Rn Or Circulator Jobs in Burbank

Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..

... needs and requirements to achieve and/or maintain optimal wellness state by ... courses of action. Responsibilities The RN Care Manager, Telephonic Nurse 2 ... every 6 months; complete PSI..

... and communication of medical services and/or benefit administration determinations. The Utilization ... and most appropriate treatment, care or services for members. Coordinates and ... and communicates with providers, members,..

... of any changes in behavior or conditionu003cbr /u003eu0026bull; Documents the progress ... responsibilities may be added, deleted, and/or changed at the discretion of ... certified on date of employment..

... and communication of medical services and/or benefit administration determinations. The Manager, ... and most appropriate treatment, care or services for members. Coordinates and ... and communicates with providers, members,..

... and communication of medical services and/or benefit administration determinations. The Utilization ... Health Professional 2 completes telephonic and/or electronic reviews with the Utilization ... Required Qualifications Degree in Nursing..

... needs and requirements to achieve and/or maintain optimal wellness state by ... monitoring patient care through assessments and/or evaluations. May create member care ... multidisciplinary team. All of our..

... and communication of medical services and/or benefit administration determinations. The Utilization ... any given day, week, weekend, or holiday. The Utilization Management Nurse ... and most appropriate treatment, care..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

... and communication of medical services and/or benefit administration determinations. The Utilization ... and most appropriate treatment, care or services for members. Coordinates and ... and communicates with providers, members,..

... recommendations related to communicable diseases or following an exposure.u003c/spanu003eu003c/pu003enu003cp style=u0022margin-left: 27.0pt;u0022u003eu003cspanu003eu0026middot;u003cspanu003eu0026nbsp;u0026nbsp;u0026nbsp;u0026nbsp;u0026nbsp;u0026nbsp;u0026nbsp; ... responsibilities may be added, deleted and/or changed at the discretion of ... certified on date of employment..

... that have resulted in two or more hospitalizations or incarcerations within the last 36 ... within the last 36 months, or have attempted to cause harm ... of any..

... and communication of medical services and/or benefit administration determinations. The Utilization ... and most appropriate treatment, care or services for members. Coordinates and ... and communicates with providers, members,..

... providers. Required Qualifications Current US RN License with 1 year Coding ... experience in medical record reviews/auditing or extensive experience in Home Health ... Health guidelines including coding, billing..

... and policies, and approves services or forwards requests as needed. The ... license from list: Registered Nurse (RN) with Compact License and general ... years of practice experience 1..

... Director of Nursing (DON), the RN Nursing Supervisor is responsible for ... responsibilities may be added, deleted and/or changed at the discretion of ... years in a supervisory capacity;..

Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..

... group practice with centers open or opening in Florida, Georgia, Kansas, ... needs and requirements to achieve and/or maintain optimal wellness state by ... established guidelines/procedures. Required Qualifications Active..

... and communication of medical services and/or benefit administration determinations. The Utilization ... and most appropriate treatment, care or services for members. Coordinates and ... and communicates with providers, members,..

... responsibilities may be added, deleted and/or changed at the discretion of ... /u003eRequired: u003cbr /u003eu0026bull; High school or G.E.D.u003cbr /u003eu0026bull; Demonstrated sensitivity to ... exposure through family relationships, volunteering,..

... in care, eligibility for assistance and/or need for care management program ... need for care management program or other referral services in collaboration ... Social Determinants of Health needs..

... that have resulted in two or more hospitalizations or incarcerations within the last 36 ... within the last 36 months, or have attempted to cause harm ... of any..

... in care, eligibility for assistance and/or need for care management program ... need for care management program or other referral services in collaboration ... Social Determinants of Health needs..