (Madison, WI)
- …specifically Word, Excel, and Outlook. + At least 3-years experience with prior authorization / utilization management. **Preferred Qualifications** + Bachelor of ... a part of our caring community and help us put health first** The UM/PA Nurse Supervisor plays a key leadership role in overseeing the daily operations of the… more
- LifePoint Health (Wilson, NC)
- …opportunities * * *Department/Unit Summary The LPN Testing, Scheduler, and Prior Authorization Coordinator is responsible for coordinating patient testing, ... *Licensed Practical Nurse (LPN), Pulmonary Clinic* Job Type: Full-Time, Days...setting, Gastro experience preferred . Knowledge of insurance policies, prior authorization procedures, and medical terminology. .… more
- CVS Health (Lansing, MI)
- …level **Required Qualifications** + Candidate must have active, current and unrestricted Registered Nurse (RN) Licensure in state of residence + Must be able to work ... department + 3+ years clinical experience as a Registered Nurse + 3+ years of managed care experience +...+ Candidate must have active, current and unrestricted Registered Nurse (RN) Licensure in state of residence **Anticipated Weekly… more
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