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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..
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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..
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 Registered Nurse, RN, 1 in Cincinnati Ohio ... in Cincinnati Ohio Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and ... to..
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 ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME ... Cincinnati Ohio Description The Supervisor, Pre-Authorization Nursing will be managing the ... the team that reviews prior authorization requests..
Job Information Humana RN, Prior-Authorization - Medicaid - Remote Kentucky ... in Cincinnati Ohio Description The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and ... Humana's Kentucky Medicaid..
... Healthy Horizons is seeking a Pre-Authorization Nurse 1 who will review prior ... 1 who will review prior authorization requests for appropriate care and ... to the appropriate stakeholder...
... inpatient admissions, concurrent review, prior authorization and referrals to care management. ... company. Required Qualifications Licensed Registered Nurse (RN) in the state of ... who review and process prior..
... 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..
... and the State regarding Prior Authorization reviews, prepayment retrospective reviews, and ... and daily guidance to prior authorization team members ensuring that the ... under-utilization of services. Oversee prior..
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..
... inpatient admissions, concurrent review, prior authorization and referrals to care management. ... LPCC- S) or licensed Registered Nurse (RN), in the state of ... 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 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..