Delaware Licensed Clinical Review Nurse
Job is Expired
Location: Remote
Compensation: To Be Discussed
Reviewed: Tue, Oct 21, 2025
Job Summary
A company is looking for a Clinical Review Nurse - Prior Authorization.
Key Responsibilities
- Analyzes prior authorization requests to determine medical necessity and appropriate level of care
- Provides recommendations to medical teams to promote quality and cost-effective care
- Documents and maintains members' clinical information in health management systems for compliance
Required Qualifications
- Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
- 2-4 years of related experience preferred
- Licensed Practical Nurse (LPN) - State Licensure required
- RN license required for specific locations
COMPLETE JOB DESCRIPTION
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Job is Expired