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Huntington, West Virginia
Florence, South Carolina
Des Moines , Iowa
Roslyn, New York
Los Angeles, California
Spartanburg, South Carolina
Salt Lake City, Utah
Albany, New York
Tarpon Springs, Florida
Philadelphia County, Pennsylvania
Durham, North Carolina
Lake Wales, Florida
Location: Frisco, Texas
Internal Number: 2105044272
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
The purpose of the Prior Authorization (PA) Nurse is to provide patients, physicians and health team member services related to the appropriate utilization of the organizations resources. This position will identify, screen, coordinate and process referral determinations of requested services. By utilizing the appropriate review criteria, policies and guidelines the PA nurse promotes quality and cost effective medical care and ensure the member is receiving the appropriate care in the appropriate setting.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Include minimum education, technical training, and/or experience preferred to perform the job.
Include minimum certification required to perform the job.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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