Sentences with phrase «medical necessity requests»

Reviewed and approved medical necessity requests.

Not exact matches

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

Instead, the writer included specific examples, such as «review precertification request for medical necessity» and «identified non-traditional resources and demonstrated creativity in managing each case to fully utilize all resources available.»

Review precertification requests for medical necessity and refer those requests that require additional expertise to the Medical Dimedical necessity and refer those requests that require additional expertise to the Medical DiMedical Director.

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.

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.

Requests for modification must be made in writing and documentation of need, cost, and medical necessity must accompany the request.