Position Summary
FOR MA POSITIONS: Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for assessing clinical eligibility, prior authorizations and providing interval case consultation by reviewing medical records, assessing the clients needs, and providing resource support for program participants/applicants. This position ensures that eligible individuals are referred to and receive appropriate services based on medical necessity determinations and program/waiver regulations. For Nh Positions Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for assessing clinical eligibility, including nursing facility level of care determinations and pre-admission screening resident reviews by conducting face to face evaluation and reviewing nursing facility medical records. This position ensures that eligible individuals are referred to and receive appropriate services based on medical necessity determinations and program regulations. This position is based in New Hampshire. Essential FunctionsAbout the job Work At Home Data Entry Clerk (Part Time)Work At Home Data Entry Clerk (Part Time)This is your chance to begin a lifelong profession with endless opportunity. Find the liberty you've been looking for by taking a minute to finish our online application...
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