Referral Clinical Review RN
Company: UCHealth
Location: Wheat Ridge
Posted on: January 16, 2021
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Job Description:
Job DescriptionSummary: 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 documentat
Keywords: UCHealth, Denver , Referral Clinical Review RN, Healthcare , Wheat Ridge, Colorado
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