A company is looking for a Clinical Review Nurse - Prior Authorization.Key ResponsibilitiesAnalyze prior authorization requests to determine medical necessity and appropriate level of careCoordinate with healthcare providers and teams to ensure timely review and authorization of servicesDocument and maintain member clinical information in health management systems for complianceRequired QualificationsGraduate from an Accredited School of Nursing or Bachelor's degree in Nursing2 - 4 years of related experience in clinical review or medical managementKnowledge of Medicare and Medicaid regulations preferredLPN - Licensed Practical Nurse - State Licensure requiredExperience in utilization management processes preferred
Clinical Review Nurse - LPN
A company is looking for a Clinical Review Nurse - Prior Authorization. ...
Senior Clinical Review Nurse - CA
A company is looking for a Senior Clinical Review Nurse - Concurrent Review. ...
Travel Nurse - Registered Nurse - Wound Care - $1804 / Week
Stability Healthcare is seeking an experienced Wound Care Registered Nurse for an exciting Travel Nursing job in Chapel Hill, NC. If you are a registered nurse interested in Travel, Local Travel or Per Diem Nursing opportunities, Stability has the right assignment for you!. Stability HealthCare is a...
Travel Nurse - Registered Nurse - ED - Emergency Department - $1990 / Week
GLC on the GO is seeking an experienced Emergency Department Registered Nurse for an exciting Travel Nursing job in Chapel Hill, NC. ...
Travel Nurse - RN - Case Manager - $1730.91 / Week
FlexCare Medical Staffing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Chapel Hill, NC. ...
Travel Nurse - Registered Nurse - CVICU - Cardiovascular Intensive Care Unit - $1552.64 / Week
TotalMed Staffing is seeking an experienced Cardiovascular Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Raleigh, NC. ...
Travel Registered Nurse - Stepdown - $1,465 to $1,624 per week in Raleigh, NC
Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain high l...
Travel Nurse RN - Case Manager - $1,633 to $1,783 per week in Chapel Hill, NC
TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Chapel Hill, North Carolina, 27514!. As an nurse, you will be matched to one of our responsive recruiters who will have your back throughout your journey. ...
Licensed Practical Nurse - Parkview Health And Rehabilitation Center
LICENSED PRACTICAL NURSE (LPN). Licensed Practical Nurse, graduated from an accredited School of Nursing. Delegates duties to professional nurses and non-professional nursing personnel and monitoring work performance under the supervision of a Registered Nurse. Assists in direction of nursing servic...
Care Coordinator RN - Hospitalist - Raleigh
The Care Coordinator is a Registered Nurse who is assigned to a specific clinical care area facilitating the plan for inpatient/outpatient care by using a collaborative interdisciplinary approach. The Care Coordinator will focus on anticipation integration and coordination of clinical care and disch...