Registered Nurse Authorization

Job Summary

A company is looking for an Authorization Nurse.

Key Responsibilities

• Serve as a liaison between care managers and payors, facilitating communication as necessary
• Collaborate with departments to ensure all documentation is obtained for authorization and medical appropriateness
• Monitor and evaluate processes for improvement related to the payor-specific authorization process

Required Qualifications

• RN required; BSN or Bachelor's degree preferred
• Licensed in practicing state
• 5 years of acute care clinical experience
• 2 years of payer or care management experience
• Understanding of clinical and care management processes