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NeueHealth
Overview
The PA Nurse evaluates prior authorization requests for treatments and procedures to ensure alignment with medical necessity criteria and coverage policies. They act as a liaison between providers, patients, and health plans while documenting all activities in EMR systems.
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Compensation
$27 - $41 / HOUR
Posted
5 days ago
Spectrum Healthcare Resources
The nurse will review cases and educate patients on appropriate care to manage healthcare costs for active duty dependents and retirees. This role involves working remotely to ensure efficient utilization of healthcare resources.
Salary not listed
1 month ago
UHS
Responsible for identifying and prioritizing patient assessment needs based on clinical presentation and diagnosis. Initiates discharge planning upon admission and ensures practice aligns with regulatory and hospital policies.
The Concurrent Utilization Review Nurse conducts real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services. They also coordinate with healthcare providers and the Medical Director to facilitate care transitions and manage authorization requests.
$26 - $40 / HOUR
OakBend Medical Center
The Case Manager assesses, plans, implements, coordinates, monitors, and evaluates services needed to meet patients' health care needs through all phases of wellness and sickness. This role maximizes efficient resource utilization and promotes quality cost-effective outcomes in collaboration with patients, families, payers, and the healthcare team.
2 months ago
