Prior Authorization Utilization Review Nurse
A fully remote role dedicated to reviewing prior authorization requests and evaluating medical necessity. The nurse will work closely with healthcare providers to facilitate clinical decisions.
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).
Assess clinical information against medical policy and criteria for prior authorization requests. Facilitate communication between providers and the utilization management team to resolve clinical inquiries. Maintain up-to-date knowledge of clinical guidelines and healthcare regulations.
Listed on gainwelltechnologies. Free to read, free to apply yourself.
For a $1 maintenance fee we write, submit and personally endorse your application for this role. You can pick more roles in the same category too.
Real recruiters apply for you with priority placement — 10 applications in 30 days, or your money back.