Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Your work will include handling prior authorizations for medications and procedures, assisting with ... The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive ...
Your work will include handling prior authorizations for medications and procedures, assisting with ... The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive ...
Your work will include handling prior authorizations for medications and procedures, assisting with ... The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive ...
Your work will include handling prior authorizations for medications and procedures, assisting with ... The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive ...
PRN Registered Nurse | Day Shift Join a team that's redefining infusion care and creating ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...
PRN Registered Nurse | Day Shift Join a team that's redefining infusion care and creating ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...
Utilization Review LVN/RN
Columbus, OH · On-site
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
Utilization Review LVN/RN
Columbus, OH · On-site
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
PRN Registered Nurse | Day Shift Join a team that's redefining infusion care and creating ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...
PRN Registered Nurse | Day Shift Join a team that's redefining infusion care and creating ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...
Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e. assuring ... Sends medical record appeal packets sent by therapy vendors, Director of Nursing, Regional ...
Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e. assuring ... Sends medical record appeal packets sent by therapy vendors, Director of Nursing, Regional ...
Central Authorization Coordinator - Home Health & Hospice
Westerville, OH · On-site
$18 - $22.25/hr
Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e assuring ... Nursing, Regional Directors of Clinical Operations (RDCO) and administrative staff. Enters all ...
Central Authorization Coordinator - Home Health & Hospice
Westerville, OH · On-site
$18 - $22.25/hr
Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e assuring ... Nursing, Regional Directors of Clinical Operations (RDCO) and administrative staff. Enters all ...
PRN Registered Nurse | Day Shift Join a team that's redefining infusion care and creating ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...
Quick apply
PRN Registered Nurse | Day Shift Join a team that's redefining infusion care and creating ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...
PRN Registered Nurse | Day Shift Join a team that's redefining infusion care and creating ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...
PRN Registered Nurse | Day Shift Join a team that's redefining infusion care and creating ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...
... and prior authorizations. Responsibilities also include reviewing patient histories for ... The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive ...
... and prior authorizations. Responsibilities also include reviewing patient histories for ... The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive ...
The Registered Nurse Specialty positions are responsible for care in an atmosphere sensitive to ... Complete prior authorizations, FMLA and disability paperwork Minimum Qualifications: * Education:
The Registered Nurse Specialty positions are responsible for care in an atmosphere sensitive to ... Complete prior authorizations, FMLA and disability paperwork Minimum Qualifications: * Education:
Nurse Practitioner- Primary Care
Columbus, OH · On-site
$41.85 - $90.13/hr
Active, unrestricted state APRN license Essential Qualifications Nurse Practitioners (NPs) * One ... Prior MinuteClinic precepting rotation (if less than one year of provider experience; preferred but ...
Nurse Practitioner- Primary Care
Columbus, OH · On-site
$41.85 - $90.13/hr
Active, unrestricted state APRN license Essential Qualifications Nurse Practitioners (NPs) * One ... Prior MinuteClinic precepting rotation (if less than one year of provider experience; preferred but ...
... and prior authorizations. Responsibilities also include reviewing patient histories for ... The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive ...
... and prior authorizations. Responsibilities also include reviewing patient histories for ... The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive ...
... and prior authorizations. Responsibilities also include reviewing patient histories for ... The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive ...
... and prior authorizations. Responsibilities also include reviewing patient histories for ... The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive ...
... and prior authorizations. Responsibilities also include reviewing patient histories for ... The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive ...
... and prior authorizations. Responsibilities also include reviewing patient histories for ... The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive ...
... with prior authorizations and medication denials. Nurses with prior clinical exposure are ... Current Registered Nurse license from the State of Ohio and/or Current Registered Nurse license in ...
... with prior authorizations and medication denials. Nurses with prior clinical exposure are ... Current Registered Nurse license from the State of Ohio and/or Current Registered Nurse license in ...
... with prior authorizations and medication denials. Nurses with prior clinical exposure are ... Current Registered Nurse license from the State of Ohio and/or Current Registered Nurse license in ...
... with prior authorizations and medication denials. Nurses with prior clinical exposure are ... Current Registered Nurse license from the State of Ohio and/or Current Registered Nurse license in ...
... with prior authorizations and medication denials. Nurses with prior clinical exposure are ... Current Registered Nurse license from the State of Ohio and/or Current Registered Nurse license in ...
... with prior authorizations and medication denials. Nurses with prior clinical exposure are ... Current Registered Nurse license from the State of Ohio and/or Current Registered Nurse license in ...
Requires a current CA RN License * Bachelors of Science in Nursing or advanced degree preferred ... Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and ...
Requires a current CA RN License * Bachelors of Science in Nursing or advanced degree preferred ... Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and ...
Contractual Prior Authorization Rn information
See salary details
$16.59 - $20.54
3% of jobs
$20.54 - $24.50
1% of jobs
$24.50 - $28.45
6% of jobs
$30.36 is the 25th percentile. Wages below this are outliers.
$28.45 - $32.41
30% of jobs
The median wage is $33.83 / hr.
$32.41 - $36.36
26% of jobs
$37.87 is the 75th percentile. Wages above this are outliers.
$36.36 - $40.32
22% of jobs
$40.32 - $44.27
3% of jobs
$44.27 - $48.23
0% of jobs
$48.23 - $52.19
5% of jobs
$52.19 - $56.14
2% of jobs
$56.14 - $60.10
1% of jobs
$16
$36
$60
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Cities with the most Contractual Prior Authorization Rn job openings:
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RN Case Manager - Prior Authorization
Columbus, OH
$30/hr
Contractor
Re-posted 21 days ago
Job description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Position Purpose: Review requests for contract specific prior authorization of services within a centralized unit
- Review provider request for contract specific prior authorization through fax or telephone with application of evidence based criteria to ensure medical necessity for services
- Act as clinical resource to unit referral specialist staff and make appropriate referrals
- Provide provider education as directed
- Data entry and inquiry using both claims and clinical system software for performance of the authorization review process with documentation into the appropriate systems
- Active OH RN Licensure
- Experienced with either Interqual or Milliman
Advantages of this Opportunity:
Hours for this Position: Monday- Friday 8a-5p
Pay $30.00 per hour
Start date: 7/6
If you are interested, please call, Lovely 321-574-6539 and email your resume to me.
The greatest compliment to our business is a referral.
If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003