RN: Prior Authorization & Clinical Review for Rare Disease Care
Orsini
Orsini in Elk Grove Village is looking for a Prior Authorization/Clinical Review Nurse (RN) to review clinical documentation and facilitate prior authorizations for specialty medications. The role requires an active Illinois RN license, 2+ years of clinical experience, and strong knowledge of insurance processes. Key responsibilities include preparing requests, communicating with healthcare providers, and ensuring timely care access. Benefits include medical coverage, a 401(k) plan, and generous PTO. #J-18808-Ljbffr Orsini
$80k
...Healthcare in Elk Grove Village, Illinois is seeking a Prior Authorization/Clinical Review Nurse (RN). This role involves reviewing clinical documentation... ...PTO, and tuition reimbursement. Join us to make a real impact in patient care. #J-18808-Ljbffr Orsini HealthcareSuggested$80k
Orsini Nursing Agency, Inc. is looking for a Prior Authorization/Clinical Review Nurse (RN) in Elk Grove Village, IL. In this role, you will review clinical documentation, evaluate medical necessity, and submit prior authorization requests for specialty medications. Applicants...Suggested- Orsini Rare Disease Pharmacy Solutions in Elk Grove Village is seeking a Prior Authorization/Clinical Review Nurse (RN) to evaluate medical necessity for medications and treatments. This role... ...processing to support patient care, guiding interactions with healthcare...Suggested
$80k
...ABOUT ORSINI Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built... ...Village location. POSITION SUMMARY The Prior Authorization/Clinical Review Nurse (RN) is responsible for reviewing clinical documentation...SuggestedLocal area$80k
...ABOUT ORSINI Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built... ...Village location. POSITION SUMMARY The Prior Authorization/Clinical Review Nurse (RN) is responsible for reviewing clinical documentation...SuggestedFull timeLocal area$33.96 - $52.64 per hour
...communications regarding patient care, and triage (sorting... ...patients) of clinical pool messages such as... ...prescription refill requests and prior authorizations for medications per... ...terminology and disease processes.... ...years of experience as an RN required. Minimum one...Hourly payFull timeFor contractorsImmediate startVisa sponsorshipMonday to Friday- ...and services, including primary care, medical and surgical care,... ...Association Minimum of 2 year of RN experience is preferred.... ...evidence-based practice, clinical decision making, compassion, and... ...body fluids and communicable disease. Therefore, protective clothing...Shift work1 day per week
- ...Outpatient Registered Nurse (RN), a member of the... ..., patient‑centered care through evidence‑based practice, clinical expertise, and... ...required once/month. Very rare travel may be... ...recovery of patients prior to discharge. About... ...fluids and communicable disease; therefore...Remote workDay shiftAfternoon shift
- ...incumbent has the authority, responsibility, and... ...of nursing care through the use of... ...applies competent clinical knowledge skills,... ...current temporary RN permit as required... ...observation and chart review to facilitate appropriate... ...around infectious diseases Working with...Permanent employmentTemporary workLocal areaShift work
$75k - $95k
...Clinical Care RN Oakbrook Terrace, IL Location: Hybrid within 30min driving distance to commute to Oakbrook Terrace, IL Job Type: Full-Time... ...escalation paths Lead quality improvement initiatives or case review meetings Serve as a liaison for payer utilization management,...Full timeRemote workMonday to Friday$35.5 - $53.25 per hour
...and services, including primary care, medical and surgical care,... ...Minimum of 2 year of RN experience is preferred.... ...Using evidence-based practice, clinical decision making, compassion, and... ...body fluids and communicable disease. Therefore, protective clothing...Daily paidFull timeTemporary workPart timeFlexible hoursShift work1 day per week$34.37 per hour
...RN - Clinic Nature of Duties: Provide patient care in support of cardiovascular physicians, performing various Registered Nurse duties. Must have cardiology... ...employment laws. For further information, please review the Know Your Rights notice from the Department of Labor...Temporary work$37 - $48 per hour
...provide exemplary care and are passionate... ...When we review candidate information... ...Behavioral Health Clinical Model. Essential... ...consent for medications prior to the 1st dose.... ...referral/ prior authorizations for medical... ...Holds a current RN license in good standing...Hourly payFull timeReliefShift work$25k
Become a part of our caring community As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you support a team of dedicated... ...patient services, conducting quality assurance reviews, and ensuring excellence in every step of the care journey...Weekly payFull timeTemporary workApprenticeshipRotating shift$37 - $42 per hour
...seeking an office based Clinical Case Manager to support... ..., coordination of care, and communication with... ...This role is ideal for an RN, who is organized, responsive... ...play a key role in reviewing incoming referrals,... ...license in good standing Prior experience in home health...Hourly payCasual workWork at office$75k - $85k
...Clinical Supervisor - RN Hybrid ApplyRefer a FriendBack Job Details Requisition #: 215802... ...safe, high-quality, and compassionate care in the home setting. Responsibilities... ...exposure to allergens and infectious diseases Additional Information: This job...- ...Testing and Pre-Operative Clinic requires high attention... ...have 10+ years of RN experience related to providing... ...comprehensive patient care through the nursing... ...include patient calls prior to surgery as well as direct... ...Clinic. Gathering and reviewing preoperative...
$57.73 - $65.06 per hour
...redefining infusion care and creating... ...advancement. Advanced Clinical Training -... ...side effects, and disease management. Ensure... ...Record (EHR) system, review nursing... ...inventory management, prior authorizations, and regulatory adherence... ...Registered Nurse (RN) license (if...Full timeTemporary workLocal areaFlexible hoursShift workDay shift- ...quality initiatives to improve care processes and apply evidence‑... ...therapies safely and according to clinical protocols and procedures.... ...specialty. Active registered nurse (RN) multi‑state compact and/or... ...body fluids and communicable disease; protective clothing and...
- ...Ambulatory and Outpatient Registered Nurse (RN), a member of Advocate Health... ...high-quality, patient-centered care through evidence-based practice, clinical expertise, and compassionate care delivery... ...and body fluids and communicable disease. Therefore, protective clothing and...Monday to Friday
- ...and services, including primary care, medical and surgical care,... ...Association. Minimum of 1 year of RN experience is preferred.... ...Using evidence-based practice, clinical decision making, compassion, and... ...body fluids and communicable disease. Therefore, protective clothing...Monday to Friday
$188.1k - $341k
...Highlights: Position: Infection Disease Physician Location: Glenview, IL Full... ...reputation for providing excellent clinical care and works collaboratively with Microbiology... ...services in patient medical record Review on a regular basis long term cases that...Full timeFor contractorsFlexible hours$36.75 - $55.7 per hour
...Clinical Nursing Supervisor The Clinical Nursing Supervisor supports administrative responsibility for the department service functions... ...efficient functions of the department. Performs direct patient care, only as needed, within the scope of practice. Continually assess...Local areaImmediate startShift work$36 - $55.8 per hour
...Develops a plan of care that identifies interventions... .... Provides teaching on disease management strategies,... ...supportive of clinical education. Assigns or delegates... ...Current incumbents with an RN Diploma are... ...position start date is prior to September 1, 2021...Hourly payFull timeFor contractorsNight shiftWeekend work$36 - $55.8 per hour
...for providing high quality, individualized, goal directed nursing care for all levels of Infusion Therapy patients and their families... ...mission, vision and philosophy of the Division of Nursing. This clinical nurse will exemplify the role of caring for patients receiving...Hourly payDaily paidFull timePart timeFor contractorsMonday to FridayShift workWeekend work- ...Responsibilities: Clinical Care and Health Outcomes - Provides support... ...Monitors data on a monthly basis, reviews with clinical staff, and physicians and... ...~ Nurse, Registered (RN) Education/Experience...Temporary workWork at officeShift work
$33.96 - $52.64 per hour
...Highlights: Position: RN Triage Resource - Float Location... ...What you will do: Reviews patient voicemails and talks... ...to appropriate level of care (emergency department, urgent... ...information and issues to appropriate clinical staff by telephone or by...Hourly payFull timePart timeFor contractorsWork at office$35 - $40 per hour
...Job Title Home Health RN Clinical Supervisor (Office-Based) Location Lombard, IL (On-Site)... ...essential in overseeing the quality of care provided by our field staff, ensuring coordination... ...and education and performing employee reviews and meetings. Communicate with...Hourly payFull timeWork at officeWeekend work$85k - $105k
...$85,000.00 - $105,000.00 Salary/year Job Category: Health Care Clinical Supervisor RN, Home Health Company Overview Center of Illinois Home Healthcare... ...including RNs, PTs, OTs, SLPs, and home health aides Review OASIS documentation and Plans of Care for accuracy and...Full timeMonday to Friday$43.69 - $67.72 per hour
...candidate's expertise and years of experience, among other factors. Position Highlights: * Position: RN Clinical Nurse Practice Specialist supporting Adult Critical Care * Location: Northwest Community Hospital, Arlington Heights, IL * Full Time * Hours: Monday-...Hourly payFull timePart timeMonday to FridayShift work
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