Precertification Nurse jobs

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Nurse Reviewer I or Nurse Reviewer Associate - Westchester,...
Anthem, Inc. 583 reviews - Westchester, IL
Experienced Nurses join AIM as Nurse Reviewers. Nurse Reviewer I or Nurse Reviewer Associate. Nurse Reviewer I position:....
Sponsored by Anthem, Inc. - 3 days ago
Director of Case Management
Fairmont Regional Medical Center - Fairmont, WV
Experience in a progressive case management department that includes bed control and precertification is highly desireable....
Easily apply
Sponsored by Fairmont Regional Medical Center - 30+ days ago
Utilization Manager
Methodist Hospital for Surgery 7 reviews - Addison, TX
Registered Nurse with a minimum of 2 years clinical experience in an ASC, Surgical Hospital, or acute hospital setting....
Easily apply
Sponsored by Methodist Hospital for Surgery - 30+ days ago

Nurse Reviewer

HMSA 9 reviews - Honolulu, HI
Under minimal supervision, conducts detailed analysis and review of precertification requests, post-service and post-payment claims, concurrent review and...

Utilization Management Rep II

Anthem, Inc. 583 reviews - St. Louis, MO - +2 locations
Refers cases requiring clinical review to a nurse reviewer; Provides authorization for inpatient admission, outpatient precertification, prior authorization,...


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

Nurse RN or LPN

Ear, Nose and Throat Associates of Chester County - Exton, PA 19341
Completes precertifications for radiological studies. Under direct supervision of Nurse Manager. Assists with orientation and precepting of fellow employees as...
Easily apply

RN Scheduler - Preplanned

Mount Carmel Health - Columbus, OH
Identify precertification requirements and clinincal conditions to qualify for insurance coverage. Urrent license to practice as a Registered Nurse in the State...

Clincal Access Nurse

Our Lady of the Lake 21 reviews - Baton Rouge, LA
Obtains precertifications and insurance verification on transfers from other facilities and works in conjunction with patient care services for proper bed...

Clinical Access Nurse - Weekends Night

Our Lady of the Lake 21 reviews - Baton Rouge, LA
Obtains precertifications and insurance verification on transfers from other facilities and works in conjunction with patient care services for proper bed...

RN Case Manager, Population Health

Valence Health 7 reviews - Trevose, PA
Licensed registered nurse (current and unrestricted). The RN Case Manager may also perform utilization activities, and may be responsible for performing...

Registered Nurse (RN) - Utilization Management (UM) Nurse Co...

Aetna 488 reviews - Sandy, UT - +1 location
The Precertification Nurse works as part of a team that performs precertification of specified health care services to determine medical necessity....

Inbound/Outbound Customer Service Representative

Aetna 488 reviews - Philadelphia, PA 19103 (Belmont area)
Communicates with Aetna Nurses and Medical Directors, when processing transactions for members active in this Program....
RN Health Services Sr Specialist - Houston, Texas
CIGNA 894 reviews - Houston, TX
Monitors precertification performance metrics; The Manager leads a team of nurses responsible for oversight and management of home care services....
Sponsored by HEALTHeCAREERS Network - 22 days ago
Coordinator-Staff Devlpmnt LPN
Genesis HealthCare 761 reviews - Albuquerque, NM
12.May conduct an approved nurse assistant precertification training program as allowed by state and federal regulations and in accordance with company policies...
Sponsored by Genesis HealthCare - 25 days ago

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Company with Precertification Nurse jobs
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.