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...
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...
documentation needed for prior authorization for transplantation. Operate autonomously in communicating with members of the health... coordination of care from pre-transplant evaluation through post-transplant recovery. The Cardiac Transplant Nurse provides...
working in a clinical setting Prior teaching experience preferred with passion for teaching and openness to teaching... encouraged you to believe in yourself and in your ability to be the successful nurse professional you are today? Now you can...
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...
and ambulatory care initiatives. Assists in the prior authorization process for clinical and pharmacy related orders. Demonstrates... plan of care, at the direction of the treating clinician, in accordance with licensure of a Registered Professional Nurse...
working in a clinical setting Prior teaching experience preferred with passion for teaching and openness to teaching... encouraged you to believe in yourself and in your ability to be the successful nurse professional you are today? Now you can...
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...
areas. This position requires the ability to combine clinical/quality considerations with regulatory/financial/utilization... review demands to assure patients are receiving care in the appropriate setting and level of care. The position creates...
entry for test orders in the EHR; Ensure diagnosis codes meet Medical Necessity requirements. Acquires consent forms, prior... authorization data and/ or ABN’s when applicable. Demonstrates ability to organize and prioritize workload with respect to STAT...
therapy by applying clinical expertise, administrative policies, and established clinical criteria to prior authorization... Do: Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit...
Education Program. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice... setting preferred. We're looking for an experienced Family Nurse Practitioner or Physician Assistant. Veterans are encouraged...
admissions, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate level... level of care being requested of the payor. Complete initial pre-authorization for treatment and admission prior...
Overview: The Procedural Nurse utilizes a systematic approach to nursing by incorporating assessment, planning... students. Provides leadership for initiatives designed to improve the quality of care or clinical outcomes. Assists Nursing...
Job Description: Overview The Procedural Nurse utilizes a systematic approach to nursing by incorporating...: Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)Illinois...
of clinical information, patient eligibility, benefit verification, and prior authorization requirements. It involves..., medication history, allergies etc.Assist with prior authorization process for pharmacy and medical claims. Performs test claim...
, authorization and medical necessity is present in the EMR prior to billing. Makes billing recommendation for all medical.... Strong critical thinking skills & the ability to perform clinical chart review abstract information efficiently. Strong analytical...