Manager Prior Authorization Rn Jobs Near Me

Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.

Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ... Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership.

Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ... Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership.

Role Overview Reporting to the Director, Account Operations, the Strategic Account Operations Manager (Medical Prior Authorization) is responsible for overseeing complex customer relationships ...

Role Overview Reporting to the Director, Account Operations, the Strategic Account Operations Manager (Medical Prior Authorization) is responsible for overseeing complex customer relationships ...

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 ...

Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...

Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...

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 ...

Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...

Complete prior authorizations, FMLA and disability paperwork Minimum Qualifications: * Education ... Demonstrates the ability to plan, organize and manage patient care, including delegation to and ...

Complete prior authorizations, FMLA and disability paperwork Minimum Qualifications: * Education ... Demonstrates the ability to plan, organize and manage patient care, including delegation to and ...

Case Management - Helping clients connect with housing, employment, and community resources ... Coordinate and complete prior authorizations for medications and injections including Vivitrol and ...

Additional responsibilities include triaging patient concerns, managing in-basket communication ... with prior authorizations and medication denials. Nurses with prior clinical exposure are ...

Additional responsibilities include triaging patient concerns, managing inbasket communication ... with prior authorizations and medication denials. Nurses with prior clinical exposure are ...

We cover the cost of CRNI (Certified Registered Nurse Infusion) and ONCC (Oncology Nursing ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

... the RN manages, schedules diagnostic testing, processes orders, and performs phone triage through in-basket and MyChart communications and prior authorizations. Responsibilities also include ...

... RN manages, schedules diagnostic testing, processes orders, and performs phone triage through inbasket and MyChart communications and prior authorizations. Responsibilities also include reviewing ...

Case Management - Helping clients connect with housing, employment, and community resources ... Coordinate and complete prior authorizations for medications and injections. * Document all nursing ...