Sentences with phrase «determine medical necessity»

Those who do have healthcare education and experience can use this knowledge in Registered Nurse (RN) jobs, whether working directly with patients or reviewing requests to determine medical necessity of pharmacy claims.

Successful candidates will: · Determine medical necessity of requests using applicable clinical... physician assistants and advanced practice nurses regarding established guidelines and accepted...

(Reference Code: KAM) Position Title: Utilization Review Nurse / RN Case Manager Reports to: Director Clinical Services SCOPE: Responsible for determining medical necessity...

Not exact matches

To be «no kill» in philosophy, wherein euthanasia is performed only for medical necessity, as well as public safety, as determined by a veterinarian

Assessed patients using vital signs, medical history, initial assessment, and patient presentation to determine the necessity of additional care

Assist with determining if requested services are within the member's scope of benefits, if prior authorizatio is required, and if the requested service requires clinical review for medical necessity by a Registered Nurse or Pharmacist or the Mmedical necessity by a Registered Nurse or Pharmacist or the MedicalMedical.

Insuring correct diagnosis / coding on patient order while meeting Medical Necessity determinations for payment and determining any pre-certification requirements are obtained correctly and accurately prior to the testing.

You want to determine whether they consider V61.1 Relational Problems to be a medical necessity.