{"21355178":{"jobPath":"/jobs/21355178/full-time-salaried-adjunct-professor-of-nursing-non-tenure-track-pediatrics","source":"naylor","job":"21355178","jobTitle":"Full Time Salaried Adjunct Professor of Nursing, Non-Tenure-Track Pediatrics"},"21353232":{"jobPath":"/jobs/21353232/psychiatrist-clinical-assistant-associate-professor-psychiatry-geriatrics-adult-opd","source":"naylor","job":"21353232","jobTitle":"Psychiatrist, Clinical Assistant/Associate Professor, Psychiatry, Geriatrics, Adult (OPD)"},"21355058":{"jobPath":"/jobs/21355058/assistant-professor-of-nursing-bsn","source":"naylor","job":"21355058","jobTitle":"Assistant Professor of Nursing - BSN"},"21355176":{"jobPath":"/jobs/21355176/full-time-salaried-adjunct-professor-of-nursing-non-tenure-track-medical-surgical-and-geriatric","source":"naylor","job":"21355176","jobTitle":"Full Time Salaried Adjunct Professor of Nursing, Non-Tenure-Track Medical Surgical and Geriatric"},"21354165":{"jobPath":"/jobs/21354165/clinical-assistant-professor-professor-of-pediatrics-clinician-educator-chla","source":"naylor","job":"21354165","jobTitle":"Clinical Assistant Professor Professor of Pediatrics (Clinician Educator)-CHLA"},"21355177":{"jobPath":"/jobs/21355177/full-time-salaried-adjunct-professor-of-nursing-non-tenure-track-obstetrics-and-health-assessment","source":"naylor","job":"21355177","jobTitle":"Full Time Salaried Adjunct Professor of Nursing, Non-Tenure-Track Obstetrics and Health Assessment"},"21353230":{"jobPath":"/jobs/21353230/blood-banking-transfusion-medicine-clinical-assistant-associate-professor-pathology-blood-banking-transfusion-medicine","source":"naylor","job":"21353230","jobTitle":"Blood Banking/Transfusion Medicine, Clinical Assistant/Associate Professor, Pathology, Blood Banking/Transfusion Medicine"},"21353228":{"jobPath":"/jobs/21353228/emergency-medicine-physician-clinical-assistant-associate-professor-emergency-medicine","source":"naylor","job":"21353228","jobTitle":"Emergency Medicine Physician, Clinical Assistant/Associate Professor, Emergency Medicine"},"21352952":{"jobPath":"/jobs/21352952/trauma-program-manager","source":"naylor","job":"21352952","jobTitle":"Trauma Program Manager"},"21355702":{"jobPath":"/jobs/21355702/director-of-labor-delivery-rrmc-associate-or-full-clinical-professor-of-ob-gyn","source":"naylor","job":"21355702","jobTitle":"Director of Labor & Delivery (RRMC) - 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Staff Credentialing"}}
JOB SUMMARY: Works as part of integrated team and is involved in reviews of authorization requests and communicates with the physicians and clinic when additional information is needed or assists clinical practitioner's office in re-directing care to an appropriate plan provider or facility. Performs activities that include obtaining payer authorization for outpatient services that require notification/authorization based on payer specific guidelines. Responsible for clinical part of audit to determine if all charges have been captured appropriately. Maintains a thorough understanding of the plans provider contracts, authorization requirements and Interqual Criteria Provides ongoing follow-up and re-evaluation of clin
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