Secondary Review & Notification RN in Houston, TX for Harris Health

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Secondary Review & Notification RN

JOB SUMMARY The Secondary Review and Notification RN is responsible for subsequent review of redeterminations related to LTSS service approvals, denials, increases, reductions and terminations, as well as service planning and documentation to ensure appropriate services are rendered. The Secondary Review and Notification RN utilizes critical thinking and experience to make certain that citations of regulatory requirements occur and that an accurate assessment of unmet needs has been documented. In addition, the Secondary Review and Notification RN is also responsible for completing the regulatory requirements for notification of determinations to members and/or providers. As a secondary reviewer you w

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