- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Pre - Authorization Nurse reviews prior authorization and retro requests for ... policies, and approves services or forward requests to the appropriate stakeholder. The Pre - Authorization Registered Nurse work assignments are varied and… more
- Mayo Clinic (Jacksonville, FL)
- …build a long, successful career with Mayo Clinic. **Responsibilities** The registered nurse (RN) is accountable for the coordination of nursing care, including ... Applicants who are new to Mayo Clinic or our Pre -Op/PACU team must be available to orient Monday-Friday for...* In the PACU (Post Anesthesia Care Unit), the nurse will provide care for post-op patients recovering from… more
- St. Luke's University Health Network (Fountain Hill, PA)
- …a patient's ability to pay for health care. The Critical Care Transport (CCT) Pre -Hospital Registered Nurse (PHRN) is responsible for the direct patient care and ... CCT PHRN will report directly to the CCT Program Nurse Manager, and under the authorization of...the State of New Jersey. + Currently possesses a Pre -hospital Registered Nurse (PHRN) through the Pennsylvania… more
- Mayo Clinic (Rochester, MN)
- …future. **Responsibilities** Location: Mary Brigh Building, St. Marys Hospital Campus The Registered Nurse (RN) in the Radiology Pre /Post will use their nursing ... coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. +...of practice experience, hired into a scheduled FTE Registered Nurse position on the Rochester campus of Mayo Clinic… more
- Mayo Clinic (Eau Claire, WI)
- …for flexible coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. + Retirement: Competitive retirement ... package to secure your future. **Responsibilities** The registered nurse (RN) is accountable for the coordination of nursing care, including direct patient care,… more
- Fallon Health (Worcester, MA)
- …in a clinical setting required. + 2 years' experience as a Utilization Management/Prior Authorization nurse in a managed care payer preferred. + One year ... medical outcomes for enrollees. This role works with Medical Directors, Authorization Coordinators, and Service Coordinators to perform pre -service, concurrent,… more
- Great River Health (West Burlington, IA)
- …care team members to efficiently manage tasks such as referrals, prior authorization , phone calls, results notification, and medication refills. + Prepare patients ... & First Aid - American Heart Association within 60 Days Required + Registered Nurse Iowa Board of Nursing (IBON) (United States of America) Upon Hire Required… more
- Select Medical (West Orange, NJ)
- …discretion and independent judgment, the Payor Relations Specialist manages the pre -certification and prior authorization of referrals scheduled for admission ... standards and expectations by working and mentoring team as needed.Obtains timely authorization of all patients requiring pre -certification and is accountable… more
- Trinity Health (Berwyn, IL)
- …at our Westchester location. We are currently looking for an experienced Authorization Referral Coordinator. Reporting to the Manager of Utilization Management and ... healthcare services through performing initial intake, support and processing of pre -certification requests for eligible members received via portal, EHR, or… more
- Actalent (Portland, OR)
- …degree in Nursing. + 2-4 years of related experience in clinical review or prior authorization . + LPN - Licensed Practical Nurse - State Licensure required. + RN ... Job Title: Medical Authorization Review Specialist Job Description We are seeking...Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre -tax and Roth post-tax contributions available * Life Insurance… more