Job is Expired
Location: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin
Compensation: Salary
Staff Reviewed: Wed, Jun 07, 2023
Job Summary
A healthcare company is seeking a Prior Authorization Nurse Analyst.
Position Responsibilities:
- Review medical documentation for prior authorization requests submitted
- Assure planned services are medically necessary based on Medicare guidelines
- Provide written explanations for non-affirming prior authorization requests
Qualifications:
- Bachelor's Degree in related field or equivalent post-high school and/or related work experience
- Active RN license, applicable to state of practice
- Fiber or cable high-speed internet service that meets remote work requirements
- Prior authorization, utilization management, or medical/chart review experience
