Authorization (PA) Nurse is a full-time role with NeueHealth, dedicated to promoting quality and cost-effective outcomes for the... receive the appropriate benefit coverage for services requiring prior authorization. Responsibilities include reviewing prior...
Job Description: Your Role The Utilization Management Prior Authorization team accurate and timely prior.... Successful RN candidate reviews prior auth requests for medical necessity, coding accuracy and medical policy compliance. Clinical...
Job Description: Your Role The Utilization Management Prior Authorization team ensures accurate and timely prior... California RN License Requires at least 7 years of prior relevant experience including 3 years of management experience...
. This position also coordinates patient care with an interdisciplinary team; screens and coordinates authorization of requests.... Qualifications: * Current license as a Registered Nurse in California Minimum of one (1) year Case Management/UM experience...
of coordination of care, prior authorization, level of care and length of stay criteria sets desirable Competent understanding...Your Role Work schedule is Mon-Fri 10am- 7pm The Federal Employee Program (FEP) team performs integrated case...
identification and resolution skills Knowledge of coordination of care, prior authorization, level of care and length of stay...Job Description: Your Role Work schedule is Mon-Fri 10am- 7pm The Federal Employee Program (FEP) team performs...
. Knowledge of coordination of care, prior authorization, level of care and length of stay criteria sets desirable. Demonstrates...’ care including clinical nurses and treating physicians. The Triage Registered Nurse Case Manager will report to the FEP...
and federal regulatory requirements. Knowledge of coordination of care, prior authorization, level of care and length of stay... involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork...
Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work...Job Description: Schedule is Mon-Fri 10am-7pm The Behavioral Health Registered Nurse Case Manager will report...
concurrent review and prior authorization department processes and workflows Develop and design training modules for Utilization... involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork...
. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria... - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt License...
for prior authorization of higher levels of care against medical necessity criteria. Responsible for the development... their mental health care. Oversees the work of its assigned care support team and work with non-licensed support staff to meet...
. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria... Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse, State and/or Compact State...
unrestricted CA license (LCSW, LMFT, LPCC, Licensed Psychologist, or Registered Nurse (RN) with Behavioral Health experience... involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork...
. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria... Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse, State and/or Compact State...
direct supervision of a Registered Nurse (RN), who works on a rotating schedule, providing coverage 24 hours a day and 7 days...'s qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment is being held to establish an Open...