Florida Licensed Medical Review Nurse

Job Summary

A company is looking for a Registered Nurse - Medical Review.

Key Responsibilities

• Review and authorize service requests based on established criteria and compliance standards
• Determine benefit coverage and medical necessity for authorization requests
• Collaborate with various departments and provide accurate prior authorization information

Required Qualifications

• 2+ years of related work experience
• High school diploma or GED
• Registered Nurse State Licensure and/or Compact State Licensure
• Proficiency in using desktop/laptop and MS Office products
• Ability to work rotational on call, including weekends and holidays