Job Description: Overview The Procedural Nurse utilizes a systematic approach to nursing by incorporating... - American Heart Association (AHA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial...
background within a managed care setting including a high-level understanding of prior authorization process from beginning... with Clinical Program leaders to execute on programmatic audit results and ensure existing and new regulatory initiatives. Review...
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...
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...
are directed to appropriate network providers, and obtains prior authorization for in network and out of network services... department patient care areas. This position requires the ability to combine clinical/quality considerations with regulatory...