Remote Prior Authorization Clinician II (RN/LVN)
LanceSoft
LanceSoft is seeking a Healthcare - Care Review Clinician II for a remote role in the United States. The position involves medical necessity reviews and prior authorization work for outpatient services, with training and after-training Saturday shifts.
Requirements include 3+ years in health plan or IPA prior authorization and a CA RN or LVN license. Travel to client offices or hospitals may be required as state plans vary.
#J-18808-Ljbffr- ...Care Review Clinician II | Remote | Contract Business & Care Management... ...years of clinical practice and prior inpatient and outpatient... ...services. Active, unrestricted RN, LVN or LPN state nursing... ...concurrent reviews and prior authorizations, assessing eligibility,...Remote workWeekly payContract workWork at officeImmediate start
- ...Tittle: Healthcare - Care Review Clinician II Location: Remote Pay Range: $45.37 - $47.37 Duration... ...clinical review or services requiring prior authorization Must Have Requirements: 3+... ...review for OUTPATIENT. CA RN OR LVN license Knowledge/Skills/Abilities...Remote workPermanent employmentFull timeApprenticeshipLocal areaShift work
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$49.42k - $107.1k
...compact license. The Care Review Clinician will provide prior authorization for behavioral health services for the... ...work schedule. This is a remote position. Home office with internet... ...experience. • Registered Nurse (RN). License must be active and unrestricted...Remote workFull timeWork at officeHome officeMonday to Friday- ...Medication Therapy Management (MTM) Clinician is responsible for providing... ...Education Active Florida Registered (RN, LPN, NP) Requires three (3) years prior experience working in a health... ...business General knowledge of Prior authorization criteria and pharmacy claims...Full timeWork at office
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$30.37 - $59.21 per hour
RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req) CA, United States and 5 more Trending Job Description JOB DESCRIPTION Job Summary... .../or procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina and its...Remote jobHourly payFull timeWork experience placementWork at office$45 per hour
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...Description The Care Manager (RN) utilizes clinical... ...includes reviewing clinician assessments and... ...appropriate insurance authorizations are in place. Assists with... ...systems Care Manager II (RN) Bachelor's or Master... ...53 - $85.80/ hourly Remote or Onsite Onsite Job...Remote workHourly payDaily paidLocal areaShift work$75k - $85k
...coordinate with hospitals, physicians, and facilities to ensure smooth placements. This full-time, home-based role requires an LPN/LVN or RN or therapist with valid license, 2+ years in long-term care, and strong communication; benefits begin on first day of month. The...Remote workFull timeWork from home- ...seeking a Pharmacy Technician II for the Patient Assistance Program... ...on-site pharmacy duties with remote support to optimize patient... ...position emphasizes coordinating prior authorizations, patient education, and collaboration with clinicians and pharmacists to facilitate...Remote work
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$30.16 - $47.01 per hour
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