. Act as main point of contact between physician, patient, and Clinical Area Manager (CAM) Review new patient referrals... and authorization partners. Primary contact for providers & patients prior to the shipment of their device Provide order status...
authorization must be consistent with clinical practice area and patient population. Licensure and Certification Certification...! JOB SUMMARY We are seeking an Acute Care Nurse Practitioner or Physician Assistant to join our Division of Infectious Disease...
of a team to provide referral, authorization, medical review, and/or case management services to providers and Health Plan... needed. Utilization Management: When assigned UM tasks, the UM/CM must: Perform pre-authorization, concurrent, and discharge review...
education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population... affiliated with UT Southwestern Medical Center, is looking for an experienced Physician Assistant or Nurse Practitioner...
with or complete prior authorization process. Assists patients with resources for any social influences of health needs. Participates... Review document, relative to position. ESSENTIAL QUALIFICATIONS: EDUCATION: Graduate of an accredited Registered Nurse...
probationary period. Provide float support to all Patient Contact Center Clinical teams including Patient Advisory Nurse (PAN.... Qualifications Certifications: Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional...
. Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. Processes incoming... for inpatient admission, outpatient precertification, prior authorization, and post service requests. Obtains intake (demographic...
and cost-share amount for new and existing patients. Basic knowledge on how to submit prior authorization requests... for effectiveness in alcohol treatment. The Ria program is delivered through telehealth and by a care team of Physicians, Nurse...
is looking for highly motivated Nurse Practitioners or Physician's Assistants to support clinical trial related activities in states... to: Prescreen study candidates by telephone and review exclusionary conditions or medications prior to scheduling screening...
education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population...Nurse Practitioner or Physician Assistant, Pediatric Pulmonary, Inpatient & Consult WHY UT SOUTHWESTERN and Children...
in the prior authorization process for clinical and pharmacy related orders. Demonstrates the ability to function as part... treating clinician, in accordance with licensure of a Registered Professional Nurse. Utilizes nursing diagnoses to treat human...
related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...
with clinical practice area and patient population. OR · Graduate of a Master's degree or higher Accreditation Review Commission...Pediatric Nurse Practitioner or Physician Assistant, Adult Congenital Cardiothoracic Surgery & Heart Disease Clinic...
and ambulatory care initiatives. Assists in the prior authorization process for clinical and pharmacy related orders. Demonstrates... of the treating clinician, in accordance with licensure of a Registered Professional Nurse. Utilizes nursing diagnoses...
related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...
related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...
of a registered nurse and/or physician Communicates effectively with physicians and other team members about patient’s clinical... information. Performs prior authorizations tasks promptly with payers to ensure patient test and procedures are covered. Keep...
, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate level of care... of care being requested of the payor. Complete initial pre-authorization for treatment and admission prior to admission, when...
and/or patient training. Calls patient prescriptions to the pharmacies at physician's direction. Obtains prior authorization...: Responsible for performing a wide variety of clinical and front desk medical assistant duties in a fast-paced office setting...
related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...