and administrative areas: In the clinical area the practice assistant, under the direction and supervision of a licensed Nurse... disposition forms and patient education materials Assists with staging selected prior authorization for medication or supplies...
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...
perspective on workplace flexibility. Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective... between utilization management team, members, and providers Monitors prior authorization, concurrent review, and/or retrospective...
authorization must be consistent with clinical practice area and patient population. Acute Care Certification required. Registered... Nurse First Assistant (RNFA) required. OR Graduate of a Master's degree or higher Accreditation Review Commission...
their alcohol consumption, and live healthier and happier lives. We are seeking a Clinical Intake/Triage Nurse to join our rapidly... as any future payers who require an authorization. ● Basic knowledge on how to submit prior authorization requests to insurance...
in a clinical nursing role Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure...Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Registered nurse who is proficient in the...
and support for the prior authorization registered nurse (RN) team, facilitating appropriate use of resources, including safe.... Strong clinical skills with prior experience in a primary care setting. A medical degree (MD or DO) with 5 or more years of clinical...
Medical Home and ambulatory care initiatives. Assists in the prior authorization process for clinical and pharmacy related...Direct Source by RightSourcing offers clinical contract opportunities across the One Brooklyn Health system that align...
and Administrative Assistant to appeal any denial or Peer to Peer review to ensure all procedures are authorized prior to date of service... days prior to surgery Prepare surgical package for Billing with all pertinent information including authorization...
to requests for services which includes a clinical record review and interviews with members, clinical staff, medical providers... necessity and appropriateness of admissions, treatment, level of care and lengths of stay. Performs prior authorization...
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...
managed care requirements and pre-certification/authorization needs are met prior to patient admission. Assist with flow... to department goals by making 100% of financial arrangements for each patient prior to services being performed. o Review patient...
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...
which would include prescribing medication. Complete the necessary prior authorization paperwork for insurance companies. Complete...A Senior Clinician at Covenant Family Solutions provides oversight of Nurse Practitioners, Nursing Assistants, Licensed...
for Intake, Appeals (Clinical and Claims), Retrospective Review, Emergency Room Review, and Customer Service/Complaints... oversight and management of Intake, Clinical Appeals, Claims Appeals, Complaints, Grievances and Intake functions. The Manager...
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...
required. Minimum of two (2) years of nursing experience working in a clinical setting Prior teaching experience. Experientially.... Why Join Us? Innovative Teaching: Implement our philosophy, curriculum, and course objectives through classroom, online, and clinical teaching...
required. Minimum of two (2) years of nursing experience working in a clinical setting. Prior teaching experience. Experientially.... Why Join Us? Innovative Teaching: Implement our philosophy, curriculum, and course objectives through classroom, online, and clinical teaching...
with healthcare management and clinical procedures. The MA shall prepare patients prior to and post examination, treatment... Career worklet, please review this . The UHealth System at the University of Miami has an exciting opportunity...