- NJM Insurance (Trenton, NJ)
- …appropriate and causally related. + Evaluate requests for precertification /preauthorization/prescreen to determine if treatment is medically necessary, clinically ... business process improvements. Required Skills & Experience: + Actively licensed registered Nurse in New Jersey and Connecticut, Delaware, Maryland, New York or… more
- WestCare Foundation (Marathon, FL)
- Registered Nurse Job Details Job Location Marathon - 3000 41st Ocean 1 - Marathon, FL Education Level 2 Year Degree Salary Range $37.45 - $37.45 Hourly Travel ... Percentage Negligible Job Category Nurse Description Provides professional nursing care to clients who...clinic. Example Job Duties: + Determines need for insurance precertification upon admission and implements process in accordance with… more
- Katmai (Usaf Academy, CO)
- …those enrollees identified as having the need for inpatient/outpatient precertification . **ESSENTIAL DUTIES &** **RESPONSIBILITIES** + Review precertification ... Registered Nurses (RN) licensed in Colorado, be able to practice using a nurse compact state license or have a license from any United States jurisdiction… more
- CVS Health (Tallahassee, FL)
- …thinking, evidenced based clinical criteria and clinical practice guidelines for services requiring precertification . + The majority of the time is spent at a desk ... the phone collecting and reviewing clinical information from providers. + Precertification nurses use specific criteria to authorize procedures/services or initiate… more
- G-TECH Services, Inc. (Grand Rapids, MI)
- …by providers, facilities and members. Responsible for the review of precertification , admissions approvals, telephone triage, and/or benefit interpretation. May be ... insurance plan experience or managed care environment highly preferred. Registered Nurse with current unrestricted Michigan Registered Nurse license required.… more
- Weill Cornell Medical College (New York, NY)
- Title: Registered Nurse Location: Lower East Side Org Unit: Obstetrics and Gynecology Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: Exempt Salary ... policies and procedures. + May be responsible for the precertification and preauthorization of prescriptions. + When needed, records...more years of related work experience as a Registered Nurse . Extensive experience as a Registered Nurse … more
- Weill Cornell Medical College (New York, NY)
- Title: Nurse Practitioner - Genitourinary (GU) Oncology Location: Upper East Side Org Unit: Hematology and Medical Oncology Work Days: Exemption Status: Exempt ... latest breakthroughs in medicine. In collaboration with an attending physician the Nurse Practitioner is responsible for the coordination and direct care of patients… more
- CVS Health (Olympia, WA)
- …more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any ... is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate… more
- LifePoint Health (Athens, TN)
- Starr Regional Medical Center is currently seeking talent to fill the position of Nurse Tech for our Women's Services Department. This job is permanent, full time. ... and determine placement. * Verifies insurance benefits and obtains precertification /authorization as necessary. Determines and accepts required payments, including… more
- Elevance Health (Tampa, FL)
- Job Description ** Nurse Medical Management Sr.** **Preferred Location** : Florida. **This position will work 100% remote (with the exception of team meetings which ... will live within 50 miles of one of our Elevance Health PulsePoint locations. ** Nurse Medical Management Sr.** Responsible to serves as team lead for nursing staff… more