We seek caring and reliable team members to provide care and services to safely meet residents’ needs in compliance with federal, state & local requirements.…

We seek caring and reliable team members to provide care and services to safely meet residents’ needs in compliance with federal, state & local requirements.…

CPR certification and successful completion of Management of Aggressive Behavior including restraint and seclusion policies, within 90 days of employment, and……

RN with current license to practice in the State of Ohio required. Graduate of an accredited school of Nursing required. Continuity and coordination of care.…

Current valid Driver's License. High level of emotional and social intelligence. Maintains professional etiquette during inter-agency interactions.…

Assess the health of guests and notify the physician of changes in status; promptly implement new orders. Current Registered Nurse (RN) licensure in the state.…

Experience obtaining prior authorizations and follow-up calls. Assisting with front desk processes when needed. Current LPN License in the state of NC.…

Must also have current unrestricted registered nurse (RN) license in the state where the position is based and other assigned states as required by law.…

Graduate of an accredited nursing program. Perform clinical reviews of authorization requests using appropriate. State licensure as a LPN.…

Active, unrestricted State Registered Nursing (RN) license in good standing. Assesses services for members to ensure optimum outcomes, cost effectiveness and……

Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.…

Contact payer organizations to verify coverage and obtain prior authorization/pre-certification of services, as needed. Scanning, filing, and faxing documents.…

Must have a clear LPN license*. Document all incoming Sfaxes properly and closing them in the proper manner. The LPN Intake Coordinator is responsible for Nurse……

The Intake Coordinator is responsible for the admission process for new patients by ensuring availability of reimbursement for services, identifying the……

Current, unrestricted Texas RN license or compact license. Answers Utilization Management directed telephone calls; managing them in a professional and……

Licenses/Certifications: Current State LPN/LVN or RN license..0-2 years of experience. Job Responsibilities: Perform telephonic review of prior authorization……

Great day shift opportunity for experienced and MD licensed RN. Timely steps in identification of delays in throughput, escalation to correct delays, and……

LPN license in the State of PA. Under the general supervision of the Registered Nurse Case Manager, provides professional nursing services to individuals in……

Make determination of medical necessity for case classifications when necessary and provides a front-line regulatory/compliance function in their evaluation of……

This Position will assess client health problems and needs, develop and implement nursing care plans and maintain electronic medical records in the Clinic.…

Active, unrestricted State Registered Nursing (RN) license in good standing. Independently re-evaluates medical claims and associated records by applying……

Responsible for communicating with provider offices to ensure all appropriate clinical documentation is submitted. Home Health Utilization Review Nurse.…

Current, active, unrestricted California LVN or RN license. Apply health plan benefit and clinical review guidelines to authorization requests to ensure……

? Case Management certification or 1 year of direct case management experience. ? Problem solving-identification, evaluation, and initiation of appropriate……

In addition, they assist with data entry of prescriptions into electronic systems (e.g., APEX), calling and clarifying medications to pharmacy, management of……

CPR certification and successful completion of Crisis Prevention and Intervention (CPI) including restraint and seclusion policies, within 90 days of employment……

Requires an ASN or BSN in nursing licensed in the state of residence. Prefers pending or obtained certification in case management or other applicable clinical……

Will have a Registered Nurse (RN) license in the state of Utah. Performing physical examinations and/or preventive health measures to assess and evaluate……

The majority of the time is spent at a desk and on the telephone collecting & reviewing clinical information from providers. 3+ Years of clinical experience.…

And have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less then 8 points on your license.…