- Humana (Lansing, MI)
- …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
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case...support admission, level of care, length of stay and authorization for post-acute services . Advocates for the patient and ... dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the...and is determined by employment status Job Description: The RN Case Manager is responsible to facilitate care along… more
- Molina Healthcare (Grand Rapids, MI)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... , managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
- Molina Healthcare (Grand Rapids, MI)
- …, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. *… more
- University of Michigan (Ann Arbor, MI)
- …not limited to rooming patients, vitals, obtaining records, insurance authorization , laboratory and medical management monitoring, order entry, referral ... Process prescription renewals as directed by a provider or RN . + Patient follow-up for normal and low complexity...team members of the area assigned. + Assist with prior authorizations. + Schedule and coordinate diagnostic and lab… more