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24 prior authorization rn jobs found

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Humana
Utilization Management Behavioral Health Registered Nurse
Humana Jefferson City, MO, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 21, 2026
NP
Full time
 
Case Management RN (Emergency Department) - CMRNED 0318 IS#01
NavitsPartners New Bedford, MA, USA
Job Title: Case Management RN (Emergency Department) Location: Hyannis, MA 02601 Employment Type: Full-Time | Hourly (Non-Exempt) Contract Duration: 13 Weeks Start Date: ASAP Schedule 40 hours per week Evening Shift: 4 × 10.5-hour shifts Rotating weekends and holidays required Compensation Travelers: $65 – $70/hour Local Candidates: $59 – $64/hour Position Overview A healthcare facility in Hyannis, MA is seeking an experienced Case Management Registered Nurse (RN) to support the Emergency Department . This role is responsible for coordinating and facilitating patient care to ensure high-quality, cost-effective outcomes , while supporting discharge planning, utilization review, and patient advocacy in a fast-paced acute care environment. Key Responsibilities Conduct daily admission reviews and identify discharge planning needs Perform initial patient assessments within...

Mar 21, 2026
NP
Case Management RN (Emergency Department) - CMRNED 0318 IS#01
NavitsPartners Bourne, MA, USA
Job Title: Case Management RN (Emergency Department) Location: Hyannis, MA 02601 Employment Type: Full-Time | Hourly (Non-Exempt) Contract Duration: 13 Weeks Start Date: ASAP Schedule 40 hours per week Evening Shift: 4 × 10.5-hour shifts Rotating weekends and holidays required Compensation Travelers: $65 – $70/hour Local Candidates: $59 – $64/hour Position Overview A healthcare facility in Hyannis, MA is seeking an experienced Case Management Registered Nurse (RN) to support the Emergency Department . This role is responsible for coordinating and facilitating patient care to ensure high-quality, cost-effective outcomes , while supporting discharge planning, utilization review, and patient advocacy in a fast-paced acute care environment. Key Responsibilities Conduct daily admission reviews and identify discharge planning needs Perform initial patient assessments within...

Mar 21, 2026
AA
Full time
 
Prior Authorization Nurse Coordinator
All About Ultrasound Chicago, IL, USA
Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Location 680 Lake Shore Drive Job Description This is a remote position that requires mandatory travel to the Lurie Main Hospital campus once per month. Must work 8 hours per day with a flexed start time available. Must have an Illinois RN license and 3 years of practice experience in Peds, Ambulatory, or Prior Authorization to receive an interview. Experience using EPIC electronic medical...

Mar 21, 2026
Highmark Health
Part time
 
RN Case Manager (Casual), Forbes
Highmark Health Monroeville, PA, USA
Company : Allegheny Health Network Job Description : At AHN , employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees. Forbes Hospital is a 315 bed, Level II trauma hospital located in the community of Monroeville. Our hospital offers the service lines of a city hospital, inclusive of trauma, neurosurgery, cardiothoracic surgery, interventional cardiology, obstetrics and psychiatry, while also building relationships across the organization in a community setting. GENERAL OVERVIEW: Registered nurse who is proficient in the coordination of care and manages coordination of care in accordance with recognized...

Mar 21, 2026
Ca
Garden City, NY based Clinical Specialist - Remote, USA
Calyxo Garden City, NY, USA
Calyxo, Inc. is a medical device company headquartered in Pleasanton, California, USA. The company was founded in 2016 to address the profound need for improved kidney stone treatment. Kidney stone disease is a common, painful condition that consumes vast amounts of healthcare resources each year. Our team is led by executives and investors with a proven track record of commercializing paradigm-shifting devices to meet unmet needs within urology. Are you ready to change the future of kidney stone treatment? We are seeking high achievers who want to be part of a dynamic team working in a fun, diverse atmosphere. Summary: The Clinical Specialist is a focused individual who has a passion for patient care and physician and staff education. This person will proctor cases to excellence and independently cover CVAC procedures, training the surgical team on the safe and effective uses of the device. The Clinical Specialist works closely with the surgical team members to...

Mar 21, 2026
NP
Case Management RN (Emergency Department) - CMRNED 0318 IS#01
NavitsPartners Barnstable, MA, USA
Job Title: Case Management RN (Emergency Department) Location: Hyannis, MA 02601 Employment Type: Full-Time | Hourly (Non-Exempt) Contract Duration: 13 Weeks Start Date: ASAP Schedule 40 hours per week Evening Shift: 4 × 10.5-hour shifts Rotating weekends and holidays required Compensation Travelers: $65 – $70/hour Local Candidates: $59 – $64/hour Position Overview A healthcare facility in Hyannis, MA is seeking an experienced Case Management Registered Nurse (RN) to support the Emergency Department . This role is responsible for coordinating and facilitating patient care to ensure high-quality, cost-effective outcomes , while supporting discharge planning, utilization review, and patient advocacy in a fast-paced acute care environment. Key Responsibilities Conduct daily admission reviews and identify discharge planning needs Perform initial patient assessments within...

Mar 20, 2026
Humana
Utilization Management Behavioral Health Registered Nurse
Humana Santa Fe, NM, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 20, 2026
Humana
Utilization Management Behavioral Health Registered Nurse
Humana Saint Paul, MN, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 20, 2026
Humana
Utilization Management Behavioral Health Registered Nurse
Humana Denver, CO, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 20, 2026
Humana
Utilization Management Behavioral Health Registered Nurse
Humana Augusta, ME, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 20, 2026
Humana
Utilization Management Behavioral Health Registered Nurse
Humana Madison, WI, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 20, 2026
Humana
Utilization Management Behavioral Health Registered Nurse
Humana Bismarck, ND, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 20, 2026
EH
Administrative Assistant (PRN) - Paragon Infusion Centers
Elevance Health Nashville, TN, USA
Administrative Assistant (PRN) - Paragon Infusion Centers Location : 1855 Medical Center PKWY, STE G, Murfreesboro, TN Shift: Days. Clinic is open Monday-Friday, PRN RN will cover Sick Call-offs, PTO coverage, and higher Census days as needed. Onsite: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Be Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our...

Mar 20, 2026
Humana
Utilization Management Behavioral Health Registered Nurse
Humana Cheyenne, WY, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 20, 2026
Carle Health
Full time
 
Surgical Technologist - Methodist
Carle Health Peoria, IL, USA
Overview Sign-on Bonus & Relocation bonus available! Provides surgical technology to direct and indirect care and service. Assist surgeon, performs operative/invasive procedures. Serves as a resource to other technologist, trains new technologist, trains students and functions as an informal lead technologist role as needed. Mentoring and utilizing the additional education gained through certification will be used to assist peers, perform more efficiently and raise performance Qualifications Certifications: Basic Life Support (BLS) within 30 days - American Heart Association (AHA)American Heart Association (AHA), Education: , Work Experience: Responsibilities Preparation for surgeon specific operative/invasive procedures that’s timely, accurate effective and efficient. Instruments equipment and suture are appropriate, complete and functional. Sets up sterile field and is scrubbed prior to patent entering the room Sets up case so that another can step into...

Mar 19, 2026
Humana
Part time
 
Utilization Management Behavioral Health Registered Nurse
Humana Sevierville, TN, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 19, 2026
Humana
Part time
 
Utilization Management Behavioral Health Registered Nurse
Humana Colorado
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 19, 2026
Humana
Part time
 
Utilization Management Behavioral Health Registered Nurse
Humana Nebraska
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 19, 2026
Humana
Part time
 
Utilization Management Behavioral Health Registered Nurse
Humana Oklahoma
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 19, 2026
Humana
Part time
 
Utilization Management Behavioral Health Registered Nurse
Humana Keene, NH, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 19, 2026
Humana
Part time
 
Utilization Management Behavioral Health Registered Nurse
Humana Las Cruces, NM, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 19, 2026
Humana
Part time
 
Utilization Management Behavioral Health Registered Nurse
Humana Biddeford, ME, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 19, 2026
Humana
Part time
 
Utilization Management Behavioral Health Registered Nurse
Humana Lincoln, NE, USA
Become a part of our caring community and help us put health first Are you a transitioning military service member or a military spouse looking for an internship that supports the goal to put health first? The DOW SkillBridge Internship and Military Spouse Fellowship Programs will provide you with key training to perform your internship. You will partner with your team to support members, projects, and to meet goals impacting business outcomes. The professionals you work with at Humana will depend on the type of internship you select. They may include healthcare professionals, HR, and IT, to name a few. The objective is to support and facilitate care for members. To be eligible for this internship, you must either be a transitioning military service member or a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National...

Mar 19, 2026
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