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Pre-Authorization Nurse Florida
Location:
Fullerton, CA
Description:
A company is looking for a Pre-Authorization Nurse to review prior authorization requests for appropriate care and settings. Key Responsibilities Conduct medical necessity and level of care reviews using clinical judgment Refer cases to internal stakeholders and educate providers on utilization and medical management processes Maintain clinical information in medical management systems and communicate with providers or members Required Qualifications Licensed Registered Nurse (RN) in Florida or a compact state with no disciplinary action 2 or more years of Utilization Management (UM), Pre-Auth, or managed care review experience 1 or more years of acute and/or critical care clinical experience Proficient with MS Office Word, Excel, and Outlook Availability to work Tuesday - Saturday, 8am-5pm EST, with potential overtime and holidays
Company:
Virtualvocations
Posted:
November 16 on TopUSAJobs
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More About this Listing: Pre-Authorization Nurse Florida
Pre-Authorization Nurse Florida is a Business Opportunities Nurse Job at Virtualvocations located in Fullerton CA. Find other listings like Pre-Authorization Nurse Florida by searching Oodle for Business Opportunities Nurse Jobs.
Pre-Authorization Nurse Florida is a Business Opportunities Nurse Job at Virtualvocations located in Fullerton CA. Find other listings like Pre-Authorization Nurse Florida by searching Oodle for Business Opportunities Nurse Jobs.