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Andromeda Marquez-Hulse Email & Phone Number

Clinical Review Nurse Prior Authorization at Centene Corporation
Location: Las Vegas, Nevada, United States 4 work roles 3 schools
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Current company
Centene Corporation
Role
Clinical Review Nurse Prior Authorization
Location
Las Vegas, Nevada, United States
Company size
17105 employees

Who is Andromeda Marquez-Hulse? Overview

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Quick answer

Andromeda Marquez-Hulse is listed as Clinical Review Nurse Prior Authorization at Centene Corporation, a company with 17105 employees, based in Las Vegas, Nevada, United States. AeroLeads shows a matched LinkedIn profile for Andromeda Marquez-Hulse.

Andromeda Marquez-Hulse previously worked as MDS Coordinator at The Heights Of Summerlin and Review Coordinator at Livantallc. Andromeda Marquez-Hulse holds Master Of Science - Ms, Family Practice Nurse/Nursing from University Of Phoenix.

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Email format at Centene Corporation

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Centene Corporation

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Profile bio

About Andromeda Marquez-Hulse

Utilization Management, Skilled Nursing Facility Reimbursement, Knowledge of ICD-10, CPT coding, HCPCS, NCD/LCD Guidelines, Case Management, Long Term Care Survey, Post-Acute Care, Rehabilitation, Geriatrics, InterQual, Medicare, Medicaid, Managed Care Organization, Quality Improvement, Appeals & Grievances

Current workplace

Andromeda Marquez-Hulse's current company

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Centene Corporation
Centene Corporation
Clinical Review Nurse Prior Authorization
saint louis, missouri, united states
Website
centene.com
Employees
17105
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4 roles

Andromeda Marquez-Hulse work experience

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Clinical Review Nurse Prior Authorization

Current
Centene Corporation
  • Reviews prior authorization and retrospective requests for appropriate care and setting using InterQual criteria, clinical policies, and guidelines, approves services, or forwards requests to the appropriate medical.
  • Provides education to providers about the utilization management processes
  • Completes reviews in a timely manner
Jun 2020 - Present

Mds Coordinator

The Heights Of Summerlin

Las Vegas, Nevada, United States

  • Assigns appropriate International Classification of Diseases (ICD 10 codes)
  • Determines the medical necessity based on clinical & Medicare/Medicaid guidelines
  • Coordinates the completion of the Minimum Data Set (MDS) in a timely manner
  • Educates staff about functional assessment and documentation
Jan 2021 - Aug 2024

Review Coordinator

Livantallc

Las Vegas, Nevada, United States

  • Supported physician reviewers by summarizing case facts
  • Performed desktop medical review
  • Applied payment coverage by interpreting payment policies and guidelines
Nov 2015 - Jun 2020

Resident Care Manager/Mds Coordinator/Asst. Director Of Nursing

Las Ventanas At Summerlin | A Humangood Community

Las Vegas, Nevada, United States

  • Assisted the director of nursing in managing the overall nursing functions
  • Performed utilization and level of care reviews
  • Monitored the quality measures and reimbursement of the facility
Mar 2018 - Jul 2019
Team & coworkers

Colleagues at Centene Corporation

Other employees you can reach at centene.com. View company contacts for 17105 employees →

DM Dennis Mauricio Dennis Mauricio Colleague at Centene Corporation Sewickley, Pennsylvania, United States, United States View → MA Mark Alleman Mark Alleman Colleague at Centene Corporation Los Angeles Metropolitan Area, United States View → LC Luis Calero, M.A. Luis Calero, M.A. Colleague at Centene Corporation San Francisco, California, United States, United States View → MS Marci Smith Marci Smith Colleague at Centene Corporation Garden City, Kansas, United States, United States View → CL Cindy Lavin Cindy Lavin Colleague at Centene Corporation Missouri, United States, United States View → KC Kodi Callies Kodi Callies Colleague at Centene Corporation Des Moines Metropolitan Area, United States View → MR Merri Roussell Merri Roussell Colleague at Centene Corporation Metairie, Louisiana, United States, United States View → CP Cristian Perez, Mph, Cph Cristian Perez, Mph, Cph Colleague at Centene Corporation Atlanta, Georgia, United States, United States View → BR Bill Ray Bill Ray Colleague at Centene Corporation Wesley Chapel, Florida, United States, United States View → SK Sharda King Sharda King Colleague at Centene Corporation Greater Orlando, United States View →
3 education records

Andromeda Marquez-Hulse education

Bachelor Of Science In Nursing, Registered Nursing/Registered Nurse

Ohio University
FAQ

Frequently asked questions about Andromeda Marquez-Hulse

Quick answers generated from the profile data available on this page.

What company does Andromeda Marquez-Hulse work for?

Andromeda Marquez-Hulse works for Centene Corporation.

What is Andromeda Marquez-Hulse's role at Centene Corporation?

Andromeda Marquez-Hulse is listed as Clinical Review Nurse Prior Authorization at Centene Corporation.

Where is Andromeda Marquez-Hulse based?

Andromeda Marquez-Hulse is based in Las Vegas, Nevada, United States while working with Centene Corporation.

What companies has Andromeda Marquez-Hulse worked for?

Andromeda Marquez-Hulse has worked for Centene Corporation, The Heights Of Summerlin, Livantallc, and Las Ventanas At Summerlin | A Humangood Community.

Who are Andromeda Marquez-Hulse's colleagues at Centene Corporation?

Andromeda Marquez-Hulse's colleagues at Centene Corporation include Dennis Mauricio, Mark Alleman, Luis Calero, M.A., Marci Smith, and Cindy Lavin.

How can I contact Andromeda Marquez-Hulse?

You can use AeroLeads to view verified contact signals for Andromeda Marquez-Hulse at Centene Corporation, including work email, phone, and LinkedIn data when available.

What schools did Andromeda Marquez-Hulse attend?

Andromeda Marquez-Hulse holds Master Of Science - Ms, Family Practice Nurse/Nursing from University Of Phoenix.

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