Job Summary Chloeta is seeking a Registered Nurse to work in the ambulatory care section of the Albuquerque, NM.../services in accordance with departmental practice standards. Perform clinical procedures, intravenous access, and phlebotomy...
OF GM AS THE IMMIGRATION EMPLOYER OF RECORD ON A GOVERNMENT FORM, AND ANY WORK AUTHORIZATION REQUIRING A WRITTEN SUBMISSION... Occupational Health Registered Nurse is responsible for providing emergency care, first aid and episodic treatment of occupational...
is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review... authorization processes as required, ensuring proper authorization has been secured prior to or at the time of discharge...
-Nursing-Licensed Licensed Nurses & Nurse Practitioners Deliver total care While advancing the art and science of nursing... Job Number 1375852 Date posted 09/15/2025 Save Job Job Summary: Under direction of Registered Nurse and medical orders of the...
-Nursing-Licensed Licensed Nurses & Nurse Practitioners Deliver total care While advancing the art and science of nursing... Job Number 1375857 Date posted 09/15/2025 Save Job Job Summary: Under direction of Registered Nurse and medical orders of the...
, and Advice Nurse Unit Coordinates inter-departmental activity to synergize operational impact Develops and implements clinical... authorization review, retrospective review, concurrent review, and discharge planning Supervises UM nurses and staff, ensuring...
monitoring, and clinical care escalations. The RN Care Manager is under the general supervision of the Care Managment Supervisor... of care plans and initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The...
Registered Nurse Prior research experience (preferred) A collaborative, patient-centered mindset What We Offer: Supportive... scheduling and insurance pre-authorization for participants, if applicable. Clinical skills that may be required include...
Examples Clinical documentation/care delivery tasks (refills, clinical data review) - proficient in use of the EMR, accurate... for illegal drug use prior to appointment. Screening will be performed by a reputable clinical laboratory. The cost of screening...
with pharmacists, other clinical colleagues, healthcare professionals and members. Follow all prior authorization procedures... system data entry, data management, and reporting. Review criteria-based prior authorizations following policy and procedure...
Nurse Associate LPN - Prior Authorization is responsible for the efficient, accurate and timely prioritization... and management of work. Provides support to the Prior Authorization Department in meeting client expectations regarding efficiency...
. Training is M-F 8am-4:30pm CST for 5 weeks then M-F: 8am-5 pm CST. Review criteria-based prior authorizations following... skills. You will work with pharmacists, other clinical colleagues, healthcare professionals and members. Follow all prior...
Duration: 6 Months + Job Description: The Nurse Associate LPN - Prior Authorization is responsible for the efficient..., accurate and timely prioritization and management of work. Provides support to the Prior Authorization Department in meeting...
Nurse Associate LPN - Prior Authorization is responsible for the efficient, accurate and timely prioritization... and management of work. Provides support to the Prior Authorization Department in meeting client expectations regarding efficiency...
prior authorizations following policy and procedure Provide on-call after hours nurse availability for urgent PA requests... Provide internal nurse support to the PA team and member services department Refer cases not meeting clinical criteria to the...
with prior authorization of medications Per provider order, place requests for durable medical equipment In coordination... communication Schedules appointments Review and triage medication refills requests in accordance with Rx Refill Protocol Assist...
issues that arise following procedures and surgeries, address prescription-related issues such as prior authorization...Description The UCLA Division of Urologic Oncology is looking to fill the role of a Nurse Practitioner (NP). The NP...
. Refer prior authorization cases not meeting clinical criteria for upper-level review when appropriate. Must possess.... -How much experience to they have with Prior Authorization in an MDO or clinical setting? and make sure this is present on their resume...
. Responsibilities: Review complex clinical criteria-based prior authorizations (electronically and/or in written format) in accordance... with representatives on the prior authorization team, pharmacists, clinical colleagues, healthcare professionals, clients, leaders...
. Refer prior authorization cases not meeting clinical criteria for upper-level review when appropriate. Must possess.... -How much experience to they have with Prior Authorization in an MDO or clinical setting? And make sure this is present on their resume...