UnitedHealth Group - Lenexa, KS

Prior authorization, pre - certification, utilization review and / or appeals experience. There's an energy and excitement here, a shared mission to improve the...

IthacaMed - Ithaca, NY

RN preferred, but open to experienced LPN. IthacaMed, a community-centered primary care and endocrinology practice, has an immediate opening for a detail...

Estimated: $43,000 - $58,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored12d

BCforward - Tallahassee, FL

Process daily incoming prior authorization request received from various methods of submission ·. Process authorization requests based on approved guidelines....

$32 an hourSponsored

Compassion Home Care - Eufaula, OK

No visit will be rearranged without prior authorization of the Case Manager. Current RN License for Oklahoma (Must be in good standing with OBN)....

Estimated: $49,000 - $63,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Kaiser Permanente - Pasadena, CA

DRG validations, desk level claim review, provider negotiations considering prior authorizations and specifications....

Estimated: $79,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

8d

Allergy Asthma Clinic, Ltd - Phoenix, AZ

Allergy injections, allergy testing, PFTs, prior authorizations, Xolair and Nucala. Qualified Allergy Nurse needed Full-Time or Part Time for our Phoenix and...

Estimated: $38,000 - $51,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Cigna - Arizona

Summary Description of Position Provides review of requests for outpatient and/or inpatient clinical services. Manages the provision of cost containment...

Estimated: $63,000 - $87,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Allergy Asthma Clinic, Ltd - Surprise, AZ

Allergy injections, allergy testing, PFTs, prior authorizations, Xolair and Nucala. Qualified Allergy Nurse needed Part-Time for our Surprise and North Phoenix...

Estimated: $37,000 - $51,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

AdvantageCare Physicians - Brooklyn, NY

Obtains prior authorizations for medications and DME's, notifies patient and physician, documents in EPIC. Assures all patients are correctly identified prior...

Estimated: $54,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Inova Health System - Falls Church, VA

RN licensed, or eligible to practice in the Commonwealth of Virginia as a RN. We do not accept the Temporary Authorization to Practice Letter....

11d

Aetna - New Albany, OH

The UM Nurse Associate performs medical necessity review in response to requests for prior authorization of outpatient services....

Estimated: $45,000 - $60,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

3d

Express Scripts - St. Louis, MO

Performs initial clinical review and analysis of prior authorization cases based on state regulations. The Nurse Clinician – RN is responsible for reviewing...

Estimated: $57,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

7d

Compass Medical, P.C. - Taunton, MA

Knowledge of obtaining prior Authorizations for Medications. Prepare charts prior to patients' visit. Current Massachusetts LPN License or RN required....

Estimated: $45,000 - $62,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

WomanCare - Arlington Heights, IL

RN, LPN, MA. Job duties are inclusive of, but not limited to, triage work (phone calls, prescription refills, addressing patient problems as a liaison between...

Estimated: $34,000 - $48,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

North Shore Community Health - Gloucester, MA

EKGs, suture removals, wound dressing changes, ear irrigations, TST application and interpretation, and blood pressure checks Maintains accurate documentation...

Estimated: $43,000 - $55,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

11d

All well's - Albuquerque, NM

Performs concurrent review and prior authorizations. Provides daily review and evaluation of health insurance members who require hospitalization and/or...

$86,000 a year4d

First Coast Service Options, Inc. - Columbus, GA

RN. The incumbent applies clinical knowledge to assess the medical necessity, level of services and appropriateness of care which may include cases requiring...

Estimated: $53,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Centene - Chicago, IL

Current State LPN/LVN or RN license. Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of...

Estimated: $60,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

12d

WellCare - Brentwood, TN

Oversees the utilization management activities by evaluating the necessity and efficiency of services through systematic monitoring of medical necessity and...

Estimated: $33,000 - $46,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

DXC Technology - Raleigh, NC

DXC Technology (NYSE: DXC) is the world’s leading independent, end-to-end IT services company, helping clients harness the power of innovation to thrive on...

Estimated: $44,000 - $62,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Lutheran Medical Group - Fort Wayne, IN

Prior Authorization Nurse-1723542. Contacts the carriers to obtain necessary authorization for patient's procedures....

Estimated: $43,000 - $60,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Centene - Columbus, OH

Current State LPN/LVN or RN License. Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of...

Estimated: $50,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

8d

Centene - Chesterfield, MO

Correctional experience, previous Prior Authorization experience. Current State LPN/LVN or RN License. Promote the quality and cost effectiveness of medical...

Estimated: $50,000 - $67,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

12d

Lake City Area Medical Center - Lake City, CO

Obtaining prior authorizations as needed. Currently has a *Full Time LPN or RN*. Lake City Area Medical Center*....

Estimated: $33,000 - $44,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Fairfield County Allergy, Asthma & Immunology - Greenwich, CT - Greenwich, CT

RN. Must be an RN licensed in the state of Connecticut in good standing*. We are currently seeking a motivated and organized RN to join our Allergy Practice in...

Estimated: $57,000 - $85,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored9d

AllyAlign Health - Birmingham, AL

As part of the hospital prior authorization process, responsible for determining “observational” vs. “acute inpatient” status....

Estimated: $52,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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