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... and communication of medical services and/or benefit administration determinations. The Manager, ... and most appropriate treatment, care or services for members. Coordinates and ... and communicates with providers, members,..
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Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... and communication of medical services and/or benefit administration determinations. The Utilization ... administration determinations. The Utilization Management Nurse 2..
Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are ... overpayments when they happen. The Nurse Auditor 2 validates..
Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..
... coordinate interventions with the beneficiary's physician. Performs all duties within the ... in care, eligibility for assistance and/or need for care management program ... need for care management program..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... needs and requirements to achieve and/or maintain optimal wellness state by ... members. The Care Manager, Telephonic Nurse..
... analyzes data daily, weekly, monthly or as needed to assess outcome ... and could lead multiple managers or highly specialized professional associates. The ... Qualifications *Bachelor's Degree in health..
... plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs ... where the analysis of situations or data requires an in-depth evaluation ... to, Care Management, Utilization Management,..
BrightStar Care of Anchorage is hiring for caregiver positions in the Anchorage/Eagle River/Chugiak areas. Come work for BrightStar Care of Anchorage, a company who believes in serving with Passion and Doing ..
... and communication of medical services and/or benefit administration determinations. The Utilization ... Health Professional 2 - Registered Nurse completes telephonic and/or faxed reviews with the Utilization ... State Licensed..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior ... and policies, and approves services or forward requests to the appropriate ... the appropriate stakeholder. The Pre-Authorization Nurse 2 work..
... and policies, and approves services or forwards requests as needed. The ... Health Professional 2 - Registered Nurse you will contribute to the ... unrestricted license from list: Registered..
... needs and requirements to achieve and/or maintain optimal wellness state by ... allow each member to achieve and/or maintain their optimal health. Apply ... on identified needs and recommend..
