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The UM Prior Authorization Nurse confers with Nursing Manager, VP of Clinical Policy and/or Medical Director whenever appropriate in utilization management or problem solving. The UM Prior Authorization Nurse is primarily responsible for reviewing referrals for medical.
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Covenant Physician Partners is hiring for a Fulltime Prior Authorization Specialist to join our team at De La Pena Eye Group located in Commerce, California. The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and their office staff by obtaining facility authorizations for patient(s) scheduled.
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Authorization for Treatment Temporary/Relief Primary Care Physician shall agree that, as required by law, excluding emergency and primary care services, prior authorization must be obtained in writing from the respective CDCR/CCHCS Institution/Facility CEO/CME or designee, in accordance with CCHCS's Utilization Management Plan. Temporary/Relief Primary Care Physician shall complete and return all forms required by CDCR regarding treatment of patient/youth.
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Processing of time sensitive authorization and pre-certification requests to meet department timeframes and regulatory requirements; Computer Input: Accurately and completely process referrals/authorizations in the UM system of record; Identify duplicate requests using claims to verify existing authorization.
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Departmental Promotional Only. Only current County of San Mateo employees in the San Mateo County Probation Department with at least six months (1040 hours) of continuous service in a classified regular, probationary, Confidential and Management extra-help/limited term, and SEIU or AFSCME represented extra help/limited term positions prior to the final filing date may apply.
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Ensures patient charts are prepared prior to appointments/follow up and/or surgery including x-rays and pertinent lab work. Ensures patient charts are prepared prior to surgery including x-rays and pertinent lab work.
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One year prior LVN/LPN experience preferred. Maxim Healthcare Services is seeking a Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) to work one on one with a patient in the school setting.
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5 years minimum of prior Federal Emergency Management Agency (FEMA) Public Assistance (PA) experience. Bachelor's Degree in environmental science, planning, geography, historic preservation, archeology, regional planning, civil or environmental engineering, or a related field and with 10 years of experience in a related field.
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Present when the casket containing a human body is placed in a grave, crypt, or burial vault and verifies that any personal belongings are removed from the deceased prior to burial per the Arrangements.
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Verify eligibility and benefits for the medication requested as well as follow-up submitted prior authorization/pre-certification requests with the health plan ensuring timely turn-around time.
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A Registered Dietitian credential and prior experience in an acute care setting with 2 years as a lead dietitian or clinical nutrition manager; Sodexo is seeking a Registered Dietitian-Clinical Nutrition Manager for a large hospital in Downtown Los Angeles, CA with 408 beds.
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Some positions may require a valid California Class B driver's license and valid medical certificate approved by the State of California Department of Motor Vehicles, or a valid California Class C driver's license, prior to appointment.
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Prior work experience posting sponsored content on all social media channels (Facebook, X, TikTok, and Instagram) The Senior Social Media Strategist is directly responsible for the day to day operations essential to the multimedia presence of our gaming and entertainment brands on owned channels such as Facebook, X, TikTok, and Instagram.
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Prior experience in design, motion graphics, and videography in an in-house or agency setting. Fluency with social networking sites and prior experience using web technologies and social media publishing and analytical tools.
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The Drug Medi-Cal Manager will also plan, track, measure, and report on the status of all SUD program operations while overseeing Sage authorization requests and supporting documentation to ensure clients meet DMC eligibility criteria and receive payment for DMC/RBH from LA County’s Department of Public Health- Substance Abuse Prevention and Control (SAPC.
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prior authorization jobs Title: pharmacy technician in Los Angeles, CA
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