Key Responsibilities:Review medical documentation for prior authorization requestsAssess the medical necessity of planned services based on Medicare guidelinesProvide written explanations for non-affirming prior authorization requestsRequired Qualifications:Bachelor's Degree in related field or equi...
Job Title: Prior Authorizations Registered Nurse (RN). The UM Prior Authorization Nurse is responsible for evaluating referrals for medical services to determine medical necessity and appropriate course of action. Utilizing independent judgment, extensive medical knowledge, and adherence to clinical...
A company is looking for a Specialist I, Prior Authorization for a remote position. ...
Acentra seeks a Prior Authorization Reviewer to join our growing team. Reviews verbal and electronic prior authorization requests based upon pre-established criteria and approves or denies authorization. Enters data project-specific information into the prior authorization processing system. May app...
A company is looking for a Prior Authorization Representative. ...
Ensure that prior authorization requests are completed in a timely fashion to meet contractual requirements and that all reviews are conducted using nationally recognized and evidence-based standards. ...
Request, follow up and secure prior-authorizations prior to services being performed. Maintain excellent customer service for all customer interactions from patients, medical providers, insurance companies and pharmacies requesting prior authorizations. Able to respond to changing circumstances and ...
Acentra seeks a Prior Authorization Reviewer to join our growing team. Reviews verbal and electronic prior authorization requests based upon pre-established criteria and approves or denies authorization. Enters data project-specific information into the prior authorization processing system. May app...
Registered Nurses – InfectiousDisease . ...
Vetted Health is actively hiring Travel Registered Nurses (RNs) for 13-week assignments across the United States. Minimum 1 year of Registered Nursing experience required. ...
Licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) in the State of Florida. Licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) in the State of Florida. The Registered Nurse in the Emergency Department independently plans, implements, and ev...
Licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) in the State of Florida. The Registered Nurse independently plans, implements, and evaluates nursing care in patient care situations using standards of care, policy, and procedure. ...
Licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) in the State of Florida. Licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) in the State of Florida. The Registered Nurse – Neurovascular ICU independently plans, implements, and evaluates ...
Triage is seeking an experienced Neonatal Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in San Diego, CA. ...
ADN Healthcare is seeking an experienced Psychiatric Registered Nurse for an exciting Travel Nursing job in National City, CA. ...
TravelNurseSource is working with LRS Healthcare to find a qualified Other RN in Santa Rosa, California, 95405!. ...
Assured Nursing is currently seeking a .The ideal candidate will possess a current state license as a ....
TravelNurseSource is working with Procare USA to find a qualified Home Health RN in Clearlake, California, 95422!. ...
Highlights:</strong></p><ul><li><strong>Flexible work schedule:</strong> Work whenever and wherever you want</li><li><strong>Weekly payouts:</strong> Automatically receive timely payments (no invoicing!)</li><li><strong>Un...
Earnings & Duration:</strong></p><ul><li style="font-weight: 400;"><span style="font-weight: 400;">Earnings: $<span data-sheets-root="1" data-sheets-value="{"1":2,"2":"12. FOR VIE...
Earnings & Duration:</strong></p><ul><li style="font-weight: 400;"><span style="font-weight: 400;"><span data-sheets-root="1" data-sheets-value="{"1":2,"2":"5 - 7. FOR GERMAN WRIT...
This is a remote/work from home position. As a contract business, traders will be their own boss, with the opportunity to work full-time or part-time from anywhere in the world with a high-speed internet connection. Research and analyze market data to make informed trading decisions. Operate from an...
About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Experience...
A company is looking for a Clinical Account Manager, Implementation....
A company is looking for an Ambulatory Clinical Pharmacist Remote. Key Responsibilities:Ensure appropriate medications are prepared and delivered timely and stored securelyProvide drug information to healthcare professionals and patientsParticipate in multidisciplinary team to improve patient drug t...