RN (State of California)
RAC Experience +++
Managed Care environment for 5 plus years
Understand the appeals process
Chart Auditing
LVN State of California (Current)
Managed Care (Healthcare) a must
Good communicator with excellent typing and phone skill
Problem Solver
Proven track record of someone who likes prior authorizations
RN
Interqual, UR, UM, DP
TB, Physical, CPR (drug screen)
TB, Physical, CPR
UR, UM DP, TARS
TB, Physical, CPR, Drug test
DRG, Interqual, Milliman +++
LVN
Discharge Planning
Utilization Review
TARS
Interqual