Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

RN: Prior Authorization & Clinical Review (Specialty Care)

$80k

SupplyScape

SupplyScape is looking for a Prior Authorization/Clinical Review Nurse (RN) in Elk Grove Village, Illinois. In this role, you will be responsible for reviewing clinical documentation, ensuring timely prior authorizations, and collaborating with prescribers and payers. Candidates must have an active RN license, an associate degree, and relevant nursing experience. Employee benefits include comprehensive medical coverage, a 401(k) plan with employer match, and generous PTO. Salary is $80,000 annually. #J-18808-Ljbffr SupplyScape

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the RN: Prior Authorization & Clinical Review (Specialty Care) in Elk Grove Village, IL vacancy
  • $80k

     ...Grove Village, Illinois is seeking a Prior Authorization/Clinical Review Nurse (RN). This role involves reviewing...  ...correct prior authorizations for specialty pharmacy medications. Candidates should...  ...to make a real impact in patient care. #J-18808-Ljbffr Orsini Healthcare
    Suggested

    Orsini Healthcare

    Elk Grove Village, IL
    2 days ago
  • $80k

     ...ORSINI Providing compassionate care since 1987, Orsini is a leader in...  ...solutions including a nationwide specialty pharmacy, patient services hub, home...  ...location. POSITION SUMMARY The Prior Authorization/Clinical Review Nurse (RN) is responsible for reviewing... 
    Suggested
    Local area

    Orsini Healthcare

    Elk Grove Village, IL
    4 days ago
  • $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...  ..., and submit prior authorization requests for specialty medications. Applicants should have an active RN license... 
    Suggested

    Orsini Nursing Agency, Inc.

    Elk Grove Village, IL
    4 days ago
  • $80k

     ...ORSINI Providing compassionate care since 1987, Orsini is a leader in...  ...solutions including a nationwide specialty pharmacy, patient services hub, home...  ...location. POSITION SUMMARY The Prior Authorization/Clinical Review Nurse (RN) is responsible for reviewing... 
    Suggested
    Full time
    Local area

    Orsini Healthcare

    Elk Grove Village, IL
    28 days ago
  • $29.05 - $67.97 per hour

     ...Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to...  ...appropriate level of care utilizing MCG/InterQual...  ...of appeals for denied prior authorizations. Includes standard and...  ...• Registered Nurse (RN). License must be active... 
    Suggested
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    Elmwood Park, IL
    2 days ago
  •  ...Responsibilities: Case management of sub-specialty, pediatric patient populations for coordination of care. Plans, monitors, and coordinates individual patient...  ...Basic office skills (computer/typing) - Strong clinical/ assessment skills. - Strong assertive skills -... 
    Work experience placement
    Work at office
    Shift work
    Rotating shift

    Advocate Health Care

    Park Ridge, IL
    2 days ago
  •  ...University HealthSystem is hiring a Registered Nurse (RN) - Coordinator Specialty Programs in Elmhurst, IL. This full-time role involves coordinating programs and providing clinical leadership to optimize patient care and satisfaction. Candidates must have an Illinois RN... 
    Full time

    NorthShore University HealthSystem

    Elmhurst, IL
    2 days ago
  •  ...system in Arlington Heights is seeking a Clinical Coordinator for Surgical Specialties. This full-time role involves...  ...surgical teams to ensure quality patient care. The ideal candidate will have a...  ...skills are essential, along with an RN license in Illinois. Competitive benefits... 
    Full time

    Edward Elmhurst Health

    Arlington Heights, IL
    3 days ago
  • $41.06 - $48.7 per hour

     ...Registered Nurse (RN) Join IVX...  ...redefining infusion care and creating exceptional...  .... Advanced Clinical Training –...  ...Record (EHR) system, review nursing...  ...inventory management, prior authorizations, and regulatory adherence...  ..., outpatient specialty clinic, or similar... 
    Full time
    Contract work
    Temporary work
    Part time
    Local area
    Flexible hours
    Day shift

    IVX Health

    Lombard, IL
    2 days ago
  •  ...insurance Position Summary The RN Clinical Lead oversees clinical...  ...actively involved in patient care. Approximately 50% of this...  ...quarterly one-on-ones and annual reviews. Support interns and...  ...orthopedic experience preferred Prior leadership or supervisory... 

    American Hip Institute

    Des Plaines, IL
    1 day ago
  •  ...Assistance Major Responsibilities: ~Clinical Care and Health Outcomes - Provides support...  .... ~Monitors data on a monthly basis, reviews with clinical staff, and physicians and...  .../Experience: ~Nurse, Registered (RN) Education/Experience Required:... 
    Temporary work
    Work at office
    Shift work

    Advocate Health

    Park Ridge, IL
    2 days ago
  • $61.3k - $100.98k

    Incredible Health is actively hiring for the position of Document Specialist (RN) in Maywood, IL. Nurses with experience in clinical pathways, navigation, or utilization review are encouraged to apply. This role offers various shifts including day, night, and mid shifts... 
    Shift work
    Night shift
    Day shift

    Incredible Health

    Maywood, IL
    4 days ago
  • $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 pay
    Full time
    Relief
    Shift work
    Night shift
    Day shift

    Discovery Behavioral Health

    Glenview, IL
    3 days ago
  • Major Responsibilities: Uses the nursing process to provide ongoing care (assess, plan, intervention, and evaluation). Recognizes and...  ...relays information back to patient as directed. Performs advanced clinical tasks or skills such as removal of sutures and staples,... 

    Advocate Health

    Des Plaines, IL
    2 days ago
  • REGISTERED NURSE (RN) – Coordinated Clinic (Cardiac Specialties) Park Ridge, IL Part Time; 40 hours a pay period; 8 hour shifts Cover current hours...  ...General Hospital is a 686 bed, non-profit, acute care, teaching hospital, level 1 trauma center and level 3... 
    Part time
    Shift work

    Advocate Health

    Park Ridge, IL
    5 days ago
  • $34.37 per hour

     ...Duties: Provide patient care in support of cardiovascular physicians...  ...work, assist with Coumadin clinics, and pacemaker duties....  ...Qualifications: ~ Current IL RN license ~1-2 years...  ...For further information, please review the Know Your Rights notice from... 
    Temporary work

    Midwest Cardiovascular Institute

    Elmhurst, IL
    4 days ago
  • $38.2 - $57.3 per hour

     ...Lutheran General Hospital - Cardiology Clinic Status: Part time...  ...8.20 - $57.30 REGISTERED NURSE (RN) - Coordinated Clinic (Cardiac Specialties) Park Ridge, IL Part Time; 4...  ...Hospital is a 686 bed, non-profit, acute care, teaching hospital, level 1 trauma... 
    Daily paid
    Full time
    Temporary work
    Part time
    Flexible hours
    Shift work
    Rotating shift

    Advocate Aurora Health

    Park Ridge, IL
    2 days ago
  •  ...Job Description Job Description Clinical Supervisor RN, Home Health Center of Illinois Home Healthcare...  ...on delivering high-quality patient care throughout the Chicagoland area. We...  ...a multidisciplinary clinical team • Review OASIS documentation and Plans of Care... 
    Full time
    Work at office
    Monday to Friday

    CENTER OF ILLINOIS HOME HEALTHCARE INC

    Arlington Heights, IL
    8 days ago
  •  ...Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans,...  ...Individual Patient Care On A Nursing Unit/Department...  ...Outlined In Performance Review. Performs Other Duties...  ...positions available: Current Specialties Current Specialties... 

    Confidential

    Mount Prospect, IL
    4 days ago
  • $57.73 - $65.06 per hour

     ...redefining infusion care and creating...  ...advancement. Advanced Clinical Training –...  ...Record (EHR) system, review nursing...  ...inventory management, prior authorizations, and regulatory adherence...  ...Nurse (RN) license (if required...  ...center, outpatient specialty clinic, or... 
    Full time
    Temporary work
    Part time
    Relief
    Local area
    Monday to Friday
    Flexible hours
    Day shift

    IVX Health

    Lombard, IL
    2 days ago
  •  ...redefining infusion care and creating...  ...advancement. Advanced Clinical Training -...  ...Record (EHR) system, review nursing...  ...inventory management, prior authorizations, and regulatory adherence...  ...Nurse (RN) license (if required...  ..., outpatient specialty clinic, or similar... 
    Full time
    Temporary work
    Local area
    Flexible hours

    IVX Health

    Glenview, IL
    1 day ago
  • $67.83k - $105.14k

    Job Overview Great opportunity for a Clinical Documentation Specialist RN to work in an organization that...  ...dedicated to providing exceptional care to those we serve at Loyola Medicine...  ...criteria, conducts concurrent utilization review. Interacts with insurers, third... 
    Daily paid
    Full time
    Local area
    Shift work
    Day shift

    Trinity Health

    Maywood, IL
    2 days ago
  •  ...excellence, and whole-person care. At Advocate Aurora Health...  ...Association ~Minimum of 1 year of RN experience is preferred....  ...Using evidence-based practice, clinical decision making, compassion, and...  ..., AMG offers a wide range of specialties and services, including... 
    Full time

    Advocate Health

    Park Ridge, IL
    11 hours ago
  •  ...Nurse Preferences: 4+ years of RN experience, preferably ICU or...  ...Patient-Centered Wholistic Care – The registered nurse is culturally...  ...of health goals. Clinical Excellence: The registered nurse...  ...education required for the nursing specialty - See Certification Addendum... 
    Shift work
    Weekend work

    Advocate Health Care

    Park Ridge, IL
    2 days ago
  •  ...Practitioner - Continuing Care Clinical Call Center page is...  ...an application, please review these .**Current Employees...  ...that may be required.* Prior to submitting your...  ...inquiry, advocate for NPD specialty and partner for practice...  ...required. Current Ohio RN license required.##... 
    Shift work
    Day shift

    Ohio State University

    Glen Ellyn, IL
    4 days ago
  • $75k - $100k

     ...Registered Nurse (RN) Home Health for a...  ...Requirements ~ Specialty: Home Health ~...  ...our extraordinary care team. Grounded by...  ...contributions ~ Monthly clinical outcome bonuses...  ...of a drug screen prior to employment is...  ...that you are legally authorized to work in the... 
    Full time
    Flexible hours
    Shift work
    Day shift

    Graham Healthcare Group

    Des Plaines, IL
    3 days ago
  • $70k - $85k

     ...Registered Nurse (RN) Hospice for a nursing...  ...Requirements ~ Specialty: Hospice ~...  ...our extraordinary care team. Grounded by...  ...onboarding program ~ Clinical educators,...  ...of a drug screen prior to employment is part...  ...that you are legally authorized to work in the United... 
    Flexible hours
    Shift work
    Weekend work

    Graham Healthcare Group

    Itasca, IL
    2 days ago
  • $65 - $85 per hour

     ...matter. ABOUT ORSINI Providing compassionate care since 1987, Orsini is a leader in rare...  ...solutions including a nationwide specialty pharmacy, patient services hub, home infusion...  ...disease state and drug will be provided; prior experience with rare disease therapies is... 
    Daily paid
    Local area

    Orsini Nursing Agency, Inc.

    Elk Grove Village, IL
    16 hours ago
  •  ...RN - Infusion TLC Nursing Associates, Inc. is seeking a skilled...  ..., and ensure safe, efficient care throughout all infusion...  ...biologics, hydration therapy, and specialty medications. Assess patients...  ...vascular access management, and clinical assessment skills.... 

    TLC

    Elk Grove Village, IL
    3 days ago
  • $2,384 per week

     ...seeking a travel nurse RN Labor and Delivery for...  ...& Requirements ~ Specialty: Labor and Delivery...  ...information and unbiased reviews from leading Travel Nurse...  ...Assistants to work in Acute Care Centers, Skilled...  ...Community Health, Urgent Care Clinics, and many other... 
    Weekly pay
    Long term contract
    Permanent employment
    Temporary work
    Work at office
    Shift work
    Night shift

    LanceSoft

    Hoffman Estates, IL
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN: Prior Authorization & Clinical Review (Specialty Care). Be the first to apply!