- Fallon Health (Worcester, MA)
- **Overview** **This is 3 months temporary contract position for a Prior Authorization RN .** **About us:** Fallon Health is a company that cares. We ... Nurse in a clinical setting required. * 2 years' experience as a Utilization Management/ Prior Authorization nurse in a managed care payer preferred. * One… more
- Humana (Boston, MA)
- …part of our caring community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. ... This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that...make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin,… more
- Commonwealth Care Alliance (Boston, MA)
- …Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... **Required Knowledge, Skills & Abilities (must have):** + Experience with prior authorization and retrospective reviews + Proficiency reviewing clinical/medical… more
- North Shore Community Health (Salem, MA)
- Registered Nurse Salem, MA (http://maps.google.com/maps?q=47+Congress+Street+Salem+MA+USA+01970) Description Primary Purpose of Position: North Shore Community ... community healthcare delivery. We have an opening for a Registered Nurse . Under the general direction of...when needed within the scope of nursing practice, including prior authorization forms . Provides health education… more
- Bear Mountain Health Care (Lowell, MA)
- …within scope of practice + Responsible for completing medication interchange and insurance prior to authorization as assigned + Ordering or arranging for ... Bear Mountain Healthcare has immediate openings for Registered Nurses looking to work in our Long...competency. Initiate the SBAR process and collaborate with the RN for assessment and recommendations. Documents the resident's condition… more
- North Shore Community Health (Gloucester, MA)
- …community healthcare delivery. The Primary Care Team Nurse Care Manager (PC team RN CM) is a registered nurse whose primary responsibility is managing ... Complete patient forms to the furthest extent possible, including prior authorization forms, requests for VNA services,...Perform nurse visits independently and within the registered nurse scope of practice outlined by… more
- Bear Mountain Health Care (Andover, MA)
- …defined in their scope of care to patients under the direction and supervision of a Registered Nurse . Scope of work may be modified by State specific rules under ... own clinical medical record entries and those of assigned RN and Nurse Aides daily. Participates in...practice + Responsible for completing medication interchange and insurance prior to authorization as assigned + Ordering… more
- Beth Israel Lahey Health (Burlington, MA)
- …clinical pharmacists, medical assistants, and a dedicated support staff, including prior authorization specialists. We also have an ACGME-certified endocrinology ... fellowship program and an Advanced Practice Provider fellowship program. We are faculty for UMass Chan-Lahey Medical School and encourage applications from those interested in teaching and academic inquiry. **Benefits** + Full-time position + Excellent on-call… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Pediatrics All Locations: 10 Gove Street - Taylor Building Position Summary: A registered nurse holds ultimate responsibility for direct and indirect nursing ... the department's immediate needs and long-term goals. In addition, the registered nurse demonstrates initiative, critical thinking, problem solving, leadership… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …10 Gove Street - Taylor Building Position Summary: We are seeking a dedicated Registered Nurse to join our team in delivering comprehensive nursing care, health ... to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part… more