Prior Authorization Nurse

Purpose: Processes all referral forms and answers all patient and employee questions regarding previously requested authorization Essential Duties/Responsibilities:  Processes all authorizations requiring prior approval from the managed care company. Enters all authorization numbers into Experior. Faxes all referral forms to specialists. Files...

Nemours is seeking a Specialty Nurse who will be supporting Developmental Medicine and Psychiatry Division. Monday-Friday 8:30-5:00pm Primary Function: The Developmental Medicine/Psychiatry Specialty Nurse is responsible for an area of specialized nursing practice and provides direct and indirect care to patients and their families in the ambulatory,...

Job Type Full-timeDescriptionDescription A Culture of Caring; is a place where seniors choose to live and employees desire to work. Our Leading advantages include:State-of-the-art FacilitiesOn-demand PayBenefits begin after 30 daysLow-cost lunchesFree Membership to our gym and indoor poolShift differentialWork-life BalanceGrowthCompetitive WagesWe spend...

Job Description: Novant Health is seeking a Labor and Delivery registered nurse for the WOW night shift. We offer a relocation bonus and a part-time schedule with benefits. Our clinical ladder program can help you advance your career in healthcare. Come join our team of passionate nurses in our dedication to providing exceptional care to patients during...

Job DescriptionJob DescriptionAre you looking for a fulfilling role that challenges you and offers flexible scheduling? Are you passionate about delivering outstanding patient care in a fast-paced environment? If this is you, consider a rewarding opportunity with us today!Elite Medical Staffing is hiring Registered Nurses (RNs) for open positions in...

Job DescriptionJob DescriptionAre you looking for a fulfilling role that challenges you and offers flexible scheduling? Are you passionate about delivering outstanding patient care in a fast-paced environment? If this is you, consider a rewarding opportunity with us today!Elite Medical Staffing is hiring Registered Nurses (RNs) for open positions in OH....

SummaryThis position is for a Head Nurse (Connected Care Manager) at the Wilmington VAMC.Duties The Facility Connected Care Manager is responsible for developing, implementing, maintaining and providing leadership, strategic direction, and program oversight of the Connected Care Program at VISN 4 Medical Centers and campuses. These duties require the...

A medical practice in Wilmington, DE is looking for a part-time medical insurance verification specialist to assist with insurance verification, pre-certifications, referrals, and patient scheduling, etc. We look forward to hearing from you soon and adding great new members to our team! **Responsibilities**: - Verify benefit eligibility - Initiate and...

Registered Nurse (RN) - Med Surg Blue Cross and Blue Shield Association Philadelphia, PA Bring your drive for excellence, team orientation and customer commitment to Independence Blue Cross; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate and serve, and we are looking for...

JOB DETAILS: Ratios: 1:6 for floor for surgical/medicine inpatient patients. Surgical Stepdown patients will be managed by stepdown trained nurse. Shift: 12 HR NIGHTS; *36 hours only. Will accept 13-26 weeks RTO: 7 days MAX; No RTO from 4/29 to 5/17 Float Requirement: when needed to like units Weekend Requirement: every other weekend Qualifications: Minimum...

Nemours is hiring Casual CRNAs in the Delaware Valley!!! In collaboration with and under the direction of an Anesthesiologist, administers anesthesia to patients as a qualified member of the anesthesia care team. Case assignment and oversight of the overall evaluation of the patient will be determined by an anesthesiologist. The certified registered nurse...

Nemours is hiring Casual CRNAs in the Delaware Valley!!! In collaboration with and under the direction of an Anesthesiologist, administers anesthesia to patients as a qualified member of the anesthesia care team. Case assignment and oversight of the overall evaluation of the patient will be determined by an anesthesiologist. The certified registered nurse...

Novant Health New Hanover Regional Medical Center (NHRMC) in beautiful Wilmington, North Carolina, is currently seeking a **Movement Disorders** neurologist to join their practice. ​ **Position Highlights:** • 100% Outpatient Clinic • Majority Volume in Movement Disorders, Alzheimer's, and Epilepsy • 8 am-5 pm Office Schedule, 4 clinic days & 1...

Shift: Night 3x12-Hour (18:45 - 07:15) Description: REQUIRED SKILLS / CERTS / EXP: Minimum Years of Experience: Must have 2 years of surgical unit experience Traveler Experience: Travel experience is preferred by not required Locals Accepted / Rate Difference: Yes Skills: Interpretation of dysrhythmias, Management of dysrhythmias, use of Rapid Response...

Shift: Night 3x12-Hour (18:45 - 07:15) Description: REQUIRED SKILLS / CERTS / EXP: Minimum Years of Experience: Must have 2 years of surgical unit experience Traveler Experience: Travel experience is preferred by not required Locals Accepted / Rate Difference: Yes Skills: Interpretation of dysrhythmias, Management of dysrhythmias, use of Rapid Response...

Shift: Night 3x12-Hour (18:45 - 07:15)Description:REQUIRED SKILLS / CERTS / EXP:Minimum Years of Experience: Must have 2 years of surgical unit experienceTraveler Experience: Travel experience is preferred by not requiredLocals Accepted / Rate Difference: YesSkills: Interpretation of dysrhythmias, Management of dysrhythmias, use of Rapid Response Teams,...

Job Title: RN - Med/SurgLocation: Wilmington, NCDuration: 13 weeksStart: ASAPShift: Day or Night 3X12 or 4X12Pay rate: $61Requirement: 1 Year experienceAdminister chemo. Experience in an inpatient setting is requiredCerts: Chemotherapy administration certification is required prior to start; required to obtain prior to start. Will accept travelers that do...

Mandatory Skills Must have AEM upgrade experience Should have worked on an upgrade and should understand the differences and capabilities of AEM 6.5 vs older versions Healthcare background from care delivery organizations/hospitals Role Overview Create, enhance and maintain solution roadmaps Certified SAFe Product Owner, ITIL Defining and enabling key...

Nemours is hiring Casual CRNAs in the Delaware Valley!!! In collaboration with and under the direction of an Anesthesiologist, administers anesthesia to patients as a qualified member of the anesthesia care team. Case assignment and oversight of the overall evaluation of the patient will be determined by an anesthesiologist. The certified registered...

Job DescriptionJob DescriptionBenefits: Open availability + Eagerness to work = Higher hourly rate Flexible hours Part time Frequent advancement opportunities Referral program incentives Fun, engaging, and frequent training opportunities Opportunity to shape the next generationJob Qualifications: Math competency through at least Algebra 1 (Pre-calculus and...