Registered Nurse
Chicago, IL · On-site
Manages complex patient cases requiring advanced monitoring, life support, and rapid intervention ... Not Authorized
Chicago, IL · On-site
Manages complex patient cases requiring advanced monitoring, life support, and rapid intervention ... Not Authorized
Chicago, IL · On-site
Manages complex patient cases requiring advanced monitoring, life support, and rapid intervention ... Not Authorized
Hines, IL · On-site
Manages complex patient cases requiring advanced monitoring, life support, and rapid intervention ... Not Authorized
Hines, IL · On-site
Manages complex patient cases requiring advanced monitoring, life support, and rapid intervention ... Not Authorized
Marion, IL · On-site
Manages complex patient cases requiring advanced monitoring, life support, and rapid intervention ... Not Authorized
Marion, IL · On-site
Manages complex patient cases requiring advanced monitoring, life support, and rapid intervention ... Not Authorized
Springfield, IL · On-site
$17 - $40/hr
Registered Nurse / Licensed Practical Nurse / Medical Assistant Orthopedic Center of Illinois ... Manage prior authorizations, referrals, and prescription refill requests in coordination with ...
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Springfield, IL · On-site
$17 - $40/hr
Registered Nurse / Licensed Practical Nurse / Medical Assistant Orthopedic Center of Illinois ... Manage prior authorizations, referrals, and prescription refill requests in coordination with ...
Rockford, IL · On-site
$60K - $129K/yr
Registered Nurse We're building a world of health around every individual -- shaping a more ... medication management, prescription refills and prior authorizations. * Conduct thorough and ...
Rockford, IL · On-site
$60K - $129K/yr
Registered Nurse We're building a world of health around every individual -- shaping a more ... medication management, prescription refills and prior authorizations. * Conduct thorough and ...
$29.25 - $40/hr
Managing incoming/outgoing phone calls and responding to requests for medication refills, prior ... authorizations, sample requests, and patient assistance programs. * Utilize the electronic medical ...
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$29.25 - $40/hr
Managing incoming/outgoing phone calls and responding to requests for medication refills, prior ... authorizations, sample requests, and patient assistance programs. * Utilize the electronic medical ...
The Director ensures that all UM activities-including prior authorization, medical necessity review ... Active Registered Nurse (RN) license preferred; advanced degree (MSN, MHA, MPH) preferred * 7-10+ ...
The Director ensures that all UM activities-including prior authorization, medical necessity review ... Active Registered Nurse (RN) license preferred; advanced degree (MSN, MHA, MPH) preferred * 7-10+ ...
Sterling, IL · On-site
$17.50 - $26.25/hr
Performs basic medical care under the direction of Physician or Registered Nurse as allowed by ... Prior experience as a medical assistant preferred. * Basic computer knowledge preferred. * Prior ...
Sterling, IL · On-site
$17.50 - $26.25/hr
Performs basic medical care under the direction of Physician or Registered Nurse as allowed by ... Prior experience as a medical assistant preferred. * Basic computer knowledge preferred. * Prior ...
Schaumburg, IL · On-site
$38 - $50/hr
Manages patient health concerns and symptoms via a telephone interaction utilizing physician ... May schedule tests and procedures and obtain insurance prior-authorization. Responsible for ...
Schaumburg, IL · On-site
$38 - $50/hr
Manages patient health concerns and symptoms via a telephone interaction utilizing physician ... May schedule tests and procedures and obtain insurance prior-authorization. Responsible for ...
Schaumburg, IL · On-site
$38 - $50/hr
Manages patient health concerns and symptoms via a telephone interaction utilizing physician ... May schedule tests and procedures and obtain insurance prior-authorization. Responsible for ...
Schaumburg, IL · On-site
$38 - $50/hr
Manages patient health concerns and symptoms via a telephone interaction utilizing physician ... May schedule tests and procedures and obtain insurance prior-authorization. Responsible for ...
Champaign, IL · On-site
$33.11 - $53.88/hr
Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional ... Obtain prior authorization for dermatology medications work with specialty pharmacies.
Champaign, IL · On-site
$33.11 - $53.88/hr
Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional ... Obtain prior authorization for dermatology medications work with specialty pharmacies.
Champaign, IL · On-site
$33.11 - $53.88/hr
Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional ... Obtain prior authorization for dermatology medications work with specialty pharmacies.
Champaign, IL · On-site
$33.11 - $53.88/hr
Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional ... Obtain prior authorization for dermatology medications work with specialty pharmacies.
... prior authorization of insurance benefits as needed, as well as with the UR Department for the ... managed care preferred. EEO Statement All UHS subsidiaries are committed to providing an ...
... prior authorization of insurance benefits as needed, as well as with the UR Department for the ... managed care preferred. EEO Statement All UHS subsidiaries are committed to providing an ...
Champaign, IL · On-site
$40 - $50/hr
... prior authorization of insurance benefits as needed, as well as with the UR Department for the ... managed care preferred. EEO Statement All UHS subsidiaries are committed to providing an ...
Champaign, IL · On-site
$40 - $50/hr
... prior authorization of insurance benefits as needed, as well as with the UR Department for the ... managed care preferred. EEO Statement All UHS subsidiaries are committed to providing an ...
Manage test results, medication refills, and prior authorizations * Perform lab draws, specimen ... Current, active Registered Nurse license in the state of Illinois * Minimum two years of hospital ...
Manage test results, medication refills, and prior authorizations * Perform lab draws, specimen ... Current, active Registered Nurse license in the state of Illinois * Minimum two years of hospital ...
Winnetka, IL · On-site
Manage test results, medication refills, and prior authorizations * Perform lab draws, specimen ... Current, active Registered Nurse license in the state of Illinois * Minimum two years of hospital ...
Winnetka, IL · On-site
Manage test results, medication refills, and prior authorizations * Perform lab draws, specimen ... Current, active Registered Nurse license in the state of Illinois * Minimum two years of hospital ...
Manage test results, medication refills, and prior authorizations * Perform lab draws, specimen ... Current, active Registered Nurse license in the state of Illinois * Minimum two years of hospital ...
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Manage test results, medication refills, and prior authorizations * Perform lab draws, specimen ... Current, active Registered Nurse license in the state of Illinois * Minimum two years of hospital ...
Danville, IL · On-site
$33.11 - $53.88/hr
Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional ... message in EPIC Prior authorization for psych medications Injections About Us Find it here.
Danville, IL · On-site
$33.11 - $53.88/hr
Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional ... message in EPIC Prior authorization for psych medications Injections About Us Find it here.
Danville, IL · On-site
$33.11 - $53.88/hr
Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional ... message in EPIC Prior authorization for psych medications Injections About Us Find it here.
Danville, IL · On-site
$33.11 - $53.88/hr
Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional ... message in EPIC Prior authorization for psych medications Injections About Us Find it here.
Manage test results, medication refills, and prior authorizations * Perform lab draws, specimen ... Current, active Registered Nurse license in the state of Illinois * Minimum two years of hospital ...
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Manage test results, medication refills, and prior authorizations * Perform lab draws, specimen ... Current, active Registered Nurse license in the state of Illinois * Minimum two years of hospital ...
| Aspect | Manager Prior Authorization Rn | Nurse Case Manager |
|---|---|---|
| Credentials | RN license, certifications in prior authorization | RN license, case management certification |
| Work Environment | Utilization review, insurance companies, healthcare administration | Patient advocacy, care coordination, healthcare facilities |
| Employer & Industry | Insurance companies, healthcare organizations | Hospitals, clinics, insurance providers |
The Manager Prior Authorization Rn primarily focuses on reviewing and approving insurance claims for medical procedures, ensuring compliance with policies. Nurse Case Managers coordinate patient care, advocate for patients, and manage treatment plans. While both roles require RN licensure and healthcare knowledge, the Manager Prior Authorization Rn emphasizes administrative review, whereas Nurse Case Managers are more involved in direct patient care coordination.
Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 27 days ago
8.1
Based on 668 frontline employees who took The Breakroom Quiz
41st of 283 rated public sector bodies
The Department of Veterans Affairs (VA) is seeking dedicated and compassionate Registered Nurses to provide comprehensive, patient-centered care to our nation's Veterans. As a VA RN, you will play a vital role in assessing, planning, implementing, and evaluating nursing care for a diverse patient population. You will work within an interdisciplinary healthcare team to promote health, prevent disease, and manage acute and chronic health conditions. Registered Nurses will be assigned to interested facilities throughout VHA and may be permanently or temporarily (not to exceed 1-year) appointed on intermittent, part-time, or full-time schedule in support of the VA facilities across the Nation.
Primary responsibilities include, but may not be limited to:
We are recruiting for the following specialties:
VA offers a comprehensive total rewards package: VA Nurse Total Rewards
Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: One (1) full and unrestricted license from any US State or territory
Work Schedule: A variety of work schedules are available; Work schedule will be determined upon selection. NOTE: May be expected to work rotating weekends and holidays.
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Registered Nurses selected for the following specialties are eligible for the Education Debt Reduction Program (EDRP), a student loan reimbursement program: Inpatient Community Living Center, Inpatient Mental Health, Critical Care, and Outpatient Mental Health. You must meet specific eligibility requirements per VHA policy and submit your application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.
Permanent Change of Station (PCS): Not Authorized
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Public administration and motion picture and video production
10,000+ Employees
Washington, DC, US