Prior Authorization Nurse Jobs (NOW HIRING)

Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina ...

Perform telephonic review of prior authorization requests for appropriate care and setting ... Associate's degree in Nursing. * Minimum of 2-5 years of clinical experience in acute setting * One ...

This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization ...

Prior Authorization Nurse Case Manager (PACM) The role of the Prior Authorization Nurse Case Manager (PACM) is to promote the quality and cost effectiveness of medical care by applying clinical ...

The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...

General Summary The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This ...

The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...

The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...

The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...

Prior Authorization Temp Nurse Case Manager, RN Northridge, CA 4-Month Contract Assignment * Quick On-Boarding/Placement Process * Career Stepping Stone from Bedside Nursing to Case Management (acute ...

Prior Authorization Temp Nurse Case Manager, RN Job Location: Northridge, CA Contract Assignment: 4-Month Contract Quick On-Boarding/Placement Process Career Stepping Stone from Bedside Nursing to ...

Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership. * Comply with the Equitas Health Care Corporate Compliance Standards of Conduct and related ...

Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership. * Comply with the Equitas Health Care Corporate Compliance Standards of Conduct and related ...

Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership. * Comply with the Equitas Health Care Corporate Compliance Standards of Conduct and related ...

Prior Authorization Specialist The primary function of the Prior Authorization Specialist is to ... Consult with physicians, nurses, staff and providers regarding the referral and pre-certification ...

Prior Authorization Specialist The Prior Authorization Specialist is responsible for obtaining prior authorization for provider practices, which may include outpatient services, specialty care and ...

Prior Authorization RN Case Manager Granada Hills, CA Full-Time Direct Hire Description Therole of the Prior Authorization Nurse Case Manager (PACM) is to promotethe quality and cost effectiveness of ...

Nurses and infusion schedulers to ensure authorizations are secured prior to every treatment appointment * Surgery schedulers on surgical authorization timelines and operative plan documentation

Prior Authorization Specialist The prior authorization specialist is responsible for coordinating ... Work with supervisors or nurse managers to confirm treatment plans meet medical necessity criteria.

Prior authorization is one of the largest operational bottlenecks for agencies. Our platform ... Comfortable working independently in a fast-moving startup Nice to Have * RN, LPN, or clinical ...