A company is looking for a Clinical Review Nurse - Prior Authorization to analyze prior authorization requests for medical necessity and appropriate levels of care.
Key ResponsibilitiesPerform medical necessity and clinical reviews of authorization requestsCoordinate with healthcare providers for timely review of services and requestsAssist with service authorization requests for member transfers or dischargesRequired Qualifications, Training, and EducationGraduate from an Accredited School of Nursing or Bachelor's degree in Nursing2 - 4 years of related experienceActive New York State clinical license (LPN or RN)Knowledge of Medicare and Medicaid regulations preferredKnowledge of utilization management processes preferred
Clinical Review Nurse - NY Licensed
A company is looking for a Clinical Review Nurse - Prior Authorization to analyze prior authorization requests for medical necessity and appropriate levels of care. ...
Clinical Review Nurse - Prior Authorization
Centene is currently seeking a Clinical Review Nurse - Prior Authorization to join our team. Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria. LPN - Licensed Practical Nurse - ...
Licensed Clinical Therapist - NY
A company is looking for a Licensed Clinical Therapist with a New York license to provide virtual care services. ...
Clinical Review Nurse
A company is looking for an Associate Manager, Clinical Review Nurse (Remote). ...
Travel Registered Nurse ($2850-$3750/Week)
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. ...
Travel Nurse RN - Case Manager - $1,891 per week in Miami, FL
American Medical Staffing (AMS) puts you first, and we are currently seeking a RN - Case Manager for a Hospital contract position in Miami, Florida. Have questions about compensation, population, unit/caseload details, experience requirements or scheduling? No problem! Text the job title and locatio...
Travel Nurse RN - Case Manager - $2,041 per week in Hudson, FL
FlexCare is a nationwide leader in the staffing of travel nurses and clinicians.With access to thousands of facilities around the country, our mission is to deliver premier travel staffing solutions with integrity and transparency.FlexCare’s exceptional service and reputation make it one of the most...
Travel Nurse RN - Case Manager - $1,545 to $1,862 per week in Port Charlotte, FL
Registered Nurse - Case Manager. Case Manager Registered Nurse travel assignment. Client in Port Charlotte, FL is looking for a Case Manager Registered Nurse to help them out for 13 weeks. Start your medical travel career with Fusion Medical Staffing and gain access to competitive pay packages, comp...
Travel Nurse RN - Case Manager - $1,708 per week in Fort Walton Beach, FL
GQR Healthcare is representing a well-known health system seeking experienced Case Manager providers to add to their team. ...
RN - Case Manager - Travel - Hudson, FL - $2,029 per week
TravelNurseSource is working with TRS Healthcare to find a qualified Case Manager RN in Hudson, Florida, 34667!. Registered Nurse - Case Management. TRS Healthcare is seeking a Registered Nurse who is licensed to work in FL, and has Case Management experience. RN Registered Nurse License/Certificati...