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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..
... 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 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..
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 ..
... 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, .....
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..
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..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME ... West Virginia 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 Charleston West ... Charleston West Virginia Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and ... to..
