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... 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,..
... CPR Negative TB skin test or chest x-ray Must pass background ... skills Ability to express spoken and/or written ideas in English Treats ... race, ethnicity, gender, veteran status,..
... 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,..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
... you answered YES to one or more of the above you ... Degree Must hold an active RN license Must hold at least ... active coding credential (CPC, CCS,..
... 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..
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 ..
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 ..
... analyzes data daily, weekly, monthly or as needed to assess outcome ... and could lead multiple managers or highly specialized professional associates. The ... Qualifications *Bachelor's Degree in health..
Attention Plus Care is seeking a compassionate and professional Registered Nurse to provide direct care for clients in their own home. Primary responsibilities will include observation, implementation, evaluation, and documentation of ..
We are currently accepting resumes for Pediatric RN's to work with our Pediatric Home Care Clients. Candidates with at least 1 year experience with Vents, Trachs, Gtubes preferred. Attention Plus Care ..
... 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..
Attention Plus Care is seeking a compassionate and professional overnight Registered Nurses to provide direct care for clients in their own home. Primary responsibilities will include observation, implementation, evaluation, and documentation ..
... 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..
Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..