- CVS Health (Oklahoma City, OK)
- …Qualifications** + Experience in **utilization management** , **precertification** , or ** prior authorization ** + Background in **managed care** **Education** + ... a **fully remote role** with a requirement to **reside in Oklahoma** . The nurse in this position uses clinical expertise in a collaborative process to assess, plan,… more
- Staffing Solutions Organization (Augusta, ME)
- …diverse workforce, which is a reflection of our clients and the people they serve. ** Registered Nurse - Authorization Review Unit - MaineCare in Augusta, ... business rules and workflow policies; + Work with the Prior Authorization unit staff members to monitor...Ability to develop and implement corrective actions. **Minimum Qualification:** Registered Nurse and three (3) years of… more
- Centene Corporation (New York, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service ... assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as...Nurse - State Licensure required + RN - Registered Nurse - State Licensure required Pay… more
- Molina Healthcare (Bellevue, WA)
- …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. +...Education** Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse… 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
- Louisiana Department of State Civil Service (Jackson, 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/4778929) Apply REGISTERED NURSE 1, 2, OR 3 Salary Depends on Qualifications Location Jackson,… 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
- Louisiana Department of State Civil Service (Angie, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...employee may be required to serve a trial detail prior to being permanently promoted. Exams and License Requirements + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5015207) 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
- STG International (Idabel, OK)
- …and in accordance to their need and learning capacity. + Assists the Registered Nurse to ensure all patient information on electronic encounter documentation ... health care experience such as independent duty medical corpsman, licensed practical nurse , registered nurse , medical technologist, or medical technician.… more
- Veterans Affairs, Veterans Health Administration (Birmingham, AL)
- …level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... Summary The Registered Nurse - Community Care Coordinator (CC)...approval, appointment verification, and obtaining appropriate documentation. Reviews Secondary Authorization Requests from Community Providers for appropriateness and arranges… more
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