of the 4 years must be clinical. Required License/Certificate An active, unrestricted RN license from the United States... Review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise...
eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established... clinical guidelines to service requests. This role also supports health management interventions by utilizing clinical...
Job Description: Must be an RN in SC and have an active and unrestricted SC RN license. Hours/Schedule - Monday... eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established...
procedures and specialized knowledge of disease state and clinical significance of tests in the diagnosis of disease... information. Uses correct alternate patient ID procedures if hospital armband is not available (RN ID, use of Typenex bracelets...
InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located... in Columbia, SC. In this role you will review and evaluate medical or behavioral eligibility regarding benefits and clinical...
as clinical assessments, to ensure that patients qualify for rehabilitation admission and insurance/payer reimbursement..., maintenance, evaluation, and interpretation of clinical data pertaining to admissions and discharges on the Pediatric Inpatient...
a healthy and balanced life Cell Phone, Mileage, & Gym Membership Reimbursement for your convenience Hands-on Clinical... Care: Consult with the patient's attending physician, the hospice medical director, and other healthcare practitioners...
therapy by applying clinical expertise, administrative policies, and established clinical criteria to prior authorization... requests. The individual selected for this position will utilize their clinical proficiency and claim knowledge/analysis...
. Responsibilities: Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying... clinical expertise, administrative policies, and established clinical criteria to service requests or provides health...
Job Description: Must be an RN in SC and have an active and unrestricted SC RN license. Hours/Schedule - M-F 8:30am.... Then we review the requests against the policy and the member’s contract. When reviewing the clinical we determine if it can...
and competencies. 20% Functions as a back up to the Clinical Director of Anesthesia as needed. 2% Supervisory/Management...% Manages and coordinates non-clinical functions within the department including but not limited to in-service education, staff...
with assistance or supervision and recognizes personal skill level. - 20% Develops OR nursing care plans by working with RN V, ST IV... physician and/or nurse manager aware of changing clinical situations. - 5% Maintains a professional demeanor throughout...
preventive and rehabilitative nursing procedures as appropriate. Prepares equipment and materials for treatments. Assists the RN... physician and RN reactions to treatments, including drugs and changes in the patient's physical or emotional condition...
. Uses clinical and managerial expertise to develop, implement and evaluate effective patient care delivery systems... of assigned staff. In collaboration with the Director of Nursing, plans, develops and monitors the annual capital, operational...
Duration: 3+ Months Contract (Possible temp to hire) Job Description: Must be an RN in SC and have an active... and unrestricted SC RN license. Hours/Schedule - Monday-Friday, 8AM-4:30PM or 8:30AM-5PM. Onsite for the 1st week...