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Ochsner Health
Overview
The RN Transition Navigator acts as a liaison between patients, caregivers, and healthcare providers to facilitate effective discharge planning and care transitions. They manage patient movement across the healthcare continuum to ensure quality, cost-effective outcomes while reinforcing post-discharge care plans.
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Compensation
Salary not listed
Posted
2 days ago
Molina Healthcare
Responsible for verifying that clinical services are medically necessary and align with established guidelines and insurance policies. The role involves analyzing service requests, processing prior authorizations, and collaborating with multidisciplinary teams to ensure cost-effective member care.
$24 - $51 / HOUR
9 days ago
The clinician is responsible for assessing service requests to ensure medical necessity, cost-effectiveness, and compliance with clinical guidelines and regulations. They collaborate with multidisciplinary teams and medical directors to facilitate appropriate care outcomes for members.
1 month ago
The clinician assesses service requests for medical necessity and compliance with clinical guidelines to ensure cost-effective member care. They collaborate with multidisciplinary teams and medical directors to manage prior authorizations and support the integrated delivery of care.