Prior Authorization Nurse jobs

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Intake Nurse
Access Nursing Services 5 reviews - New York, NY
Obtains and documents prior authorization for home care services from insurance providers. NY1, Intake Nurse, Intake RN, Intake Registered Nurse, UAS, Universal...
Sponsored by Access Nursing Services - 30+ days ago
Local Health Nurse II-Home Health
Green River District Health Department - Owensboro, KY
Development and implementation of QA measures for EPSDT program, utilization review, insurance verification, obtaining physician orders, preparation of...
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Sponsored by Green River District Health Department - 6 days ago
Home Health Admissions RN
VNA Hospice and Palliative Care of Southern California - San Bernardino, CA
California Registered Nurse License required. Demonstrate ability to perform admission nurse responsibilities including:....
Sponsored by VNA Hospice and Palliative Care of Southern California - 30+ days ago

Prior Authorization Representative II

Care1st Health Plan Arizona - Phoenix, AZ 85016 (Camelback East area)
Prior Authorization experience preferred. Utilize nurses for medical reviews when necessary.CORPORATE INTEGRITY:....

TRICARE Prior Authorization Nurse - Honolulu, HI

UnitedHealth Group 1,887 reviews - Honolulu, HI
The Prior Authorization Nurse works under the direct supervision of a Prior Authorization Manager. Healthcare Military and Veterans is currently seeking a Prior...

Prior Authorization Nurse

TalentCare LLC - Sacramento, CA - +6 locations
Prior Authorization RNs review requests for prior authorization of medical services such as office visits, transportation, and elective and outpatient...

Prior Authorization Nurse

Care1st Health Plan Arizona - Phoenix, AZ 85016 (Camelback East area)
Previous Prior Authorization experience preferred. This Prior Authorization Nurse conducts prospective review of authorization requests including selected...

Prior Authorization Nurse

Care1st Health Plan - Arizona
Previous Prior Authorization experience preferred. This Prior Authorization Nurse conducts prospective review of authorization requests including selected...

Registered Nurse Utilization Case Management Specialist

Wisconsin Physicians Service Insurance Corporation 2 reviews - De Pere, WI
Licensed Practical Nurse. Requests include but are not limited to inpatient admissions, prior authorization reviews and requests for referrals to tertiary and...

Utilization Management Rep I/II/Sr

Anthem, Inc. 544 reviews - Atlanta, GA
Provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests....

Prior Authorization Nurses LVN or RN

TalentCare LLC - Helena, MT - +8 locations
Prior Authorization Nurses review requests for prior authorization of medical services such as office visits, transportation, and elective and outpatient...

Case Manager - Medicaid Waiver Program

Regional Planning Commission of Greater Birmingham - Birmingham, AL 35203
Or a Registered Nurse with current Licensure. Candidates must pass a criminal background and sex offender check and TB skin test prior to official hiring....
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Senior Patient Care Coordinator - Rochester, NY

UnitedHealth Group 1,887 reviews - Rochester, NY
Outgoing referrals, and prior authorizations. License Practical Nurse. Energize your career with one of Healthcare's fastest growing....
Review Nurse, UCR - Atlanta, GA
Alliant Health Solutions - Atlanta, GA
Alliant educates providers on best practices to improve quality of care, ensures appropriate utilization of services through prior authorization and medical...
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Sponsored by Alliant Health Solutions - 8 days ago
Program Director ; Registered Nurse BSN Required
RestorixHealth 7 reviews - Portland, ME
Registered Nurse, Physician Assistant or Nurse Practitioner experience preferred. Prior experience working with an electronic medical record system preferred....
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Sponsored by RestorixHealth - 7 days ago

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Company with Prior Authorization Nurse jobs
5 reviews
ACCESS Nursing Services provides comprehensive care to patients and essential staff to healthcare organizations throughout the country.