- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Pre - Authorization Nurse 2 reviews prior authorization requests for appropriate ... and approves services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse 2 work assignments are varied and frequently require… more
- Fallon Health (Worcester, MA)
- …in a clinical setting required. + 2 years' experience as a Utilization Management/Prior Authorization nurse in a managed care payer preferred. + One year ... medical outcomes for enrollees. This role works with Medical Directors, Authorization Coordinators, and Service Coordinators to perform pre -service, concurrent,… more
- 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
- Beth Israel Lahey Health (Cambridge, MA)
- …per week. It is on-site, and is not a remote position. The Oncology Nurse Navigators helps patients navigate their care and treatment, from their initial referral ... involves triage, basic office nursing such as port draws, and handling medication authorization and funding for oral chemotherapy. This role is ideal for anyone who… more
- State of Massachusetts (Westfield, MA)
- …nurse under the Massachusetts Board of Registration in Nursing. Current and valid authorization to practice as a Nurse Practitioner by the Massachusetts Board ... a dynamic, compassionate, and experienced nursing professional for the position of* Nurse Practitioner (NP)*. The selectedcandidate is passionate about, and committed… more
- North Shore Community Health (Gloucester, MA)
- Registered Nurse Gloucester, MA (http://maps.google.com/maps?q=302+Washington+Street+Gloucester+MA+USA+01930) Description Primary Purpose of Position: North Shore ... delivery.We have a regular part-time opening for a Registered Nurse . This position will be scheduled to work 30...needed within the scope of nursing practice, including prior authorization forms . Provides health education to individuals and… more
- Beth Israel Lahey Health (Boston, MA)
- …the care for patients from referral/consultation to discharge /follow up. Assists with pre - authorization process. + Serves as contact and facilitator to receive ... and advocating for the health of patients, families, and communities. The Nurse Coordinator is responsible for coordinating care for patients receiving treatment in… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …possible Union: No Union Name: Non-union Patient Facing: Yes We are seeking an HIV Nurse Case Manager who is interested in a unique opportunity to work on a dynamic, ... coming in for same-day or scheduled visits; conducts virtual, telephonic, or in-person nurse assessment and triage to assess the severity of the patient's health… more
- Fallon Health (Worcester, MA)
- …and member expectations. Under the direction of the Director, the Appeal Nurse represents, manages and oversees second level appeal cases (Office of Medicaid, ... the application of clinical criteria and medical necessity determinations. The Appeal Nurse is responsible for ensuring compliance with all applicable state and… more
- Children's Hospital Boston (Boston, MA)
- …pre -and post-transplant. Key Responsibilities * Partner with Physicians, Nurse Practitioners, staff nurses, administrative support staff and Multidisciplinary ... 79937BRJob Posting Title: Nurse Practitioner or PA, Advanced Cardiac Therapies (ACT)Department:CardiologyAutoReqId:79937BRStatus:Full-TimeStandard Hours per Week:40… more
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