- 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 ... at ive research and team-based health care delivery. What we want The Registered Nurse II- Prior Authorization and Referral, under general supervision,… more
- Select Medical (Columbus, OH)
- …Illness Recovery Hospital & Acute Inpatient Rehabilitation Hospitals **Payor Relations Specialist / Prior Authorization Specialist** **( RN , LPN )** **This ... least two (2) years of direct experience in third party reimbursement. + Must be a Registered Nurse ( RN ) or Licensed Practical Nurse (LPN). Preferred… more
- Centene Corporation (New York, NY)
- …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... **8:30am-5pm, Monday-Friday Eastern Standard hours.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of… more
- Staffing Solutions Organization (Augusta, ME)
- …diverse workforce, which is a reflection of our clients and the people they serve. ** Registered Nurse - Authorization Review Unit - MaineCare in Augusta, ... business rules and workflow policies; + Work with the Prior Authorization unit staff members to monitor...Ability to develop and implement corrective actions. **Minimum Qualification:** Registered Nurse and three (3) years of… more
- CVS Health (Lansing, MI)
- …the employee level **Required Qualifications** + Candidate must have active, current and unrestricted Registered Nurse ( RN ) Licensure in state of residence + ... (PREFERRED) **License** + Candidate must have active, current and unrestricted Registered Nurse ( RN ) Licensure in state of residence **Anticipated Weekly… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and ... between Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is… more
- Dana-Farber Cancer Institute (Brookline, MA)
- … Prior Authorization experience is preferred. + Licensed as a Registered Nurse in the Commonwealth of Massachusetts preferred. **KNOWLEDGE, SKILLS, AND ... Specialist is responsible for the comprehensive coordination and management of all prior authorization activities specific to cellular therapy services. This… more
- Humana (Madison, WI)
- …**Use your skills to make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin, including compact license. + Two ... community and help us put health first** The UM/PA Nurse Supervisor plays a key leadership role in overseeing...Excel, and Outlook. + At least 3-years experience with prior authorization / utilization management. **Preferred Qualifications** +… more
- Dignity Health (Rancho Cordova, CA)
- …of nursing. - BS degree or experience equivalent required. - Clear and current CA Registered Nurse ( RN ) license. - Knowledge of all applicable federal and ... and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is… more
- Molina Healthcare (Idaho Falls, ID)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
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