to all populations across the ACA Marketplace, Medicare, and Medicaid. The Utilization Management (UM) Prior Authorization (PA) Nurse... benefit coverage for services requiring prior authorization. Responsibilities include reviewing prior authorizations...
medical records prior to provider/nurse receiving the record 17. Gathers data relevant to the patient’s age group... patient prior to provider examination · Sets patient on exam table · Patient changes into gown as appropriate 21. Answers...