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Job Description: Title: Nurse Practitioner – Advance Practice Division: Healthcare Operations Status: Exempt Reports to: Director of Operations- Advance Practice Revision date: Nov 2024 Supervises: n/a PURPOSE According to prescribed policies and procedures of the organization including
Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or
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