Authorization Nurse jobs

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Nurse-Utilization Review
RN - Registered Nurse. Will be responsible for securing authorization and days approved with the payor by submitting clinical information justifying the need...
Attend nurse meetings and other educational opportunities. Obtain prior authorizations and pre-certifications as needed for patients having procedures or tests....
Registered Nurse
Obtaining prior authorizations. Full-time opportunity, Monday through Friday position based out of IU West office for an experienced oncology nurse....

Medical Case Manager

BlueCross BlueShield of Tennessee - 3,449 reviews - Johnson City, TN  +1 location
Prefer two (2) years’ experience as practicing nurse, nurse educator or nurse consultant in special populations ( Developmental Disabilities) specific programs...

Remote Prior Authorization Nurse- Consultant

Alvarez & Marsal - 17 reviews - San Francisco, CA 94111 (Financial District area)
Under the direction of the Utilization Management (UM) Manager, the Prior Authorizations Nurse-RN, acting within the scope of the Board of Registered Nurses of...

Case Management or Prior Authorization Nurse - RN or LPN

CareNational - Tucson, AZ
$40 an hour
Case Management OR Prior Authorization for Insurance Company:. Prior Authorization RN or LPN and Case Management RN. Contract to Hire Opportunity for....
Easily apply

Care Review Clinician I (Tues-Sat Shift-Remote)

Molina Healthcare - 286 reviews - Long Beach, CA
Active, unrestricted State Licensed Vocational Nurse or Licensed Practical Nurse in good standing. Provides prior authorizations according to Molina policy....

Claims Review Nurse

Regal Medical Group - Northridge, CA 91325
Claims Review Nurse will at all times maintain strict confidentiality on behalf of RMG/ HPN members, providers and other stakeholders....
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Medicare Appeals & Grievances Nurse

Blue Shield of California - 258 reviews - Woodland Hills, CA 91367
Researches and resolves standard and expedited member grievances related to the prospective, concurrent, or retrospective denial of services which include,

Program Nurse

Wheeler Clinic - 23 reviews - Plainville, CT
The Program Nurse functions as a member of a multi-disciplinary team within a congregate care setting and serves as a medical liaison for youth in the program....

RN - Prior Authorization Nurse

Care1st Health Plan - 21 reviews - Arizona
This Prior Authorization Nurse conducts prospective review of authorization requests including selected specialties, medical treatments and services, elective...

RN - Prior Authorization Nurse

Care1st Health Plan Arizona - Phoenix, AZ 85016 (Camelback East area)
This Prior Authorization Nurse conducts prospective review of authorization requests including selected specialties, medical treatments and services, elective...

Registered Nurse

Eden II Programs - 4 reviews - Staten Island, NY
$66,000 a year
Registered Nurse (RN). However, you are not permitted to drive for Eden II/Genesis unless you have been provided with a written authorization from the Human...
Easily apply
Silverado Senior Living - Salt Lake City, UT 84107
Registered Nurse (RN). Silverado is presently seeking FT & PT Nurses. Silverado also uses E-Verify to confirm work authorization with both the Social Security...
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RN- Children's Unit
Graduate Nurse (G.N) must practice under the supervision of a registered nurse while the work authorization to practice is valid....
Sponsored by St. Alexius Medical Center

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