Pre Authorization Nurse Jobs in Pennsylvania

Pennsylvania, United States of America Job Family Group: Health Safety Environment and Security Worker Type: Regular Posting Start Date: January 29, 2021 Business unit: HR Corporate Functions Experience Level: Early Careers ..

Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews ... Health Professional 2 reviews prior authorization requests for appropriate care and ... forwards requests as needed. The Pre-Authorization Behavioral Health..

Description The Pre-Authorization Nurse 2 reviews Genetic testing prior ... 2 reviews Genetic testing prior authorization requests for appropriate care and ... to the appropriate stakeholder. The Pre-Authorization Nurse 2..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME ... Pittsburgh Pennsylvania Description The Supervisor, Pre-Authorization Nursing will be managing the ... the team that reviews prior authorization requests..

Job Information Humana Pre-Authorization Registered Nurse, RN, 1 in Pittsburgh Pennsylvania ... in Pittsburgh Pennsylvania Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and ... to..

Description The Pre-Authorization Behavioral Health Professional 2 reviews ... Health Professional 2 reviews prior authorization requests for appropriate care and ... forwards requests as needed. The Pre-Authorization Behavioral Health Professional..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and ... the appropriate stakeholder. The Supervisor, Pre-Authorization Nursing works within thorough, prescribed ... analytical approach. Responsibilities The..

Job Summary Provides direct patient care and clinical support for physicians and other providers in the outpatient setting. Functions as an integral member of the health care team under the direction ..

... information to payer from patient Pre-Admission through Concurrent Review using standard ... to payer review schedule. *Review Pre-Admission Review (PAR) and IRM Pre-Authorization assessment to identify costly treatments, .....

Provides direct patient care and clinical support for physicians and other providers in the outpatient setting. Functions as an integral member of the health care team under the direction of the ..

... Developing and implementing Clinical Prior Authorization policies, processes, detailed workflows, and ... timeframes for turnaround times on authorization requests, clinical claims reviews and ... you to participate in a..

Provides direct patient care and clinical support for physicians and other providers in the outpatient setting. Functions as an integral member of the health care team under the direction of the ..

The Certified Medical Assistant (CMA/RMA) provides direct patient care and clinical support for physicians and other providers in the outpatient setting. Functions as an integral member of the health care team ..

Description CarePlus is seeking a Nursing Educator 2 who will plan, direct, coordinate, evaluate, develop, and/or deliver training and education programs for professional nursing personnel. The Nursing Educator 2 work assignments ..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and ... performed without direction. Responsibilities Senior Pre-Authorization Nurse: Serves as a team lead ... to identify trends..

Provides direct patient care and clinical support for physicians and other providers in the outpatient setting. Functions as an integral member of the health care team under the direction of the ..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... and by leader. Utilization Management Nurse 2..

Provides direct patient care and clinical support for physicians and other providers in the outpatient setting. Functions as an integral member of the health care team under the direction of the ..

Job Summary Provides direct patient care and clinical support for physicians and other providers in the outpatient setting. Functions as an integral member of the health care team under the direction ..

Description The Nurse Auditor 2 will work on ... clinical lab audit concepts. The Nurse Auditor 2 will perform clinical ... fraud, waste, and abuse. The Nurse Auditor 2 work..