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Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... appropriate courses of action. Prior Authorization Review..
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..
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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..
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..
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 ... North Carolina Description The Supervisor, Pre-Authorization Nursing will be managing the ... the team that reviews prior authorization requests..
... to the surgeons.u00a0Patient Identification / Pre-registration:u00a0Identify the correct patient in IDX ... Hold bills; obtain authorizations and pre-certifications as required; work with clinical ... programs as needed for medications.u00a0Obtaining..
Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..
... 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 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 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..
