- Fallon Health (Worcester, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose:** The Manager , Prior Authorization RN manages all staffing and ... activities related to prior authorization which includes but is not limited to preservice,...healthcare setting preferred. **License/Certifications:** Active, unrestricted license as a Registered Nurse In Massachusetts **Experience:** + A… more
- University of Miami (Miami, FL)
- …RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is to conduct initial chart ... reviews for medical necessity and identify the need for authorization . The nurse coordinates with the healthcare...Adhere and perform timely prospective reviews for services requiring prior authorization + Follows the authorization… more
- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the… more
- Mayo Clinic (Rochester, MN)
- …rounds and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works within an interdisciplinary team to ... Competitive retirement package to secure your future. **Responsibilities** The RN CASE MANAGER provides ongoing support to...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse ( RN ) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: ... presentations. Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and… more
- Aveanna Healthcare (Cedar Rapids, IA)
- …shared on-call rotation. Position Overview TheAdmissions Registered Nurse ( RN )works next to the Clinical Manager and/or Executive Director to initiate ... Home Health Admissions Registered Nurse RN Full...Home Health Admissions Registered Nurse RN Full Time ApplyRefer a...client start of care * Submit required documentation for prior authorization of client services as needed… more
- Louisiana Department of State Civil Service (Kinder, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...employee may be required to serve a trial detail prior to being permanently promoted + TEMPORARY JOB APPOINTMENT: This ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4780542) Apply REGISTERED NURSE 1, 2, OR 3 Salary...license, or DD-214 must be verified by official documentation prior to hire. + Any qualifying experience that is… more
- aptihealth (Clifton Park, NY)
- …curiosity and collaboration + Priding ourselves in being diverse and inclusive The Role The Registered Nurse Case Manager team at AptiHealth is pivotal to ... program, Bachelor's degree preferred + Currently licensed as a Registered Nurse in New York + Current...appropriate care team member + Assist prescribers with medication prior authorization , coordination with pharmacy, medication refill… more
- Louisiana Department of State Civil Service (Cottonport, LA)
- REGISTERED NURSE 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4935609) Apply REGISTERED NURSE 1, 2, OR 3 Salary ... SALARY DEPENDENT ON QUALIFICATIONS This position has a Special Entrance Rate at each level Registered Nurse 1 has an SER of $29.84 per hour. Registered … more
- Louisiana Department of State Civil Service (Angie, LA)
- REGISTERED NURSE 1, 2 or 3 (WAE)...license, or DD-214 must be verified by official documentation prior to hire. + Any qualifying experience that is based ... Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4777670) Apply REGISTERED NURSE 1, 2 or 3 (WAE) Salary $4,177.00 - $7,518.00 Monthly… more