Case Review/Appeals Nurse

1 post · started Sep 2, 2009

Aaron C. Sep 2, 2009, 5:30 PM
MD-Baltimore, Position Summary: *Review of submitted cases for prospective review of approval of therapy in accordance with health plan approved guidelines *Collaborates with customer service, admissions, pharmacy operations departments as well as health plans and their staff to implement Advanced Guideline Management Specialty Pharmacy Programs *Collects appropriate clinical/ medical data, performs clinical as


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