Florida Licensed Pre-Authorization Nurse
Company: VirtualVocations
Location: Ogden
Posted on: February 2, 2025
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Job Description:
A company is looking for a Pre-Authorization RN to review prior
authorization requests for appropriate care and setting.
Key Responsibilities
Completes medical necessity and level of care reviews for requested
services using clinical judgment
Refers cases to internal stakeholders and educates providers on
utilization and medical management processes
Enters and maintains pertinent clinical information in various
medical management systems
Required Qualifications
Licensed Registered Nurse (RN) in Florida or a compact state with
no disciplinary action
Residence in NC, SC, FL, or GA
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
Keywords: VirtualVocations, Salt Lake City , Florida Licensed Pre-Authorization Nurse, Healthcare , Ogden, Utah
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