Prior Authorization Nurse - San Bernardino, CA

The Prior Authorization Review Nurse is responsible for supporting the process that manages all outpatient services. · Plan, research alternative and assist in the routing of member to the most appropriate IPA provider (s), ancillary providers and sites of care. · ,,Act as liaiso ...

The Prior Authorization Review Nurse supports the process that manages all outpatient services. · Plan alternative routes for members to IPA providers and sites of care. · Liaise between case managers, UM coordinators, contracted providers and members. · ...

· JOB SUMMARY · The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services, and compliance with regulatory and health plan requirements. Th ...

The registered nurse will review medical records for appropriate admission status and continued hospitalization. · Works in collaboration with attending physician consultants second level physician reviewer Care Coordination staff utilizing evidence-based guidelines critical thin ...

Responsible for the review of medical records for appropriate admission status and continued hospitalization. · Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience. · Caifornia RN license ...

The Utilization Review RN is responsible for reviewing medical records to determine appropriate admission status and continued hospitalization. · Works in collaboration with the attending physician, consultants, second level physician reviewer and the Care Coordination staff util ...

SAC Health empowers patients and their families to live vibrant and healthy lives through culturally responsive care. · ...

The Supervisor, Referrals is responsible for understanding the referral/authorization process at the highest level, and supervising the referral staff to ensure compliance with processing guidelines. · ...

The Message Center RN works under the supervision of the Supervisor Message Center RN Manager Message Center RN Integrates nursing processes assessment planning implementation evaluation to provide services continuity care patient Nurse Message Center Utilizes knowledge basic nur ...

The Message Center, RN works under the supervision of the Supervisor, Message Center RN and Manager, Message Center RN. · Education: Associate of Science Degree in Nursing required. Bachelor of Science in Nursing (BSN) preferred. · ...

The Message Center RN works under supervision in a team-based approach providing services and continuity of care for patients. · ...

The Message Center RN works under the supervision of the Supervisor, Message Center RN and Manager, Message Center RN. · ...

SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. · Processes referral requests daily; · ...

The Referral Coordinator is responsible for managing patient referrals promptly and efficiently. · The role involves understanding the referral and authorization process for multiple payer sources. · ...

Redefine excellence in your career as a Hospital Medicine Nurse Practitioner in Apple Valley, California · Our mission in Apple Valley, California, is to provide "better" in every sense—better 60;healthcare, 60;better 60;teamwork, and a lasting 60;impact on the community 60;we pr ...

Description · JOB SUMMARY · The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services, and compliance with regulatory and health plan requi ...

We enhance public safety and promote successful community reintegration through education treatment and active participation in rehabilitative and restorative justice programs. · Possession of legal requirements for practice of medicine in California as determined by Medical Boar ...

Coordinator-RN Peds works under the supervision of the Senior Nurse Manager and Clinic Supervisor. · Assumes responsibility and accountability for the management of patient population on an ongoing basis. · ...

We enhance public safety and promote successful community reintegration through education, treatment and active participation in rehabilitative and restorative justice programs. · To facilitate the successful reintegration of the individuals in our care back to their communities ...

+We enhance public safety and promote successful community reintegration through education, treatment and active participation in rehabilitative and restorative justice programs. · +Organizes and provides a basic level of general nursing and behavioral and psychiatric nursing car ...