Prior Authorization Utilization Review Nurse
Conduct utilization management and prior authorization reviews remotely for residents of OR, WA, ID, or UT. This full-time role focuses on clinical necessity and authorization workflows.
Work this role from any clinic, anywhere in the country — as long as your license, certifications and ID documents are current and valid for the employer's required state(s).
As a Utilization Management Nurse, you will conduct thorough clinical reviews to determine prior authorization status. This role is strictly remote but limited to candidates residing in specific Pacific/Mountain states. You will ensure that healthcare services align with approved clinical protocols.
Listed on lensa. Free to read, free to apply yourself.
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