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Registered Nurse RN - Gastroenterology - Per Hour - R
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Full-time
- Advocate Aurora Health is seeking a Registered Nurse (RN) Gastroenterology for a nursing job in Milwaukee, Wisconsin.
- Screens referrals and pre-certification requests for completeness, coverage, network affiliation and medical appropriateness.
- Collaborates with the manager and/or insurance company to review referrals and/or pre-certification, policies, practice guidelines, denials, patient noncompliance, medical necessity, physician issues and other managed care issues as needed.
- Coordinates insurance issues with pre-registration and/or credit department when appropriate.
- Acts as a liaison with physicians, patients, patient care staff, families, vendors/providers and insurers regarding referrals and preauthorizations.
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