Arizona Licensed Preservice Review Nurse

Job Summary

Working remotely from anywhere in the U.S., the Arizona Licensed Preservice Review Nurse will manage health care services across outpatient and inpatient settings, performing reviews and collaborating with medical directors and clinical peers to ensure quality patient outcomes.

Key responsibilities:

• Perform initial and ongoing reviews for prior authorization, inpatient care management, discharge care management, and post-acute care management, applying clinical criteria for approvals
• Collaborate with medical directors and clinical teams to facilitate appropriate clinical decision-making and referrals
• Maintain compliance with federal, state, and accreditation standards while participating in team meetings and educational discussions

Required qualifications:

• Current, unrestricted RN license in state of residency
• 3+ years of RN experience
• Proficient computer skills, including Microsoft Office Suite
• Demonstrated ability to work independently
• Willingness or ability to work weekends