UMN is responsible for for assuring the receipt of high quality, cost efficient medical outcomes for Kentucky Health Cooperative identified as having the need for inpatient and outpatient precertification / preauthorization. The incumbent will be responsible for screening members for potential placement of case management and disease management. Additional responsibilities include working with all members of the health care team including members to ensure compliance, continuity, and optimal outcomes ...
36hrs/week, 3x12hr shifts, must be flexible with days/times, 13 weeks
Central Valley, CA
One (1) years of experience in the past three (3) years.
Prefer at least 1 year of experience as a RN in a Labor/Delivery Unit in a hospital or related medical facility.
Current BLS, ACLS, NRP, and AWHONN
CA RN Licensure (Ask about how we can Help)
Utilizes the nursing process to assess, plan, implement and evaluate patient care.
Baptist Health, a leading provider of healthcare in Kentucky and in the Louisville metro, has an outstanding opportunity for the position of Surgical Services Nurse Manager. This key position, as part of the perioperative leadership team, is responsible for the day-to-day operations of the main OR featuring 24-suites, two dedicated heart rooms and a ten-bed inpatient holding room. Morgan Hunter HealthSearch has been retained to conduct the search.
Medical Center: This 519 ...
- Screen, verify and report member information
-Complete prior authorization intake form for each telephone inquiry, obtain and verify information, complete the form
- Verify type of plan coverage prior to admission and complete pre-certification if required
- Insertion of medical records into health plan HER
- Obtain and manage information effectively related to facilitate admission, continued stay, and discharge
- Verify current benefits source and obtain necessary pre ...
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