RN, Prior Authorization & Clinical Review — Rare Disease Access
$80kOrsini Healthcare
Orsini Healthcare in Elk Grove Village, Illinois is seeking a Prior Authorization/Clinical Review Nurse (RN). This role involves reviewing clinical documentation to ensure correct prior authorizations for specialty pharmacy medications. Candidates should have an active RN license in Illinois and a minimum of 2 years of clinical experience. Orsini offers competitive salaries ($80,000), medical, dental, vision coverage, 401(k) with company match, PTO, and tuition reimbursement. Join us to make a real impact in patient care. #J-18808-Ljbffr Orsini Healthcare
$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$80k
...healthcare providers, and payers to make access simple, compassionate, and... ...since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions... ...location. POSITION SUMMARY The Prior Authorization/Clinical Review Nurse (RN) is responsible for reviewing...SuggestedLocal area$80k
...healthcare providers, and payers to make access simple, compassionate, and... ...since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions... ...location. POSITION SUMMARY The Prior Authorization/Clinical Review Nurse (RN) is responsible for reviewing...SuggestedFull timeLocal area$80k
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...Suggested- ...local and national level, then Access Community Health Network (... ...scheduling appointments and reviewing medical records. Continue... ...knowledge base through extensive clinical training and technical... ...vaccinated against communicable diseases and provide supporting documentation...SuggestedLocal areaAfternoon shift
$29.05 - $67.97 per hour
...Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure... ...review of appeals for denied prior authorizations. Includes standard and expedited... .... • Registered Nurse (RN). License must be active and unrestricted...Hourly payWork experience placementWork at office$41.06 - $48.7 per hour
...Registered Nurse (RN) Join IVX... ...Grow Your Career – Access Continuing Education... .... Advanced Clinical Training – Receive... ...effects, and disease management. Ensure... ...(EHR) system, review nursing documentation... ...management, prior authorizations, and regulatory adherence...Full timeContract workTemporary workPart timeLocal areaFlexible hoursDay shift$41.06 - $48.7 per hour
...Registered Nurse (RN)/h2pJoin IVX... ...Your Career/strong Access Continuing Education... ...Clinical Training/strong Receive... ...side effects, and disease management./lilistrongEnsure... ...(EHR) system, review nursing documentation... ...management, prior authorizations, and regulatory adherence...Full timeContract workTemporary workPart timeLocal areaFlexible hoursDay shift$19.89 - $28.84 per hour
...Patient Access Representative II Hourly Pay Range: $19.89 - $28.84 - The hourly pay rate offered is determined by a candidate's expertise... ...interpret all required demographic, insurance, financial, and clinical data necessary to facilitate patient check in and registration...Hourly payFull timePart timeWork experience placementWork at officeMonday to Friday$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- ...relays information back to patient as directed. Performs advanced clinical tasks or skills such as removal of sutures and staples,... ...throat/nose culture, drug screen, phlebotomy - butterfly, venous access, heel stick), spirometry, Holter monitor application, casting,...
$75k - $95k
...proactive care delivery, our clinical experts use our AI-powered platform... ...and motivated Clinical Care RN to join our care team and will... ...initiatives or case review meetings Serve as a liaison... ...the New Lenox, IL area and have access to reliable internet ~ Access...Full timeRemote workMonday to Friday$34.37 per hour
...blood work, assist with Coumadin clinics, and pacemaker duties.... ...Qualifications: ~ Current IL RN license ~1-2 years cardiology... ...insurance for you and your family ~ Access to company-provided training... ...further information, please review the Know Your Rights notice...Temporary work$67.83k - $105.14k
Job Overview Great opportunity for a Clinical Documentation Specialist RN to work in an organization that focuses on treating the whole person, physically... ...and InterQual criteria, conducts concurrent utilization review. Interacts with insurers, third party payors, and review...Daily paidFull timeLocal areaShift workDay shift$67.83k - $105.14k
Trinity Health is looking for a Clinical Documentation Specialist RN in Maywood, Illinois. This full-time position requires a Bachelor's degree and 3... ...field. You will be responsible for conducting utilization reviews, interacting with insurers, and recording clinical...Full timeDay shift$100k - $110k
...Clinical Director Position At Sanctuary Hospice Sanctuary Hospice is looking for a Registered Nurse (RN) with strong clinical knowledge and supervisory experience to lead an amazing... ...driver's license, vehicle insurance, and access to dependable transportation. $100,00...Full timeWork at officeTrial periodMonday to Friday$57.73 - $65.06 per hour
...Grow Your Career – Access Continuing... ...advancement. Advanced Clinical Training –... ...side effects, and disease management. Ensure... ...(EHR) system, review nursing documentation... ...management, prior authorizations, and regulatory adherence... ...Nurse (RN) license (if required...Full timeTemporary workPart timeReliefLocal areaMonday to FridayFlexible hoursDay shift$78.97k - $131.61k
...0 states. Through our clinical leadership, expertise... ...Responsible for collecting, reviewing and completing pre-... ...Registered Nurse (RN) or licensed Pharmacist... ...improve processes. Access to a reliable means of... ...coordination, insurance authorization, resources for...Flexible hours$24 - $28 per hour
...Our care model combines in-clinic and virtual care to bring support... ...scaling fast and expanding access to evidence-based obesity... ...Ensure records are updated, review test results with providers,... ...: Manage patient medication prior authorizations, and assist with outgoing referrals...Local areaRemote workMonday to Friday$18 - $25 per hour
...care team performing clinical and clerical services... ...Takes patient subjective, review medical history,... ...of care Manages pre-authorizations for prescribed medication... ...template from patient intake prior to patient appointment... ...to learn about the disease of obesity and patient...Full timeTemporary workWork at officeLocal areaFlexible hours- ...Vision insurance Position Summary The RN Clinical Lead oversees clinical operations and... ...quarterly one-on-ones and annual reviews. Support interns and fellows in clinic... ...and/or orthopedic experience preferred Prior leadership or supervisory experience strongly...
$19.89 - $28.84 per hour
...Patient Access Representative II Hourly Pay Range... ...in more than one clinical and diagnostic location... ...identified upon arrival. Reviews physician's orders for... ...party payer requirements prior to date of service.... ...denials by verifying authorization of service prior to forwarding...Hourly payFull timePart timeFor contractorsWork experience placementWork at officeImmediate startMonday to Friday$19.89 - $28.84 per hour
...Patient Access Representative Hourly Pay Range: $19.89 - $28.84 - The hourly pay rate offered is determined by a candidate's expertise... ..., analyzes and records demographic, insurance/financial and clinical data from multiple sources and obtains other information and...Hourly payFull timePart timeFor contractorsWork at officeImmediate startShift workWeekend work$37 - $48 per hour
...qualifications. When we review candidate information,... ...Behavioral Health Clinical Model.... ...consent for medications prior to the 1st dose. Administers... ...complete referral/ prior authorizations for medical treatments... ...accepted. Holds a current RN license in good...Hourly payFull timeReliefShift workNight shiftDay shift$19.89 - $28.84 per hour
..., among other factors. Position Highlights Position: Patient Access Representative II Location: Schaumburg, IL Per‑Diem (as needed... ...fees. Register and pre‑register outpatients in more than one clinical and diagnostic location within the primary area of responsibility...Hourly payDaily paidFull timePart timeFor contractorsWork experience placementWork at officeImmediate start- ...Major Responsibilities: ~Clinical Care and Health Outcomes - Provides... ...by the availability of open access; including but not limited to... ...Monitors data on a monthly basis, reviews with clinical staff, and... ...Experience: ~Nurse, Registered (RN) Education/Experience...Temporary workWork at officeShift work
$18.51 - $29.62 per hour
...ensure timely visits. Serves as the point of contact for daily clinic operations, assessing and resolving issues or escalating them as... ...mission and core values. Conducts training sessions, reviews patient care protocols, and ensures compliance with infection prevention...Full timeWork experience placementWork at officeLocal areaRelocation packageMonday to FridayShift work- Description The Clinical Operations Coordinator, RN reflects the mission, vision, and values of NM, adheres... ...hours of operation to maximize patient access and satisfaction, provider... ...maintained. Additional Functions Review and approve automated time reports for...Work at officeLocal area
$19 - $23 per hour
...and geriatric patient populations in a clinical setting. Previous experience as a phlebotomist... ...and science initiatives through access to specialized experts who drive scale,... ...applying, you acknowledge and agree that your application may be reviewed using AI tools....Full timeContract workTemporary workShift work- ...Job Description Job Description Clinical Supervisor RN, Home Health Center of Illinois Home Healthcare, Inc. Arlington Heights, IL... ...Supervise and support a multidisciplinary clinical team • Review OASIS documentation and Plans of Care • Ensure compliance...Full timeWork at officeMonday to Friday
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