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Keywords: Clinical Review Nurse - Prior Authorization, Location: USA

Page: 12

Oncology Scheduler - FT - Days - MHW- Medical Office Building

patients to appropriate APP for symptom management, when needed.Coordinates with Infusion Clinical Nurse Manager or Radiation... department to ensure prior authorization of treatment is obtained. Handles pre-registration prior to date of visit to ensure...

Location: USA
Posted Date: 26 Sep 2025

Instructor, Advanced Practice Provider (PA/NP)

. · Conducting peer to peer review or writing medical necessity letters with insurance companies for pre-authorization of tests... requirements of the Nursing Credential Review Board (Nurse Practitioner) and the Medical Review Board (Physician Assistant...

Location: Aurora, CO
Posted Date: 26 Sep 2025
Salary: $99008 - 133869 per year

Medical Assistant - Urology

support services to patients and medical staff. Obtains prior authorization for ordered imaging and prescriptions. Checks... Job Responsibilities: Rooms patients during the clinic. Perform all necessary in-house testing prior to the physician seeing the...

Company: GI Alliance
Location: Glendale, AZ
Posted Date: 26 Sep 2025

Patient Account Liaison

. Act as main point of contact between physician, patient, and Clinical Area Manager (CAM) Review new patient referrals... and authorization partners. Primary contact for providers & patients prior to the shipment of their device Provide order status...

Company: Electromed Inc.
Location: Pensacola, FL
Posted Date: 26 Sep 2025
Salary: $21.5 - 26.5 per hour

RN-Referral Liaison,Home Health Remote PRN

problem solving and decision making. Ensures accuracy and timeliness on all functions related to insurance prior authorization... is looking for an experienced nurse with Home Health or Case Management experience that has a dynamic personality with a ton of energy and passion...

Location: USA
Posted Date: 26 Sep 2025

Mission Control RN Tier1 Transfer Center FT Evenings Orlando

and provides information to the Utilization Review Specialist, Utilization Review Case Manager and the Clinical Support Specialist... each year The role youll contribute: The Mission Control RN Tier 1 is a professional registered nurse functioning withing...

Company: AdventHealth
Location: Orlando, FL
Posted Date: 26 Sep 2025

Advanced Practice Provider, General Infectious Disease - Inpatient Consult

authorization must be consistent with clinical practice area and patient population. Licensure and Certification Certification...! JOB SUMMARY We are seeking an Acute Care Nurse Practitioner or Physician Assistant to join our Division of Infectious Disease...

Posted Date: 25 Sep 2025

Phlebotomist - Outpatient

patient prior to release into the SCC Soft Lab Information System. Venipunctures are performed using a vacutainer needle... cultures, a set of Bactec blood culture bottles, or involve nurse coordination for a single or multiple-lumen port collection...

Location: Normal, IL
Posted Date: 25 Sep 2025

Utilization/Case Manager (Full Time) Days-Remote

of a team to provide referral, authorization, medical review, and/or case management services to providers and Health Plan... needed. Utilization Management: When assigned UM tasks, the UM/CM must: Perform pre-authorization, concurrent, and discharge review...

Company: Mercy
Location: Chesterfield, MO
Posted Date: 25 Sep 2025

Utilization Management Representative II

. Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. Processes incoming... for inpatient admission, outpatient precertification, prior authorization, and post service requests. Obtains intake (demographic...

Company: Elevance Health
Location: Latham, NY
Posted Date: 25 Sep 2025
Salary: $17.49 - 26.24 per hour

Healthcare Project Manager - Greater South Bay Area

of injured worker’s situation including, but not limited to, prior authorization, chart preparation, determination of appropriate... of America's workforce, one patient at a time. Join us at Concentra and see how your clinical competency and compassion can make...

Company: Concentra
Location: Milpitas, CA
Posted Date: 25 Sep 2025

RN - Medical Renewal Center

probationary period. Provide float support to all Patient Contact Center Clinical teams including Patient Advisory Nurse (PAN.... Qualifications Certifications: Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional...

Location: Champaign, IL
Posted Date: 25 Sep 2025

Advanced Practice Provider- Community Oncology & GYN Onc, Richardson/Plano

education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population... affiliated with UT Southwestern Medical Center, is looking for an experienced Physician Assistant or Nurse Practitioner...

Posted Date: 25 Sep 2025

Phlebotomist - Outpatient

patient prior to release into the SCC Soft Lab Information System. Venipunctures are performed using a vacutainer needle... cultures, a set of Bactec blood culture bottles, or involve nurse coordination for a single or multiple-lumen port collection...

Location: Normal, IL
Posted Date: 25 Sep 2025

Phlebotomist -Clinic

patient prior to release into the SCC Soft Lab Information System. Venipunctures are performed using a vacutainer needle... cultures, a set of Bactec blood culture bottles, or involve nurse coordination for a single or multiple-lumen port collection...

Location: Champaign, IL
Posted Date: 25 Sep 2025

RN

with or complete prior authorization process. Assists patients with resources for any social influences of health needs. Participates... Review document, relative to position. ESSENTIAL QUALIFICATIONS: EDUCATION: Graduate of an accredited Registered Nurse...

Posted Date: 25 Sep 2025

Phlebotomist -Clinic

into the Epic system by Carle providers are reviewed with the patient prior to release into the SCC Soft Lab Information System... of a simple tube collection for Acid Fast or Fungal cultures, a set of Bactec blood culture bottles, or involve nurse coordination...

Location: Champaign, IL
Posted Date: 25 Sep 2025

Advanced Practice Provider, Pediatric Pulmonary, IP and Consult

education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population...Nurse Practitioner or Physician Assistant, Pediatric Pulmonary, Inpatient & Consult WHY UT SOUTHWESTERN and Children...

Posted Date: 24 Sep 2025

Travel Sub-Investigator (Infusion)

is looking for highly motivated Nurse Practitioners or Physician's Assistants to support clinical trial related activities in states... to: Prescreen study candidates by telephone and review exclusionary conditions or medications prior to scheduling screening...

Company: Care Access
Location: USA
Posted Date: 24 Sep 2025

Billing Specialist- Hybrid in CT

and cost-share amount for new and existing patients. Basic knowledge on how to submit prior authorization requests... for effectiveness in alcohol treatment. The Ria program is delivered through telehealth and by a care team of Physicians, Nurse...

Company: Ria Health
Location: Hamden, CT
Posted Date: 23 Sep 2025