- Fallon Health (Worcester, MA)
- …Nurse in a clinical setting required. * 2 years' experience as a Utilization Management/ Prior Authorization nurse in a managed care payer preferred. * One ... **This is 3 months temporary contract position for a Prior Authorization RN.** **About us:** Fallon Health...Twitter and LinkedIn. **Brief summary of purpose:** The PA Nurse uses a multidisciplinary approach to review service requests… more
- Hartford HealthCare (Farmington, CT)
- …based on eligibility.* *Job Summary: Under the direction of the Prebilling and Authorization Manager , the Authorization Specialist performs all duties ... Communicate updates in insurance or regulatory guidelines to the manager and relevant departments.* *Key areas of responsibility:* *...authorization processes.* * *Assists with training of new prior authorization staff and other duties as… more
- Mayo Clinic (Rochester, MN)
- …+ Retirement: Competitive retirement package to secure your future. **Responsibilities** The nurse manager 24/7 practice is accountable for the implementation of ... Clinic and the Department of Nursing within defined areas of practice. The nurse manager 24/7 practice plans, directs, coordinates, and evaluates the… more
- North Shore Community Health (Gloucester, MA)
- …authorize the refill. + Complete patient forms to the furthest extent possible, including prior authorization forms, requests for VNA services, etc. + Perform ... Primary Care Team Nurse Care Manager Gloucester, MA (http://maps.google.com/maps?q=302+Washington+Street+Gloucester+MA+USA+01930) Description Primary Purpose of… more
- Hillside Family of Agencies (Rochester, NY)
- $5,000 SIGN ON BONUS! Job Summary The Assistant Nurse Manager supports the delivery of quality health services to youth at a site or in a particular service and ... assists the Nurse Manager with administrative management of the...obtain medical/psychiatric history, establish health care needs, and complete prior authorization for medications or medical necessity… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse (RN) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse ... determined by employment status Job Description: The RN Case Manager is responsible to facilitate care along a continuum...support admission, level of care, length of stay and authorization for post-acute services . Advocates for the patient… more
- LA Care Health Plan (Los Angeles, CA)
- …regulatory requirements. + Knowledge of Coordination of Care, Medicare and Medi-Cal regulations, prior authorization , level of care and length of stay criteria ... Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los… more
- Trinity Health (Syracuse, NY)
- …This role focuses on monitoring expirations of referrals, verifying insurance updates prior to procedure, and supporting authorization and denial processes. ... Technician (or eligible), Registered Record Administrator (or eligible) or Licensed Practical Nurse (LPN) with a minimum of 5 years' experience in an appropriate… more
- US Tech Solutions (GA)
- … authorization (PA) requests reviewed by the Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations Manager , you will work ... staff and customer service, admissions and pharmacy operations departments to communicate prior authorization status. You will also oversee fax processing and… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- PRACTICAL NURSE -LICENSED 1, 2, OR 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4776460) Apply PRACTICAL NURSE -LICENSED 1, 2, OR 3 ... has a Special Entrance Rate at each level Practical Nurse -Licensed 1 has an SER of $19.48 per hour....employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT:… more