Prior Authorization UM Nurse Consultant

Medix is hiring a direct hire Prior Authorization LVN or RN with a great Healthplan in Chatsworth, CAPlease note this position is 100% remote, but training must be onsite in Chatsworth, CA, there are no exceptions for remote training. (training typically is 2-3 weeks) Location: Chatsworth California 91311 United StatesSchedule: Monday-Friday 8:30am-5pAverage...

Job Title: Prior Authorizations Registered Nurse (RN)Summary:The UM Prior Authorization Nurse is responsible for evaluating referrals for medical services to determine medical necessity and appropriate course of action. Utilizing independent judgment, extensive medical knowledge, and adherence to clinical guidelines, the Prior Authorization Nurse...

PLEASE COMPLETE THE EDUCATION AND WORK EXPERIENCE PROFILES AFTER ANSWERING THE APPLICATION QUESTIONSPhysicians’ Clinic of Iowa is seeking a Prior Authorization Supervisor for our outstanding Prior Authorization team. This is an excellent opportunity to join a team of highly dedicated medical professionals and staff whose primary mission is to provide high...

SummaryJob DescriptionProvides leadership, support, training, and direction to the Inpatient UM teammates. The incumbent will use clinical judgment to provide utilization management review for inpatient during high volume situations. Provide high quality, cost-effective care to enable patients to achieve maximum medical improvement, while receiving care...

About us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees by providing...

Registered Nurse RN Concurrent UM Review WellMed Compact LicenseOpportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and...

Job Description UM Shore Regional Health, a member of the University of Maryland Medical System (UMMS), is seeking a Board Certified Psychiatric Mental Health Nurse Practitioner to provide full time inpatient coverage in Easton, MD. The ideal candidate will be providing mental and behavioral health consultations to our adult inpatient populations. Out...

Your Role The Medical Care Solutions Clinical Service Intake team responsible for timely and accurate processing of Treatment Authorization Request. The Clinical Services Coordinator will report to the Supervisor of Clinical Services Intake. In this role you will be for supporting clinical staff day to day operations for Promise lines of business. Your...

Registered Nurse - Lacatation Consultant Per Diem Neonatal ICU The Registered Nurse - Lacatation Consultant Per Diem will:Identify educational needs of the LDR/Mother-Baby, NICU, Antepartum and Pediatric breastfeeding mother and nursing staff Plan, implement, and evaluate one-on-one and in-service educational programs in conjunction with the Clinical...

Registered Nurse - Lacatation Consultant Per Diem Neonatal ICU The Registered Nurse - Lacatation Consultant Per Diem will:Identify educational needs of the LDR/Mother-Baby, NICU, Antepartum and Pediatric breastfeeding mother and nursing staff Plan, implement, and evaluate one-on-one and in-service educational programs in conjunction with the Clinical...

Job Description UM Upper Chesapeake Health (UM UCH), a member of the University of Maryland Medical System (UMMS), has a Part-time employed position available for a Wound Care Nurse Practitioner to join their growing, community-based Wound care/Hyperbaric medicine practice located on the UM Upper Chesapeake Medical Center campus in Bel Air, MD. Nurse...

At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. Make referrals to financial assistance services for patients with...

Job Description UM Upper Chesapeake Health (UM UCH), a member of the University of Maryland Medical System (UMMS), has a Full-time employed position available for a Nurse Practitioner Program Coordinator to join their reputable, well-established Comprehensive CARE Center (a transitional care clinic) located on the UM Upper Chesapeake Medical Center campus...

Company DescriptionUniversity of Maryland Medical System (UMMS) is a physician-led, internationally recognized healthcare system offering uniquely rewarding careers in major Maryland marketplaces. Create your future in a healthcare setting that is right for you and your practice. Become part of something greater by applying your experience, input, and...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care.Primary Responsibilities: Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing Understands and complies with long-term care policies and procedures, including those...

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Job Description * Participates as a member of the patient care team by providing direct patient care under the supervision of the RN. * Maintains accountability for meeting basic physical, psychosocial and environmental needs of the patient. * Performs any and all duties involving direct patient care as assigned by the RN within guidelines provided by the...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Nurse Consultant will report to the Manager of Care Management for the Population Health Management Medi-Cal Team. In this role, you will ensure that services are...

Title : Senior Network Consultant Location : Trenton, NJ Duration : 9+ Months Contract with High possibility of extension Type : W2/C2C only Job Description: Manage the Client voice and data network systems. The major duties of the Manager are: to ensure efficient and effective management of the Client Network unit; to plan, implement and monitor local...

Work Shift:Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made...