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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..
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
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 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..
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 ... Bridgeport Connecticut Description The Supervisor, Pre-Authorization Nursing will be managing the ... the team that reviews prior authorization requests..
... as either clinical “gatherer and authorization document creator” or solely as ... solely as a clinical and authorization “reviewer” for all prospective, concurrent, ... Partner with Medical Directors for..
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..
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 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 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 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..
... 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..
