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... you will: Developing and creating pre-authorization lists by each state Complete ... Associates degree in Nursing Registered Nurse 5 or more years of ... processes Role Desirables BSN degree..
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 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..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME ... Rogers Arkansas Description The Supervisor, Pre-Authorization Nursing will be managing the ... the team that reviews prior authorization requests..
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..
... 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..
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 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..
