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Referral Clinical Review RN

Company: UCHealth
Location: Parker
Posted on: January 14, 2021

Job Description:

Job Description Summary: Establishes medical necessity for advanced services and procedures. Liaisons with providers, payers, and others to facilitate navigation of complex authorization and reimbursement processes. Work Schedule: Full Time Days Responsibilities: Reviews clinical documentation and guidelines for pending referrals, calling when necessary in an attempt to obtain authorization, mitigating the need for physician calls. Facilitates peer-to-peer reviews as needed. Identifies documenta by Jobble

Keywords: UCHealth, Parker , Referral Clinical Review RN, Healthcare , Parker, Colorado

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