Average salary: $95,135 /yearly
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$87k
...PURPOSE The Registered Nurse (RN) Referral Navigator plays a critical role in supporting... ..., internal, and outbound referrals and authorizations, verifies insurance, and supports care... ...and pre-consultation requirements needed prior to appointment scheduling. Improves...SuggestedWork at officeDell Medical School
Austin, TX1 day ago- ...appointment. Other responsibilities may include returning messages, scheduling follow–up tests, referrals and prior authorizations. Assists patients, nurses and providers in patient care in the clinic setting. Performs vital signs, and obtains history of chief complaint...SuggestedFull timeImmediate startRemote workFlexible hours
Y Axis Inc
Santa Fe, NM3 days ago $87k
Registered Nurse (RN) Referral Navigator Hiring Department: Dell Medical School Position... ..., internal, and outbound referrals and authorizations, verifies insurance, and supports care... ...and pre-consultation requirements needed prior to appointment scheduling. Improves...SuggestedFor contractorsWork at officeImmediate start$17.71 - $24.94 per hour
...relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts... .... -Handles, screens and/or takes messages related to prior authorizations, -provider questions, prescription refills, and test results...SuggestedHourly payFull timeWork at officeRemote workMonday to FridayShift workMass General Brigham
Danvers, MA2 days ago$52 - $58 per hour
...RN UAS Nurse openings with a major health insurance / managed care company based in the Bronx, Brooklyn, or Manhattan, NY area!... ...Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls...SuggestedHourly payTemporary workImmediate startRemote workMonday to FridayFlexible hoursShift workDay shiftA-Line Staffing Solutions
Bronx, NY17 hours ago- ...The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM)... ...decision making resources, using data on clinical polices and authorizations to update our prior authorization rules, defining clinical paradigms for coding...SuggestedRemote work
Macpower Digital Assets Edge
United States1 day ago $27.73 - $54.06 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate...SuggestedHourly payWork experience placementWork at officeRemote workMolina Healthcare
Las Vegas, NV3 days ago- ...involved with members care including clinical nurses and treating MDs. The Case Management... ...Requires at least 5 years of prior experience in nursing, healthcare or related... ...Coordination of Care, Medicare regulations, prior authorization, level of care and length of stay...SuggestedFull timeWork at officeWork from home
Blue Shield of CA
El Dorado Hills, CA17 hours ago $72.8k - $130k
...Requisition number: 2346557 Job category: Nursing Optum Insight is improving the flow... ...that includes a review of current and prior patient conditions, documents, and... ...of process flow of UM, including prior authorization, concurrent authorization, and/or clinical...SuggestedMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote workUnitedHealth Group
Boston, MA3 days ago- ...opportunity to work with a collaborative team of medical providers, nurses, counselors and medical registration staff. The successful... ...records in the electronic health record (EHR) Assists with prior authorizations. Answers phones and provides administrative support to...SuggestedWork experience placementWork at officeMonday to Friday
$85k - $105k
...Nurse Point of Contact page is loaded## Nurse Point of Contactlocations: UUG - Remote: Silver Spring, MDtime type: Full timeposted... .... • Assist with clinical portions of insurance appeals and prior authorizations as directed by providers. • Facilitate scheduling of any...SuggestedFull timeWork experience placementWork at officeLocal areaRemote workWeekend workAstera Cancer Care
Silver Spring, MD3 days ago- ...Acute Hospital Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective Review* Admission Criteria Care coordination Concurrent Review Continued Stay Reviews...SuggestedRemote work
B2B Staffing Services
Torrance, CA2 days ago $20.86 - $32.42 per hour
...for patients' care, comfort, and safety. Licensed Practical Nurse The Licensed Practical Nurse (LPN) works under the... ...Completes steps to fill prescriptions per protocol and completes prior authorization forms to ensure proper billing and fill of the prescription for...SuggestedFull timePart timeShift workSanford Health
Iron Mountain, MI2 days ago$78.87k - $141.98k
...recommended follow up and resources available. 3. Utilizes nursing process to comprehensively assess the patients' physical and... ...to the theranostic treatment plan. 3. Responsible for Prior Authorization of treatment plan and associated imaging. 4. Orders radiopharmaceutical...SuggestedWork at officeImmediate startRemote workRelocation packageMonday to FridayShift workDay shiftU Mass Memorial Health
Leominster, MA4 days ago- ...Medical School is seeking a detail-oriented Nurse Reviewer II with experience caring for... ...- assessing, planning, coordinating, and authorizing care for individuals with complex medical... ...regulations ~ Experience with prior authorization and/or eligibility determinations...SuggestedWork experience placementWork at officeRemote work
University of Massachusetts Medical School
Westborough, MA2 days ago $66.25 - $92.86 per hour
...Payroll Title: CLIN NURSE 2 Department: La Jolla MCC Cancer Ctr Clinic Hiring Pay Scale $66.25 - $92.86 / Hour Worksite... ...Transplant experience. Recent experience with processing prior authorizations for specialty medications and durable medical equipment....Hourly payContract workLocal areaMonday to FridayDay shiftUniversity of California San Diego
San Diego, CA2 days ago- ...opportunity for a full-time Registered Nurse 1 to work in Miami, FL. The Registered Nurse... ...obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling... ...matters such as appeal letters prior authorization. Serve as nursing coverage...Full timeTemporary workRemote workWorldwide
The University of Miami
Miami, FL3 days ago - ...Assistant will play a vital role in providing support to a team of nurses and nurse practitioners in delivering exceptional patient... .... Verify patient insurance coverage and obtain prior authorizations as required. Schedule virtual patient appointments with Nurse...Work at officeRemote workMonday to Friday2 days per week3 days per week
TrueCare™
New York, NY3 days ago - ...schedulingappointments, maintaining the reception area, gathering demographic information, verifyinginsurance eligibility, obtaining prior authorizations, collecting copayments, andcommunicating via the phone and patient portal. What you’ll learn Master multitasking as it...Work at office
Jefferson Community College
Temecula, CA3 days ago - .... The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National Medicaid... ...Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit...Full timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Denver, CO13 days ago $89.56k - $97.43k
...building on strengths to facilitate recovery. The Registered Nurse will provide professional, quality program services to the... ...document vitals on clients as appropriate. Process all prior authorizations in collaboration with prescriber. Keep appropriate records...Temporary workCasual workWork at officeRemote workFlexible hoursWeekend workAfternoon shiftRADIAS Health
Saint Paul, MN4 days ago$190.34k
...San Diego, CA 92037, United States #139332 (RN)Registered Nurse - Per Diem - Multi-Specialty Filing Deadline: Wed 4/29/2026... ...oncology experience. Recent experience with processing prior authorizations for specialty medications and durable medical equipment....Hourly payDaily paidLocal areaUC San Diego
San Diego, CA4 days ago- ...Seeking a full time Registered Nurse to join a great community health / family... ...information necessary for the provider to authorize the refill • Administers immunizations... ...the scope of nursing practice, including prior authorization forms • Provides health...Full time
K.A. Recruiting
Lynn, MA3 days ago - ...All Jobs INDIANA Registered Nurse REMOTE - Telehealth Pt Assessment INDIANA Registered Nurse REMOTE - Telehealth Pt Assessment... ...medical condition or an increase in quantity request. Obtains prior authorization from the state contract administrator for off-formulary or over...Full timeContract workWork experience placementRemote workMonday to FridayAfternoon shiftEarly shift
J & B Medical
Indiana, PA3 days ago $26.41 - $51.49 per hour
...Job Description Job Summary Are you seeking a unique nursing position that gives you a great work/life balance and lets... ...reviews and revises plan of care as needed Submits for Prior Authorization for personal care services Complies with all Department of...Hourly payWork experience placementWork at officeRemote workMolina Healthcare
Milwaukee, WI1 day ago- ...laboratory and diagnostic imaging and report results. Obtain prior authorization for services, medications and/or communicate the need for... ...minor in office surgical procedures as needed. Provide nursing triage as needed including, emergency, isolation, crisis intervention...Work at office
Care Resource
Miami, FL3 days ago $40 per hour
...area and New Jersey, our incredible team of pediatricians, nurse practitioners, and clinical support staff practices a unique... ..., and medication forms Liaison with insurances regarding prior authorizations, patient care, medications reviews, and coordination of care...Full timeTemporary workSeasonal workWork at officeRemote workWork from homeTribeca Pediatrics
United States1 day ago- ...implementation of QM Work Plan Activities Experience: ~3+ years of experience as an RN ~ Registered Nurse in state of residence ~ Must have prior authorization utilization experience ~ Experience with Medcompass Skills: MUST HAVE MEDCOMPASS or ASSURECARE...Remote work
US Tech Solutions
United States17 hours ago - ...practice, the Ambulatory Care Registered Nurse ensures the delivery of patient-centered... ...communication methods and skills, following lines of authority as appropriate Participate regularly... ...: May assist with medication prior authorization Follow the established...Local areaHome officeAfternoon shift
San Ysidro Health Center
San Diego, CA2 days ago $138.33k - $193.89k
...Diego, CA 92037, United States #139335 (RN) Registered Nurse - Hematology & Cell Therapy Filing Deadline: Wed 4/29/2... ...Transplant experience. Recent experience with processing prior authorizations for specialty medications and durable medical equipment....Hourly payLocal areaUC San Diego
San Diego, CA9 days ago
