- Actalent (West Des Moines, IA)
- …duties as assigned, complying with all policies and standards. Essential Skills + Clinical review experience. + Case management expertise. + Health informatics ... Prior Authorization Nurse Job Description This...of medical care. Responsibilities + Perform medical necessity and clinical reviews of authorization requests to determine the appropriateness… more
- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... have a New York State nursing license.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate… more
- Actalent (West Des Moines, IA)
- Description + Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national ... quality and cost effectiveness of medical care.\\Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of… more
- UCLA Health (Los Angeles, CA)
- …related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and established ... Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role...and efficient utilization of resources. Key Responsibilities: + Conducts clinical reviews of prior authorization requests to… more
- University of Miami (Plantation, FL)
- …Staff. 25. Performs second chemotherapy order check prior to administration by another clinical trials nurse . Clinical Research Nurse 2 Clinical ... SCCC has an exciting opportunity for a Full Time Clinical Research Nurse 2 to work at...prior to beginning research related activities. 3. Provides clinical trial support in the hospital and/or clinic setting… more
- University of Miami (Miami, FL)
- …Staff. 25. Performs second chemotherapy order check prior to administration by another clinical trials nurse . Clinical Research Nurse 2 Clinical ... SCCC has an exciting opportunity for a Full Time Clinical Research Nurse 2 to work at...prior to beginning research related activities. 3. Provides clinical trial support in the hospital and/or clinic setting… more
- Veterans Affairs, Veterans Health Administration (Redlands, CA)
- …Model .The Community Care RN Clinical Coordinator is supervised by the VACC Clinical Nurse Manager whose immediate supervisor is the Chief of Community Care. ... Summary The Community Care RN Clinical Coordinator is a registered professional nurse...intimate knowledge of Fee federal regulations, VHA guidelines, medical review criteria, utilization management processes, clinical documentation… more
- Cleveland Clinic (Cleveland, OH)
- …12-month program with a mission to train post-graduate Acute Care Nurse Practitioners and Physician Assistants to provide comprehensive critical care services ... Fellows of the program will graduate with the critical thinking, diagnostic, and clinical skills necessary for the management of complex clinical cases while… more
- University of Miami (Miami, FL)
- …Performs second chemotherapy order check prior to administration by another clinical trials nurse once ONS provider certification card is obtained and ... Level 1 to work on the UHealth Campus in Miami, FL. JOB SUMMARY: The Clinical Trials Nurse , Level 1 delivers patient-family centered care in a culturally… more
- YAI (Brooklyn, NY)
- …disabilities and their families. Key/Essential Functions & Responsibilities: + Report to the nurse manager or nurse supervisor, at Premier HealthCare (PHC). Meet ... on a weekly basis for supervision to review duties and responsibilities. + Accountable for the day-to-day...and followed as directed. + Assume duties of the nurse supervisor when needed and provide coverage for and… more