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... 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 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 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 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..
... 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..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME ... Tulsa Oklahoma 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..
