Pre-Authorization RN Remote after training which is a hybrid schedule 2 days onsite, 3 remote until training complete...’s preferred Knowledge with Utilization management processes preferred Current NY RN license and registration required CCM...
for clinical staff FREE Online RN to BSN and MSN degree programs! Tuition Reimbursement for all full and part-time staff... Current NY RN license and registration required CCM preferred Minimum three to five years nursing experience in long term...
for clinical staff FREE Online RN to BSN and MSN degree programs! Tuition Reimbursement for all full and part-time staff... Current NY RN license and registration required CCM preferred Minimum three to five years nursing experience in long term...
for clinical staff FREE Online RN to BSN and MSN degree programs! Tuition Reimbursement for all full and part-time staff... Current NY RN license and registration required CCM preferred Minimum three to five years nursing experience in long term...
appeals Coordinate pre-service authorization approvals Duties and Responsibilities: Conduct comprehensive Denial Root... Clinical Denials RN is responsible for review, analysis and appeal of clinical denials from insurance companies and third-party...
in the prior authorization process for clinical and pharmacy related orders. Demonstrates the ability to function as part... and/or complete room set up including allergens; syringes; reorder supplies and medications/allergens, patient education includes pre...
in the prior authorization process for clinical and pharmacy related orders. Demonstrates the ability to function as part... and/or complete room set up including allergens; syringes; reorder supplies and medications/allergens, patient education includes pre...
and ambulatory care initiatives. Assists in the prior authorization process for clinical and pharmacy related orders. Demonstrates... education includes pre-allergen testing requirements. Nurse availability in the event of a medical emergency. Anticoagulation...
and ambulatory care initiatives. Assists in the prior authorization process for clinical and pharmacy related orders. Demonstrates... education includes pre-allergen testing requirements. Nurse availability in the event of a medical emergency. Anticoagulation...
wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement... authorization and concurrent reviews to ensure extended treatment is medically necessary and being conducted in the right setting...
programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement... authorization and concurrent reviews to ensure extended treatment is medically necessary and being conducted in the right setting...
programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement... authorization and concurrent reviews to ensure extended treatment is medically necessary and being conducted in the right setting...
programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement... authorization and concurrent reviews to ensure extended treatment is medically necessary and being conducted in the right setting...
wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement... authorization and concurrent reviews to ensure extended treatment is medically necessary and being conducted in the right setting...
programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement... authorization and concurrent reviews to ensure extended treatment is medically necessary and being conducted in the right setting...
by integrated and collaborative interventions with multiple disciplines, Pre/Post Service. Ensure that members are receiving the... and benefit sets; Pre-service, Concurrent Review, Post-acute and Care Management. Work with interdisciplinary team to utilize the...
, Training, Licenses, Certifications Bachelor's Degree RN with Master's degree preferred Relevant Work Experience... various principles of Utilization Management (concurrent review, discharge planning, Pre cert) Equivalent combination...