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Clinical Review Nurse - Louisiana
Location:
Dorchester, MA
Description:
A company is looking for a Clinical Review Nurse - Prior Authorization. Key Responsibilities Analyze prior authorization requests to determine medical necessity and appropriate level of care Coordinate with healthcare providers and interdepartmental teams to ensure timely reviews and authorizations Document and maintain member clinical information to ensure compliance with regulatory guidelines Required Qualifications, Training, and Education Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing 2 - 4 years of related experience RN/LPN/LVN Licensure in Louisiana or a Compact License required Knowledge of Medicare and Medicaid regulations preferred Understanding of utilization management processes preferred
Company:
Virtualvocations
Posted:
November 16 on TopUSAJobs
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More About this Listing: Clinical Review Nurse - Louisiana
Clinical Review Nurse - Louisiana is a Business Opportunities Nurse Job at Virtualvocations located in Dorchester MA. Find other listings like Clinical Review Nurse - Louisiana by searching Oodle for Business Opportunities Nurse Jobs.
Clinical Review Nurse - Louisiana is a Business Opportunities Nurse Job at Virtualvocations located in Dorchester MA. Find other listings like Clinical Review Nurse - Louisiana by searching Oodle for Business Opportunities Nurse Jobs.