- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... years of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North Carolina.Professional Experience… more
- Public Consulting Group (Augusta, ME)
- **Overview** ** Registered Nurse - Health Services Consultant** ** Authorization Review - Office of MaineCare Services in Augusta, ME** This role will be ... by the PA supervisor, utilizing PA software tools; + Review and authorize provider requests for the following services...to develop and implement corrective actions. **Minimum Qualifications:** + Registered Nurse and three (3) years of… more
- Humana (Louisville, KY)
- **Become a part of our caring community and help us put health first** The Pre- Authorization Registered Nurse 1 reviews prior authorization requests for ... policies, and approves services or forward requests to the appropriate stakeholder. The Pre- Authorization Registered Nurse 1 work assignments are often… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Oncology, and/or elective surgical cases preferred. Essential Qualifications * Current licensed Registered Nurse (RN) with state licensure. Must retain active ... BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior… more
- CVS Health (Topeka, KS)
- …of equipment experience including phone, computer, and clinical documentation systems + A Registered Nurse that must hold an unrestricted license in the state ... Qualifications + 5+ years of clinical experience + 1+ year(s) of utilization management, concurrent review and/or prior authorization experience + 5+ years… more
- Commonwealth of Pennsylvania (PA)
- …Requirements: + All positions require active authorization to practice as a Registered Nurse in Pennsylvania. + All employees possessing an active temporary ... supervision. Critical components of this position include the continual review of nursing services, serving as a patient advocate,...possess active authorization to practice as a Registered Nurse in Pennsylvania; or do you… more
- Louisiana Department of State Civil Service (Jackson, LA)
- REGISTERED NURSE 1/2/3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4215402) Apply REGISTERED NURSE 1/2/3 Salary Depends on ... position has a Special Entrance Rate at each level Registered Nurse 1 has an SER of...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT.… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE 1, 2, or 3 Print...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. + ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4448909) Apply REGISTERED NURSE 1, 2, or 3 Salary...appointed from this announcement, I also understand that this authorization will remain valid for the duration of my… more
- MD Anderson Cancer Center (Houston, TX)
- …Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003. ... authorization from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse (APRN or ACNP or ACNPC or ACAGNP or AGACNP or ACNPC-AG or… more
- MD Anderson Cancer Center (Houston, TX)
- …employees and the public. **Summary** The primary purpose of the Advanced Practice Registered Nurse (APRN) in the Department of General Internal Medicine, ... Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003.… more
- US Tech Solutions (LA)
- **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a hospital setting in a specialty area of the nursing field providing ... as indicated by staffing and business needs. **Duties:** + ** Registered Nurse with current license in LA...a minimum of 1 year in utilization management/ prior authorization review experience. **Experience** : Utilization Management.… more
- Arc Jefferson - St. Lawrence (Watertown, NY)
- Registered Nurse (RN) - Jefferson County - SIGN ON BONUS Job Details Job Location Jefferson County - Watertown, NY Position Type Full Time Education Level 2 Year ... Qualifications: Licensed and registered with NYS Education Department as a Registered Professional Nurse . Minimum Qualifications -Will accept GN (Graduated … more
- Universal Health Services (Fort Walton Beach, FL)
- Responsibilities Outpatient Registered Nurse - RN Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and adults at ... putting together/breaking down charts, and billing for IOP patients. Benefits for our Registered Nurse (RN) Include: + Challenging and rewarding work environment… more
- Walgreens (Deerfield, IL)
- …"An Equal Opportunity Employer, including disability/veterans". **Job ID:** 1405241BR **Title:** Registered Nurse (RN) Specialty - Remote **Company Indicator:** ... and other clinical criteria to complete requests for prior authorization , specialty care specific to the department and patient...degree in Nursing + Current license/registration as an RN ( Registered Nurse ) with the State Board of… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Registered Nurse - Pulmonary **Cost Center:** 301351262 Mfld-Pulmonary **Scheduled Weekly ... (United States of America) **Job Description:** **JOB SUMMARY** The Registered Nurse functions as a vital member...for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to… more
- Universal Health Services (WA)
- Responsibilities Registered Nurse (RN) Opportunity 7AM-7PM and 7PM-7AM The Psychiatric Institute of Washington provides comprehensive behavioral healthcare for ... of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care,...leaders that educate the field, routinely exchange ideas, and review current topics within the industry. Having the opportunity… more
- Universal Health Services (WA)
- …values the nursing profession. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the ... leaders that educate the field, routinely exchange ideas, and review current topics within the industry. Having the opportunity...opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS. We want… more
- Family Service Association - Fall River (Fall River, MA)
- …8:00 am - 4:00 pm, with no weekend or no major holiday shifts. The Registered Nurse (RN) monitors participant's health status and is responsible to complete ... between physician and participant for medical information and service authorization of participants. Obtain, review , and implement...Agency and/or supervisor. Education and Experience: + The ideal Registered Nurse (RN) must be licensed by… more
- AmeriHealth Caritas (Newark, DE)
- **Utilization Management Plan Oversight Manager, Registered Nurse (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: 34207 ... roll-out of configuration changes. + Have working knowledge of prior authorization , medical necessity determinations, concurrent review , retrospective review… more
- Family Service Association - Fall River (Mashpee, MA)
- …Adult Day Health program Seaview in Mashpee, MA for a Part time (25 hours per week) Registered Nurse . The schedule is Monday through Friday 8:00 am - 1:00 pm The ... Registered Nurse is r esponsible for ensuring...between physician and participant for medical information and service authorization of participants. Obtain, review , and implement… more
