Precertification Nurse jobs

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Registered Nurse (RN)-UM Clinical Consultant(Pre-auth)
Aetna 450 reviews - Detroit, MI
Nursing/Registered Nurse (RN) is required. Working At Aetna -- the Value To You....
Sponsored by Aetna - 6 days ago
Utilization Manager
New Directions Behavioral Health 6 reviews - Jacksonville, FL
For Registered Nurses, a Bachelor’s Degree in Nursing. Utilizes appropriate and standardized tools including but not limited to NDBH approved precertification,...
Sponsored by New Directions Behavioral Health - 17 days ago
Clinical Documentation Improvement Specialist- Atlanta, GA
Piedmont Healthcare 109 reviews - Atlanta, GA
A current state Registered Nurse license or Certified Coding Specialist, RHIT, RHIA, OR CCDS. Previous clinical documentation improvement experience,...
Sponsored by Piedmont Healthcare - 30+ days ago


UnityPoint Clinic 4 reviews - Waterloo, IA - +5 locations
Responsible for compliance with precertification requirements. Graduate of an accredited program for Registered Nurses....

Registered Nures (RN) - UM Nurse Consultant

Aetna 450 reviews - Richfield, OH
Nursing/Registered Nurse (RN) is required. The UM nurse consultant needs to be highly organized, effective in time management, ability to manage multiple...

RN Plainview-OP Clinic FT (0.8) Days Plainview Area Health S...

Catholic Health Initiatives 130 reviews - Plainview, NE 68769
Precertification, referrals, chart documentation, etc.). Active licensure as a Registered Nurse in Nebraska or Iowa, Nebraska and Iowa are compact states, so...

Registered Nurse (RN)- Care Management Nurse Supervisor

Aetna 450 reviews - New York, NY
This position is located in Aetna's office in Harlem, NY. Qualified candidates will hold their RN license and have at least 3 years of managerial experience

RN Case Manager - Case Management - Celebration

Florida Hospital 412 reviews - Celebration, FL - +1 location
Active Florida State license as a registered professional nurse. Stays abreast of changing clinical trends, criteria, regulatory matters and third-party payer...

Pre Cert Nurse CIN

Catholic Health Partner-Toledo Business Office - Toledo, OH
Current State Registered Nurse License. Review “elective” admissions/observations to ensure that a physician’s office has performed precertification or...

RN-Clinic Women%27s Health Operations FT (1.0) Women%27s Hea...

Catholic Health Initiatives 130 reviews - Papillion, NE 68133
Precertification, referrals, chart documentation, etc.). Active licensure as a Registered Nurse in Nebraska or Iowa, Nebraska and Iowa are compact states, so...


Firelands Regional Medical Center 13 reviews - Sandusky, OH
Perform precertification with physician offices and insurance companies. Transcribes physician orders into the computer ensuring the information is accurately...

Nurse Medical Management ll or Sr. - Houston, TX MMP

Anthem, Inc. 542 reviews - Houston, TX - +1 location
The Nurse Medical Management Sr. The Nurse Medical Management ll requires:. Participation in the American Association of Managed Care Nurses preferred....

RN Healthcare Coordinator

Xerox 3,123 reviews - Jefferson City, MO 65110
Assists in the development of policy relating to precertification and utilization management; The Health Care Coordinator is responsible for precertification of...
Healthcare Customer Support - AIM Specialty Health (Westches...
Skills for Chicagoland's Future - Westchester, IL
Identify and appropriately refer cases to preauthorization nurses for clinical review. AIM's Operations Group is seeking client-focused individuals to join the...
Sponsored by Skills for Chicagoland's Future - 30+ days ago
Behavioral Health Coordinator
First Choice Health 8 reviews - Seattle, WA
Current, unrestricted Washington state license as Mental Health Counselor, Social Worker, Psychologist, Psychiatric Nurse Practitioner or a related field....
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Sponsored by First Choice Health - 21 days ago

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Company with Precertification Nurse jobs
109 reviews
For more than a century, Piedmont Healthcare has been a recognized leader in delivering expert care.