- Humana (Columbus, OH)
- …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
- Molina Healthcare (Dayton, OH)
- 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 (Akron, OH)
- …, 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
- Molina Healthcare (Akron, OH)
- …, 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
- Trinity Health (Columbus, OH)
- …direct care to patients, functioning under the direction of the provider or registered nurse and practice manager, following all policies and procedures ... medical history chief complaints and gather other information + Referral and prior authorization + Answer in basket message, patient follow up calls and message… more
- Medtronic (Youngstown, OH)
- …more of the following fields: + Certified Diabetes Care and Education Specialist (CDCES) + Registered Nurse ( RN ) + Registered Dietitian (RD) + Physician ... (CDE) or Certified Diabetes Care and Education Specialist (CDCES) preferred. + Prior sales experience. + Experience utilizing Microsoft Office Products: Word, Excel,… more
- Trinity Health (Columbus, OH)
- …The Senior Case Management extender would work under the direction of the RN Care Managers, Utilization Review Care Manager and the Social Workers. This position ... experience required. Bachelor's degree preferred. + Medical assistant or Licensed Practical Nurse (LPN) highly preferred. + 5-7 years of customer service, medical… more