Jobs: prior authorization nurse i

  • Pharmacy Prior Authorization Coordinator I

    Found in: Lensa US P 2 C2 - 7 days ago


    Virginia Beach, United States Sentara Healthcare Full time

    City/StateRichmond, VAOverviewWork ShiftSwing Shift (United States of America)Sentara Health is currently recruiting for a Full-Time, RemotePharmacy Prior Authorization Coordinator I in Richmond or Tidewater, VA area.Under the direct supervision of a Pharmacy Team Coordinator, the pharmacy prior authorization coordinator (PAC) is responsible for supporting...


  • Allentown, United States St. Luke's University Health Network Full time

    St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other...

  • Pharmacy Prior Authorization Coordinator I

    Found in: Lensa US P 2 C2 - 7 days ago


    Virginia Beach, United States Sentara Full time

    City/State Richmond, VA Overview Work Shift Swing Shift (United States of America) Sentara Health is currently recruiting for aFull-Time, Remote Pharmacy Prior Authorization Coordinator I in Richmond or Tidewater, VA area. Under the direct supervision of a Pharmacy Team Coordinator, the pharmacy prior authorization coordinator (PAC) is responsible for...


  • Allentown, United States St. Luke's University Health Network Full time

    St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other...


  • Virginia Beach, United States Sentara Full time

    City/StateRichmond, VAOverviewWork ShiftSwing Shift (United States of America)Sentara Health is currently recruiting for aFull-Time, RemotePharmacy Prior Authorization Coordinator I in Richmond or Tidewater, VA area.Under the direct supervision of a Pharmacy Team Coordinator, the pharmacy prior authorization coordinator (PAC) is responsible for supporting...

  • Prior Authorization Specialist

    Found in: Lensa US P 2 C2 - 7 days ago


    Roanoke Rapids, United States Rural Health Group Full time

    Rural Health Group is seeking a full-time Prior Authorization Specialist at our RHG @ Halifax Medical Specialist office. A prior authorization specialist is an individual who is highly skilled in ensuring that patients receive the medication and/or diagnostic services that requires pre-authorization from insurance carriers. These individuals address and...


  • Northridge, United States Actalent Full time

    Description: The role of the Nurse Reviewer is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests as well as acute inpatient admission The Nurse Reviewer will review for appropriate care and setting, and...

  • Prior Authorization

    35 minutes ago


    Mount Juliet, United States Center for Spine, Joint, Neuromusuclar Rehabilitation Full time

    Job DescriptionJob DescriptionSalary: Prior Authorization CoordinatorThe Prior Authorization Coordinator we be primarily responsible for obtaining all types of prior authorizations. These prior authorizations will include medications, procedures, prescriptions, and testing. The position will require professional and courteous interaction with patients,...

  • Prior Authorization

    3 days ago


    Mount Juliet, United States Center for Spine, Joint, Neuromusuclar Rehabilitation Full time

    Job DescriptionJob DescriptionSalary: Prior Authorization CoordinatorThe Prior Authorization Coordinator we be primarily responsible for obtaining all types of prior authorizations. These prior authorizations will include medications, procedures, prescriptions, and testing. The position will require professional and courteous interaction with patients,...


  • Cincinnati, United States Riverhills Neuroscience Full time

    Job DescriptionJob DescriptionAbout Us:For over two decades, Riverhills Neuroscience has been a pioneer in delivering exceptional neuroscience care. Our commitment to excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries.Position: Prior Authorization SpecialistLocation: Norwood OfficeDepartment:...


  • Allentown, United States St. Luke's University Health Network Full time

    St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other...


  • Indianapolis, United States Professional Management Enterprises Full time

    In need of an LPN to perform medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care Coordinates as...

  • Prior Authorization Nurse

    Found in: Careerbuilder One Red US C2 - 5 days ago


    Indianapolis, IN, United States Professional Management Enterprises Full time

    In need of an LPN to perform medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care Coordinates as...

  • Prior Authorization Nurse

    Found in: Talent US A C2 - 6 days ago


    Indianapolis, United States Professional Management Enterprises Full time

    In need of an LPN to perform medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteriaWorks with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized careCoordinates as...

  • Prior Authorization Nurse

    Found in: beBee jobs US - 2 hours ago


    Various, United States Corporate Full time

    You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.Applicants must reside and have RN licensure in Louisiana with prior...

  • Prior Authorizations Nurse

    Found in: Lensa US P 2 C2 - 7 days ago


    New York, United States Medix Full time

    Prior Authorizations Nurse Pay: $35-$42/HR Location: Remote (Must Have AZ RN License OR Compact License) Hiring ASAP MUST HAVES TO APPLY: AZ RN License or compact states (preference given to those residing in AZ) Minimum 2 years clinical Behavioral Health Experience (acute care hospital, OP Clinic setting, etc) Minimum 2 years chart review experience (UM,...

  • Prior Authorization LVN

    Found in: Lensa US P 2 C2 - 19 hours ago


    Northridge, United States Actalent Full time

    Description:The role of the Nurse Reviewer is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests as well as acute inpatient admissionThe Nurse Reviewer will review for appropriate care and setting, and following...

  • LVN Prior Authorization

    Found in: Lensa US P 2 C2 - 6 days ago


    Northridge, United States Actalent Full time

    Description:The role of the Nurse Reviewer is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests as well as acute inpatient admission The Nurse Reviewer will review for appropriate care and setting, and...


  • Woonsocket, United States Thundermist Health Center Full time

    Job DescriptionJob Description Title :Prior Authorization CoordinatorDepartment :Medical GENERAL RESPONSIBILITIES  The Prior Authorization Specialist obtains insurance authorizations for medications, procedures, imaging, and external medical facilityvisits as required by insurers/payors/providers within established timeframes.  To ensure a high-quality...


  • Denver, United States Correctional Health Partners Full time

    Correctional Health Partners (CHP) specializes in customized third-party administrative (TPA) services. We develop strong working relationships with hospitals and providers with a focus on trust, compassion, and integrity. Our teamwork driven services ensure CHP serves the needs of each unique partnership while prioritizing healthcare best practices.We are...