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Working 20 hours a week with client in Rock Hill. Ongoing case and really nice family. Looking for consistency, so if you are looking for good hours and good pay, please ..
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..
... analyzes data daily, weekly, monthly or as needed to assess outcome ... years of technical experience Active RN license in the state(s) in ... management, case management, discharge planning..
... 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,..
... 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 ... - Registered Nurse completes telephonic and/or faxed reviews with the Utilization ... 7am - 6:30 p.m. CST..
... working with team members at or away from work in relationship ... relative to occupational health nursing or relevant nursing field preferred. Computer ... message that there are 1..
... 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..
... 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 communication of medical services and/or benefit administration determinations. The Utilization ... and most appropriate treatment, care or services for members. This is ... and communicates with providers, members,..
... 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..
... as assigned by Supervisor, Manager and/or Director. 5% Utilizes established reporting ... description in no way states or implies that the key accountabilities ... required to follow other instructions..
... and policies, and approves services or forwards requests as needed. The ... license from list: Registered Nurse (RN) with Compact License 3 years ... years of practice experience 1..
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 ..