are responsible for Women's Health/ Gender Dysphoria/ Genetics clinical reviews and require a current, unrestricted RN nursing license... in the applicable state. Individual is responsible for performing pre-service clinical coverage review of outpatient Women...
are responsible for Women's Health/ Gender Dysphoria/ Genetics clinical reviews and require a current, unrestricted RN nursing license... in the applicable state. Individual is responsible for performing pre-service clinical coverage review of outpatient Women...
require a current, unrestricted nursing license (i.e. RN) in the applicable state, as indicated in the function.... Licensure includes RN, depending on grade level, with current unrestricted licensure in applicable state. General Job Profile...
is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -Validate that cases/requests for services..., medical necessity) CPS_Review Existing Clinical Documentation Review/interpret clinical/medical records submitted...