Clinical Team Lead/Lpn - Preauthorization
By Capital Blue Cross At , Harrisburg, 17177
Experience in researching evidence-based and industry standards and requirements relevant to medical management programs.
Knowledge of regulatory requirements for Utilization Management including URAC, NCQA, Act 68, ERISA, DOH, HIPAA and CMS.
Minimum of two (2) to three (3) years of managed care experience, specifically in utilization management and/or case management.
Strong team skills with the ability to work and interact with management level staff both within and outside of Clinical Management.
Knowledge of current and emerging medical treatment modalities with the ability to analyze and interpret medical and benefit coverage interrelationships.
Knowledge of managed care principles and emerging health treatment modalities.
Registered Nurse, Newborn Admission Team
By Northside Hospital At , Atlanta, 30342

Minimum of two (2) years of full-time experience as a RN post-orientation or post-residency training.

Certified in American Heart Association’s Basic Cardiac Life Support (BLS).

Lpn Admission Team Jobs
By Penn Medicine At , West Chester, 19380, Pa
Develops own nursing knowledge via practice, observation, professional literature, networking and attending continuing education programs.
Demonstrates verbal and writing skills that are appropriate for healthcare communication.
LPN Nursing ProgramPrevious acute care experience preferred
Uses appropriate resources for patients with special needs such as language barriers, sensory problems, altered cognition, cultural and religious needs.
Ensures attention to patient’s physical, spiritual and emotional wellbeing.
Performs clinical care in accordance with policy and procedure.