Description
SUMMARY EXPERIENCE Significant experience in nursing: Critical Care, Nursing management Case Management, ongoing Utilization Review with Medicare and Medicaid experience. Strong administrative and communication skills. Team Lead DME/Radiology prior authorization. Responsible for PA reviews and appropriate Turn around Times for the following areas: DME, Radiology, HOTS, Meds, Office visits, Emergency and non-Emergency transportations. Responsible for daily, weekly, and monthly quotas for the above departments. Continued daily updated communications with staff, assignments and problem solved staff's concerns with cases. Able to work and communicate with DCH policies and procedures. Responsible for hiring, training, and performance evaluations. Significant experience in nursing Critical Care Nursing management Case Management ongoing Utilization Review with Medicare and Medicaid experience. Strong administrative and communication skills.
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