Pre-Authorization Nurse (REMOTE)
Green Key Resources
WORK REMOTELY after training!
Do you have the skills to fill this role Read the complete details below, and make your application today.
CANDIDATE MUST RESIDE IN THE METROPOLITAN NEW YORK AREA!
Process all requests for services in accordance with Medicare and NYS Medicaid guidelines as well as departmental criteria and guidelines. Work collaboratively with other disciplines including care manager, assessment nurse and primary care physician or other specialists as necessary to ensure timely provision of services. Coordinate timely completion of UAS NY assessment that accurately reflects the current condition of the member. xhyhwjd Ensure that the members individualized person centered care plan has been updated and accurately reflects present status of the mem
ber
BACKGRO
UND:RN - licensed in the State o
f NYPrevious Pre-Authorization or Utilization Review experi
enceAbility to attend monthly meetings in Manha
ttan
Remote working/work at home options are available for this role.
$71.1k - $97.8k
...The Hong Kong Study Skills Research Institute is seeking a Pre-Authorization Registered Nurse to join their team. This role involves reviewing prior authorization requests to ensure appropriate care while working from home. Ideal candidates will be licensed RNs with a...Remote workWork from home- ...WORK REMOTELY after training! CANDIDATE MUST RESIDE IN THE METROPOLITAN NEW YORK... ...disciplines including care manager, assessment nurse and primary care physician or other... ...in the State o f NYPrevious Pre-Authorization or Utilization Review experi enceAbility...Remote work
$71.1k - $97.8k
...Become a part of our caring community The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting,... ...protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for...Remote workFull timeTemporary workApprenticeshipWork from homeHome office$71.1k - $97.8k
About This Role The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies... .... Highlights Pay : $71,100 - $97,800/year Location : Remote, LA Schedule : Mon-Fri, Tues-Sat, and Sun-Thurs for 8-hour...Remote workTemporary workShift work- ...Authorization Nurse Do you have clinical care experience? Are you an RN looking to grow your career? UPMC is hiring a full-time Authorization Nurse. This position works Monday through Friday, as well as rotating weekends (typically 1 every 5-6 weeks) and holidays (usually...Remote workFull timeWork from homeMonday to Friday
- ...Travel Pre-Post Registered Nurse (RN) Travel pre-post registered nurse (RN) jobs at the facility in Yankton, SD offer you the opportunity to provide comprehensive care before and after surgical procedures in a supportive hospital environment. You will assess patients...Remote workImmediate start
- ...Travel RN Pre/Post Op Travel RN Pre/Post Op jobs at The Jewish Hospital in Cincinnati, OH let you care for surgical patients before... ...need a current Ohio RN license, graduation from an accredited nursing program, and at least 1 year of recent acute care nursing experience...Remote work
- ...Humana seeks a Pre-Authorization Nurse to review prior authorization requests for appropriate care and setting, applying guidelines and policies... ...clinical judgment and strong decision-making abilities. Remote position from LA with a choice of schedules (Mon-Fri, Tues-...Remote workShift work
$66k - $68k
...MaziCTools is looking for a full-time Prior Authorization Nurse Analyst to review medical documentation for prior authorization requests. This role offers a remote work opportunity, providing an excellent balance of flexibility with no on-call work. The ideal candidate...Remote workFull time- Market leading managed care organization looking for remote/work from home Prior Authorization LPN/LVNs! **Must have prior authorization experience in... ...preferred.**** Position Summary The Licensed Practical Nurse (LPN) / Licensed Vocational Nurse (LVN) will provide...Remote workTemporary workWork experience placementWork at officeLocal areaWork from homeMonday to FridayShift workWeekend work
- Overview As our Prior Authorization LPN at St. Vincent, you will help patients and healthcare providers by facilitating the pre-authorization process for radiology services so they can... ...standing with the Arkansas State Board of Nursing ACLS certification required While you’...
$45 per hour
...Connecting top healthcare workers with their dream job Pre-Certification RN Location: Remote (must reside in PA, NJ, or DE) Employment Type: Temporary... ...providers for additional information when needed, and authorizes medically necessary services. Cases not meeting...Remote workPermanent employmentTemporary workMonday to FridayDay shift- Humana is seeking a Pre-Authorization Registered Nurse for a remote, full-time role based in Virginia. The RN will review prior authorization requests, determine appropriate care settings, and educate providers on utilization and management processes. Requirements include...Remote jobFull time
$61 - $79.67 per hour
...exciting opportunity for either a Nurse Practitioner or a Physician Assistant to work in our Pre Op Clinic. The Pre op clinic... ...Northwestern Medicine Palos Hospital and remote telehealth visits No nights/... ...be required to complete an authorization and disclosure form that gives...Remote workHourly payFull timePart timeWork experience placementWork at officeLocal areaRelocation packageFlexible hoursWeekend work- ...Outpatient Surgery & Pre-Authorization Coder The Outpatient Surgery & Pre-Authorization Coder is responsible for accurate coding of outpatient... ...barriers affecting timely coding. Schedule Full-time remote position. Expected schedule generally falls between 7:00...Remote workFull time
- ...experienced RN for Medical Management Services to review and authorize health plan pre-service requests, perform care coordination, and support... ...with provider and member outreach as needed. The position is remote with Monday-Friday 8AM-5PM and Saturday rotations;...Remote jobMonday to Friday
- ...detail and a strong background in prior authorizations? We are seeking a highly organized, detail... .... Position Type: Full-Time | 100% Remote Schedule: Monday – Friday, 8:00 AM –... ...consistent Monday–Friday schedule. No Pre-Employment Skills Assessment Required ....Remote workFull timeLive inWork from homeMonday to Friday
$40.86 - $63.33 per hour
...Pre-Admission Testing (PAT) Charge Nurse Location: UCHealth Yampa Valley Med Center, Steamboat Springs, CO. Department: YVMC PACU Same Day Surgery... ...is an onsite role and does not offer a hybrid or remote option Summary: Provides nursing leadership for a specific...Remote workFull timeWork at officeShift work$35.28 per hour
...City Eau Claire State WI Remote NO Department Nursing Why Mayo Clinic Mayo Clinic is... ...Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for... ...employee's Form I-9 to confirm work authorization. Recruiter TaVonda CollinsRemote workHourly payPart timeFlexible hoursShift workNight shiftAfternoon shift$65 per hour
...Seasonal Registered Nurse - 6K Pre Post InterHealth Staffing is a for-profit staffing division of TGH committed to providing patients with... ...Main Campus 1 Tampa General Circle Tampa 33601 Eligible for Remote Work: On Site Job Nursing (LPNs, RNs) Organization...Remote workPermanent employmentFull timeContract workSeasonal workMonday to FridayShift work$65k - $75k
...skilled and motivated Precertification & Pre-Service Appeals Nurse to join our team. In this role, you... ...necessity criteria, secure prior authorizations, and manage the pre-service appeals... ...onsite four days a week and can work remotely one day a week. Location:...Remote workWork at officeLocal areaWork visaFlexible hours1 day per week- ...Holton, KS, US This position is responsible for screening prior-authorization and coordination of specialized services requested at Holton... ...for outpatients, ancillary and clinic services. Performs patient pre-registration, insurance verification, identifies prior authorization...Full timeWork from homeFlexible hours
- ...exciting opportunity for a full time Utilization Review Case Manager to work Remote. The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare...Remote workFull timeTemporary workWork experience placementWorldwide
$17 per hour
...Prior Authorization Specialist Remote (Work from Home) Full-Time $17/hour Work Schedule This is a full-time role requiring 40 hours... ...Summary We are seeking a detail-oriented and experienced Pre-Authorization Specialist to support provider enablement...Remote workFull timeWork from homeMonday to FridayFlexible hoursShift work$39.64 - $62.64 per hour
...City Rochester State MN Remote NO Department Nursing Why Mayo Clinic Mayo Clinic is... ...Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for... ...new employee's Form I-9 to confirm work authorization. Recruiter Linda TweiteRemote workFull timeMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shift- ...exciting opportunity for a full time Utilization Review Case Manager to work Remote. The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare...Remote workFull timeWork experience placementWorldwide
$27.02 - $48.55 per hour
...Position Purpose: Analyzes all prior authorization requests to determine medical necessity... ...this role have the flexibility to work remotely from their home anywhere within the state... ...Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 –...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hours$52 - $53 per hour
...Registered Nurse – Pre-Op/PACU (Per Diem) Bring calm clinical judgment, compassionate care, and ownership to every patient’s surgical... ..., including IV access and preoperative medications under authorized orders and within scope of practice. Recognize and promptly...Hourly payDaily paidLocal areaImmediate startShift work- ...Job Title: Clinical Review Nurse -Prior Authorization Location: Remote Duration: 12 months Schedule: Mon - Fri (rotational weekends and holidays) XXXX: XXXXXXXXXXX/hr. on w2 Possible shifts in both PST and CST: ~7am 4pm ~8am 5pm...Remote workFlexible hoursShift workWeekend work
- ...* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective Review* Admission Criteria Care coordination... .../ Core Measure/National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Pre-Authorization Nurse (REMOTE). Be the first to apply!
- revenue manager remote New York, NY
- training manager remote New York, NY
- title examiner remote New York, NY
- remote social worker New York, NY
- remote math tutor New York, NY
- remote nurse practitioner New York, NY
- remote coding manager New York, NY
- product designer remote New York, NY
- customer service rep remote New York, NY
- part-time virtual/remote assistant New York, NY



