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Manager Prior Authorization Rn Jobs in Tennessee

Oak Street Health

Float Registered Nurse

Memphis, TN · On-site

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

CVS Health

Float Registered Nurse

Memphis, TN

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Oak Street Health

Float Registered Nurse

Memphis, TN · On-site

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Oak Street Health

Float Registered Nurse

Memphis, TN · On-site

$54K - $116K/yr

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Oak Street Health

Float Registered Nurse

Memphis, TN · On-site

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Mental Health Cooperative

Registered Nurse

Nashville, TN · On-site

$32 - $35/hr

Registered Nurse (RN) SUMMARY: The Medical Operations Registered Nurse (RN) supports licensed ... Complete Prior Authorizations and Attestations for treatment medications. 16. Perform rescue ...

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All JobsPrior Authorization Rn JobsManager Prior Authorization Rn JobsManager Prior Authorization Rn Jobs in Tennessee

Manager Prior Authorization Rn information

What is the difference between Manager Prior Authorization Rn vs Nurse Case Manager?

AspectManager Prior Authorization RnNurse Case Manager
CredentialsRN license, certifications in prior authorizationRN license, case management certification
Work EnvironmentUtilization review, insurance companies, healthcare administrationPatient advocacy, care coordination, healthcare facilities
Employer & IndustryInsurance companies, healthcare organizationsHospitals, 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.

Is manager prior authorization RN a stressful job?

Manager Prior Authorization RNs often experience stress due to managing complex approval processes, strict deadlines, and high caseloads. The role requires strong organizational skills and attention to detail, which can contribute to job pressure, especially in fast-paced healthcare environments.

What are the most commonly searched types of Prior Authorization Rn jobs in Tennessee?

The most popular types of Prior Authorization Rn jobs in Tennessee are:

What cities in Tennessee are hiring for Manager Prior Authorization Rn jobs?

Cities in Tennessee with the most Manager Prior Authorization Rn job openings:

Manager Prior Authorization Rn jobs near you

Registered Nurse (RN) - University GYN/Oncology

University Physicians' Association

Knoxville, TN • On-site

$60 - $80/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

New

Job description

Full-Time Monday-Friday 8AM-4:30PM | Knoxville, TN | UT Medical Center Cancer Institute

University Physicians' Association (UPA) is seeking a compassionate, detail-oriented Registered Nurse (RN) to join our University GYN/Oncology team located within the UT Medical Center Cancer Institute. If you thrive in a fast-paced oncology environment and are passionate about delivering exceptional patient care, we’d love to connect with you.

This is a meaningful opportunity to support patients and families through every step of their cancer journey while working alongside an outstanding multidisciplinary team.

What You’ll Do:

Patient Care & Clinical Support
  • Provide telephone triage using strong critical-thinking skills and communicate findings and interventions to providers.
  • Partner closely with advanced practice providers and physicians to address patient and family needs.
  • Deliver patient education and ensure the clinic is adequately supplied and prepared.
Care Coordination
  • Document all care in the electronic medical record accurately and thoroughly.
  • Support providers with referrals, orders, and overall coordination of care.
  • Perform medication reconciliation, manage refills, and educate patients on oncology medications.
  • Communicate with pharmacies and insurance companies, including completing prior authorizations.
  • Maintain provider schedules and assist with patient flow.
Cross-Department Collaboration

Coordinate care with various departments within the Cancer Institute, including:

  • Chemotherapy Infusion
  • Nurse Navigators
  • Radiation Oncology
  • Palliative Care
  • Surgical Oncology
  • Clinical Trials
Additional Responsibilities
  • Ensure HIPAA compliance in all handling of medical records.
  • Review lab results with patients, complete genetic testing, assist with forms, and coordinate home health, hospice, oxygen setup, hospital admissions, and outpatient transfusions.
  • Follow all policies, procedures, and safety standards.
  • Participate in ongoing education and departmental quality-improvement initiatives.

Why You’ll Love Working With Us!

UPA offers a comprehensive benefits package, including:

  • PTO, Paid Holidays, & Sick Leave
  • Medical, Dental, and Vision Insurance
  • Short-Term & Long-Term Disability
  • 401(k) with company match and immediate vesting
  • Critical Illness Coverage
  • Life, Accidental, & Hospital Indemnity Insurance
  • And more!
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