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

Page: 5

Referral Clinical Coordinator

, facilitating completion and review of brain death notes, representing OneLegacy to the potential donor’s authorizing party and when... appropriate, undertakes registry notification or approach for donation authorization when necessary, as well as assisting in the...

Company: OneLegacy
Location: El Segundo, CA
Posted Date: 12 Jul 2025
Salary: $64464.4 - 77077 per year

Referral Clinical Coordinator

opportunity for donation, facilitating completion and review of brain death notes, representing OneLegacy to the potential donor...’s authorizing party and when appropriate, undertakes registry notification or approach for donation authorization when necessary...

Company: OneLegacy
Location: Azusa, CA
Posted Date: 12 Jul 2025
Salary: $58604 - 70707 per year

Clinical Care Manager (RN)

Overview: Schedule: Mon-Fri 9am-5pm Salary: $90,000/year The Clinical Care Manager - Registered Nurse (RN) on the... from our office. The Clinical Care Manager - Registered Nurse will also: Conduct comprehensive assessment of enrollees including...

Location: Somerville, MA
Posted Date: 11 Jul 2025
Salary: $90000 per year

Referral Clinical Coordinator

preserve the opportunity for donation, facilitating completion and review of brain death notes, representing OneLegacy to the... authorization when necessary, as well as assisting in the donation process occurring at a OneLegacy Recovery Center including...

Company: OneLegacy
Location: Orange, CA
Posted Date: 11 Jul 2025
Salary: $64464.4 - 77077 per year

Referral Clinical Coordinator

preserve the opportunity for donation, facilitating completion and review of brain death notes, representing OneLegacy to the... authorization when necessary, as well as assisting in the donation process occurring at a OneLegacy Recovery Center including...

Company: OneLegacy
Location: Los Angeles, CA
Posted Date: 11 Jul 2025
Salary: $64464.4 - 77077 per year

Clinical Care Manager (RN)

Job Description: Schedule: Mon-Fri 9am-5pm Salary: $90,000/year The Clinical Care Manager - Registered Nurse (RN... as work from our office. The Clinical Care Manager - Registered Nurse will also: Conduct comprehensive assessment...

Company: VinFen
Location: Somerville, MA
Posted Date: 03 Jul 2025
Salary: $90000 per year

RN - Clinical Transition Specialist

Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR); Accredited Case Manager (ACM... working with patient/family and physician to determine next level of care Conducts case review presentations to educate...

Location: Urbana, IL
Posted Date: 17 Jul 2025

RN, Registered Nurse - Pre-Certification

role The Pre-Certification Nurse is responsible for all aspects of the prior authorization process for members of Quantum... Health’s employer groups. The nurse is responsible for acquiring all clinical documentation to appropriately process the...

Company: quantum-health
Location: Dublin, OH
Posted Date: 28 Sep 2025

RN, Registered Nurse - Pre-Certification

role The Pre-Certification Nurse is responsible for all aspects of the prior authorization process for members of Quantum... Health's employer groups. The nurse is responsible for acquiring all clinical documentation to appropriately process the...

Company: Quantum Health
Location: Dublin, OH
Posted Date: 28 Sep 2025

Telephonic LPN – Care Coordination

clinical documentation, assessments, and eligibility information for RN or physician review. Serve as a liaison between the... with prior authorization requests, documentation preparation, and Medicaid eligibility verification. Educate members...

Company: Morgan Stephens
Location: Manchester, NH
Posted Date: 27 Sep 2025
Salary: $32 - 34 per hour

Case Management - Nurse, Senior

and those involved with members care including clinical nurses and treating MDs. The Case Management Nurse, Senior will report to the... and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members...

Posted Date: 27 Sep 2025

Licensed Practical Nurse (LPN) or Medical Assistant (MA)-Pediatrics (Outpatient Clinic)-Full Time Days

disability forms for MD/PA to review and sign. Works with third party payors to obtain authorization/pre-certification..., and patient confidentiality required. Minimum of 2 years’ prior experience providing clinical support in a medical office setting...

Posted Date: 26 Sep 2025

RN Appeals Nurse

Appeals Nurse VillageCareMAX 112 Charles Street, New York, NY 10014 VillageCare is looking for a self-motivated... and passionate RN for our Appeals Nurse position. While supporting the Utilization Management team, the Appeals Nurse will conduct...

Company: VillageCare
Location: New York City, NY
Posted Date: 25 Sep 2025
Salary: $87647 - 98603 per year

RN - Referral Intake Nurse Kirkland, Washington | Department: Hospice and Home Health Admin | Job Type: Per Diem

Referral Intake Nurse is responsible for the initiation, screening and triage of all Home Health and/or Hospice referrals... Intake Nurse is responsible for the education of referral sources as to types of patients served and eligibility requirements...

Company: EvergreenHealth
Location: Kirkland, WA
Posted Date: 25 Sep 2025

RN Appeals Nurse

Appeals Nurse VillageCareMAX 112 Charles Street, New York, NY 10014 VillageCare is looking for a self-motivated... and passionate RN for our Appeals Nurse position. While supporting the Utilization Management team, the Appeals Nurse will conduct...

Company: VillageCare
Location: New York City, NY
Posted Date: 25 Sep 2025
Salary: $87647 - 98603 per year

Nurse Navigator (RN) - Proctology / Surgery Endocrine - Full Time

- Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established... protocols, multidisciplinary plan of care and clinical area specific standards. - Must be able to communicate and collaborate...

Company: Parkland Health
Location: Dallas, TX
Posted Date: 24 Sep 2025

Nurse Practitioner/Physician Assistant - Duke General GI & IBD Clinics

that will handle prior authorization and other necessary paperwork; order refills as needed Patient and family teaching Order... and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post...

Company: Duke University
Location: Cary, NC
Posted Date: 24 Sep 2025

LPN - Clinic II (Meds)

Licensed Nurses & Nurse Practitioners Deliver total care While advancing the art and science of nursing in a patient... Date posted 09/22/2025 Save Job Job Summary: Under direction of Registered Nurse and medical orders of the Practitioner...

Location: Kailua, HI
Posted Date: 24 Sep 2025
Salary: $29.84 - 33.16 per hour

LPN - Clinic II (MEDS)

.FacilityServicesandMaterialsManagementTheme-Nursing-Licensed Licensed Nurses & Nurse Practitioners Deliver total care While advancing the art and science... $29.84 - $33.16 / hour Job Number 1382322 Date posted 09/22/2025 Save Job Job Summary: Under direction of Registered Nurse and medical...

Location: Wailuku, HI
Posted Date: 24 Sep 2025
Salary: $29.84 - 33.16 per hour

Licensed Practical Nurse (LPN) float

of care. Preparation of prior prescription authorization requests for provider to review and finalize. Manage/monitors... of clinical components for Provider review and finalization. Preparation of medication refills for Provider review...

Company: Sage Health
Location: Mobile, AL
Posted Date: 24 Sep 2025