Baton Rouge General Medical Center 89 reviews - Baton Rouge, LA

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  • 1-2 years experience is required
Responsible for utilization of clinical and financial resources by: ensuring appropriate clinical level of care, performing and submitting clinical information to external payers to secure proper authorization, collaborating with the Care Coordinator in the development and implementation of the plan of care, and ensures prompt notification of any denials to the appropriate Care Coordinator, Denials/Appeals Coordinator, and Team Leader. Performs all job duties for the age population served, as defined in the department's scope of service
EXPERIENCE REQUIREMENTS: Minimum 2 years nursing experience. 2 years clinical experience in case management preferred.
EDUCATIONAL REQUIREMENTS: High School Diploma or GED Required.
SPECIAL SKILLS, LICENSE AND KNOWLEDGE REQUIREMENTS: Ability to organize and prioritize work for optimal results. Excellent analytical and problem solving skills. Current Louisiana LPN License. Knowledge of ICD-9 coding. Knowledge of InterQual Criteria.

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89 reviews
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