RN: Prior Authorization & Clinical Review (Specialty Care)
$80kSupplyScape
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
$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 HealthcareSuggested$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...SuggestedLocal area$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$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...SuggestedFull timeLocal area$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...SuggestedHourly payWork experience placementWork at office- ...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 placementWork at officeShift workRotating shift
- ...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
- ...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
$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 timeContract workTemporary workPart timeLocal areaFlexible hoursDay shift- ...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...
- ...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 workWork at officeShift work
$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 workNight shiftDay shift$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 workNight shiftDay shift- 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,...
- 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 timeShift work
$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$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 paidFull timeTemporary workPart timeFlexible hoursShift workRotating shift- ...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 timeWork at officeMonday to Friday
- ...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...
$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 timeTemporary workPart timeReliefLocal areaMonday to FridayFlexible hoursDay shift- ...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 timeTemporary workLocal areaFlexible hours
$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 paidFull timeLocal areaShift workDay shift- ...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
- ...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 workWeekend work
- ...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 workDay shift
$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 timeFlexible hoursShift workDay shift$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 hoursShift workWeekend work$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 paidLocal area- ...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....
$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 payLong term contractPermanent employmentTemporary workWork at officeShift workNight shift
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