Oklahoma Licensed Clinical Review Nurse

Job Summary

A company is looking for a Clinical Review Nurse - Prior Authorization.

Key Responsibilities

• Review clinical authorization requests for medical necessity
• Communicate with providers and build strong relationships
• Complete 14 clinical reviews per day

Required Qualifications, Training, and Education

• Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
• 2 - 4 years of related experience
• LPN - Licensed Practical Nurse - State Licensure required
• Knowledge of Medicare and Medicaid regulations preferred
• Knowledge of utilization management processes preferred