Pre-Certification RN-

2 weeks ago


Philadelphia, United States Temple University Hospital Full time
PRE-CERTIFICATION RN- 40HR Day Shift (Precertification)- Temple Univ. Hospital

Serves as the primary clinical resource in the Pre-certification Department for the handling of complex authorization issues. Ensures precertification/authorization issues are investigated and handled expeditious and thoughtfully from an administrative, technical and clinical perspectives. Serves as the primary liaison between the Precertification Department and staff Physicians in regard to authorization issues. Responsible for reviewing financial/insurance information to determine payer requirements are met by obtaining the appropriate pre-certification/authorization for payers in order to optimize reimbursement and avoid payment penalties. Bachelors degree in Nursing required within 4 years from date of hire. Education Bachelors Degree : in Nursing (BSN) or commitment to obtain BSN within 4 years from date of hire (Required) Other : Graduate of an accredited school of nursing (Required) Masters Degree (Preferred) Experience 2 Years recent experience with Utilization Review in a hospital or in insurance company setting (Required) 3 Years experience in clinical acute care (Required) General Experience in Case Management, Utilization Review and transition planning (Preferred) General Experience in working with utilization review standards (Preferred) License/Certifications RN-LIC - PA Registered Nurse License (Required) _ '239909



  • Philadelphia, Pennsylvania, United States Temple University Hospital Full time

    Authorization and Pre-Certification ExpertiseTemple University Hospital is seeking a skilled Clinical Authorization Specialist to join our Pre-Certification Department. As a key member of our team, you will serve as the primary clinical resource for handling complex authorization issues, ensuring that precertification/authorization issues are investigated...

  • Pre-Certification RN-

    2 months ago


    philadelphia, United States Temple University Hospital Full time

    Pre-Certification RN- (TUH/Day Shift)Serves as the primary clinical resource in the Pre-certification Department for the handling of complex authorization issues. Ensures precertification/authorization issues are investigated and handled expeditious and thoughtfully from an administrative, technical and clinical perspectives. Serves as the primary liaison...

  • Pre-Certification RN-

    4 weeks ago


    Philadelphia, United States Temple Health Full time

    Serves as the primary clinical resource in the Pre-certification Department for the handling of complex authorization issues. Ensures precertification/authorization issues are investigated and handled expeditious and thoughtfully from an administrative, technical and clinical perspectives. Serves as the primary liaison between the Precertification Department...

  • Pre-Certification RN-

    6 months ago


    Philadelphia, PA, United States Temple University Hospital Full time

    Pre-Certification RN- (TUH/Day Shift)Serves as the primary clinical resource in the Pre-certification Department for the handling of complex authorization issues. Ensures precertification/authorization issues are investigated and handled expeditious and thoughtfully from an administrative, technical and clinical perspectives. Serves as the primary liaison...

  • Pre-Certification RN-

    4 months ago


    Philadelphia, PA, United States Temple University Hospital Full time

    PRE-CERTIFICATION RN- 40HR Day Shift (Precertification)- Temple Univ. HospitalServes as the primary clinical resource in the Pre-certification Department for the handling of complex authorization issues. Ensures precertification/authorization issues are investigated and handled expeditious and thoughtfully from an administrative, technical and clinical...

  • Pre-Certification RN-

    2 months ago


    Philadelphia, PA, United States Temple University Hospital Full time

    PRE-CERTIFICATION RN- 40HR Day Shift (Precertification)- Temple Univ. HospitalServes as the primary clinical resource in the Pre-certification Department for the handling of complex authorization issues. Ensures precertification/authorization issues are investigated and handled expeditious and thoughtfully from an administrative, technical and clinical...

  • Pre/Post Op RN

    1 week ago


    philadelphia, United States Fusion Medical Staffing Full time

    Pre/Post Op RNPre/Post Op RN Job # Philadelphia, PA $/week* 40 hrs/week * Estimated wages and expense reimbursement. Does not include taxes, insurance, or other deductions that may occur. Apply for this job Job overview Start date 12/09/2024 Assignment length 26 weeks Shift Days Hours 5 X 8 Job description Interested in making a positive...

  • Pre/Post Op RN

    2 months ago


    philadelphia, United States Fusion Medical Staffing Full time

    Pre/Post Op RNPre/Post Op RN Job # Philadelphia, PA $/week* 40 hrs/week * Estimated wages and expense reimbursement. Does not include taxes, insurance, or other deductions that may occur. Apply for this job Job overview Start date 09/03/2024 Assignment length 20 weeks Shift Days Hours 5 X 8 Facility details Facility type Short Term Acute...

  • RN - MedSurg

    1 month ago


    Philadelphia, United States Travel Nurse Across America Full time

    Description We're looking for Medical Surgical RNs for an immediate travel nurse opening in Philadelphia, PA. The right RN should have 1-2 years recent acute care experience. Read below for more requirements. As a MedSurg RN, you will conduct patient assessments and prioritize data collection based on patients' immediate conditions or needs. MedSurg RNs...

  • RN - MedSurg

    3 weeks ago


    Philadelphia, United States Travel Nurse Across America Full time

    DescriptionWe're looking for Medical Surgical RNs for an immediate travel nurse opening in Philadelphia, PA. The right RN should have 1-2 years recent acute care experience. Read below for more requirements. As a MedSurg RN, you will conduct patient assessments and prioritize data collection based on patients' immediate conditions or needs. MedSurg RNs...

  • Travel Nurse RN

    5 months ago


    Philadelphia, United States TRS Healthcare Full time

    Registered Nurse - Neonatal Intensive Care Unit TRS Healthcare is seeking a Registered Nurse who is licensed to work in PA, and has Neonatal Intensive Care Unit experience. The Registered Nurse assumes responsibility and accountability for incorporating the vision, values, mission and critical goals of the organization into their job performance. Minimum...

  • Travel Nurse RN

    5 months ago


    Philadelphia, United States TRS Healthcare Full time

    Registered Nurse - Emergency Room TRS Healthcare is seeking a Registered Nurse who is licensed to work in PA, and has Emergency Room experience. The Registered Nurse assumes responsibility and accountability for incorporating the vision, values, mission and critical goals of the organization into their job performance. Minimum Requirements Include: • RN...

  • Travel Nurse RN

    4 months ago


    Philadelphia, United States TRS Healthcare Full time

    Registered Nurse - Med/Tele TRS Healthcare is seeking a Registered Nurse who is licensed to work in PA, and has Med/Tele experience. The Registered Nurse assumes responsibility and accountability for incorporating the vision, values, mission and critical goals of the organization into their job performance. Minimum Requirements Include: • RN Registered...

  • Travel Nurse RN

    2 weeks ago


    philadelphia, United States Marvel Medical Staffing Full time

    Specialty: PACU RNLocation: Philadelphia, PAStart date: ASAPShifts per week:Duration: 13 weeksShift type: DaysWeekly gross pay: Contact us for more information!

  • Travel Nurse RN

    1 month ago


    Philadelphia, United States Marvel Medical Staffing Full time

    Specialty: PACU RNLocation: Philadelphia, PAStart date: ASAPShifts per week: Duration: 13 weeksShift type: DaysWeekly gross pay: Contact us for more information!


  • philadelphia, United States TravelNurseSource Full time

    TravelNurseSource is working with TRS Healthcare to find a qualified ICU/Critical Care RN in Philadelphia, Pennsylvania, 19140!Pay Information$2,028 per weekAbout The PositionRegistered Nurse - Intensive Care Unit TRS Healthcare is seeking a Registered Nurse who is licensed to work in PA, and has Intensive Care Unit experience. The Registered Nurse assumes...


  • philadelphia, United States TravelNurseSource Full time

    TravelNurseSource is working with TRS Healthcare to find a qualified Labor/Delivery RN in Philadelphia, Pennsylvania, 19140!Pay Information$2,136 per weekAbout The PositionRegistered Nurse - OB - Labor & Delivery TRS Healthcare is seeking a Registered Nurse who is licensed to work in PA, and has OB - Labor & Delivery experience. The Registered Nurse...

  • Travel Nurse RN

    2 weeks ago


    Philadelphia, Pennsylvania, United States Cross Country Nurses Full time

    Cross Country Nurses is seeking a skilled travel nurse to provide high-quality care to patients in the post-anesthesia care unit. As a travel nurse in this role, you will be responsible for providing short-term care to patients immediately following surgery, from 30 minutes to several hours post-op. Your duties will include regularly taking vitals, ensuring...


  • Philadelphia, United States Global Medical Response Full time

    Lincoln Financial Field Event RN CrowdRxIMMEDIATELY HIRING! Event Registered Nurse (Event RNs) PART-TIME Opportunity Location: Lincoln Financial Field - Philadelphia, PA We're hiring Event Registered Nurses who provide direct patient care and employee medical services in accordance with applicable state EMS protocols and/or medical direction. Additionally,...


  • philadelphia, United States Global Medical Response Full time

    Lincoln Financial Field Event RN CrowdRxIMMEDIATELY HIRING! Event Registered Nurse (Event RNs) PART-TIME Opportunity Location: Lincoln Financial Field - Philadelphia, PA We're hiring Event Registered Nurses who provide direct patient care and employee medical services in accordance with applicable state EMS protocols and/or medical direction. Additionally,...